Doppler assessment of fetal diastolic dysfunction
Authors
Nodira M.Normuradova
Share
Annotation
The article presents the results of a study of the pulmonary artery and vein in the assessment of cardiac dysfunction in fetuses with cardiomegaly. The Doppler in the artery and vein was obtained in one control volume. Аcceleration time (АТ), ejection time (ЕТ), isovolumic contraction time (IVCT), isovolumic relaxation time (IVRT), duration of the A wave (Аdur), atrial contraction time (АСТ), the max velocity in the PV at the moment of opening of the atrioventricular valve ( at point AVO), the max velocity in the PV in ventricular systole (at point S) and AVO/S, AT/ET, ACT/IVRT, IVRT/ET were also calculated. In diastolic dysfunction, there was a shortening IVRT, lengthening of the atrial time, and a decrease in the AVO/S ratio. Systolic dysfunction of the heart was characterized by a pronounced dicrotic notch in the arterial spectrum, a decrease in the wave after the closure of the semilunar valve/or retrograde blood flow in the ventricular diastole.
Keywords
Authors
Nodira M.Normuradova
Share
References:
1. DeVore G.R., Klas B., Satou G., Sklansky M. Longitudinal Annular Systolic Displacement Compared to Global Strain in Normal Fetal Heart sand Those With Cardiac Abnormalities. J. Ultrasound Med. 2018; 37:1159–1171.
2. Buryakova S.I., Medvedev M.V., Strupeneva U.A., Nikolaeva E.V. Evaluation of the contractile function of the fetal myocardium in obstructive lesions of the aorta. Prenatal diagnosis. 2020; 19(3): 220-227.
3. Tei C., Ling L.H., Hodge D.O. New index of combined systolic and diastolic myocardial performance: a study in normals and dilated cardiomyopathy. J Cardiol. 1995;26(6):357-366.
4. Friedman D., Buyon J., Kim M., Glickstein J.S.. Fetal cardiac function assessed by Doppler myocardial performance index (Tei Index). Ultrasound Obstet Gynecol. 2003; 21(1):33-36.
5. Ghawi H., Gendi S., Mallula K., Zghouzi M., Faza N., Awad S. Fetal left and right ventricle myocardial performance index: defining normal values for the second and third trimesters—single tertiary center experience. pediatric cardiology. 2013; 34(8): 1808-1815.
6. Tsutsumi T., Ishii M., Eto G., Hota M., Kato H. Serial evaluation for myocardial performance in fetuses and neonates using a new Doppler Index. Pediatric Int. 1999; 41:722-727.