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- PMID: 17330321
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Article: Fetal myocardial performance in pregnancies complicated by gestational impaired glucose tolerance
Title | Fetal myocardial performance in pregnancies complicated by gestational impaired glucose tolerance |
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Authors | |
Keywords | Fetus Gestational impaired glucose tolerance Myocardial performance |
Issue Date | 2007 |
Publisher | John Wiley & Sons Ltd. The Journal's web site is located at http://www.interscience.wiley.com/jpages/0960-7692/ |
Citation | Ultrasound In Obstetrics And Gynecology, 2007, v. 29 n. 4, p. 395-400 How to Cite? |
Abstract | Objective: To determine fetal myocardial performance in pregnancies complicated by mild gestational impaired glucose tolerance (GIGT). Methods: Ultrasound examinations were performed in 37 pregnant women with mild GIGT (36 did not require insulin) and in 44 controls at 18-24, 26-30 and 34-37 weeks of gestation. The thickness of the fetal ventricular walls and interventricular septum were measured by M-mode echocardiography. Using conventional Doppler echocardiography, the mitral and tricuspid early (E) and late (A) diastolic velocities and the ventricular myocardial performance index (MPI) were determined. Results: The fetuses of women with GIGT had a greater abdominal circumference (P = 0.02), a larger amniotic fluid index (P = 0.03), and a tendency to be heavier (P = 0.058) at the third scan. There were no significant differences in myocardial thickness, mitral and tricuspid E and A velocities, and E/A ratios between study and control groups. The left and right ventricular MPIs, while similar between the two groups in the first and second scans, had decreased significantly by late gestation in the GIGT fetuses (P for trend = 0.018 and 0.014, respectively) and were significantly lower than those of the control group (P = 0.002 and 0.0008, respectively). Conclusions: Fetuses of women with mild GIGT lack the ventricular hypertrophy and diastolic dysfunction that is common in fetuses of diabetic mothers, and they have a decreased MPI late in gestation. Copyright © 2007 ISUOG. Published by John Wiley & Sons, Ltd. |
Persistent Identifier | http://hdl.handle.net/10722/170385 |
ISSN | 2023 Impact Factor: 6.1 2023 SCImago Journal Rankings: 2.207 |
ISI Accession Number ID | |
References |
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Wong, ML | en_US |
dc.contributor.author | Wong, WHS | en_US |
dc.contributor.author | Cheung, YF | en_US |
dc.date.accessioned | 2012-10-30T06:07:56Z | - |
dc.date.available | 2012-10-30T06:07:56Z | - |
dc.date.issued | 2007 | en_US |
dc.identifier.citation | Ultrasound In Obstetrics And Gynecology, 2007, v. 29 n. 4, p. 395-400 | en_US |
dc.identifier.issn | 0960-7692 | en_US |
dc.identifier.uri | http://hdl.handle.net/10722/170385 | - |
dc.description.abstract | Objective: To determine fetal myocardial performance in pregnancies complicated by mild gestational impaired glucose tolerance (GIGT). Methods: Ultrasound examinations were performed in 37 pregnant women with mild GIGT (36 did not require insulin) and in 44 controls at 18-24, 26-30 and 34-37 weeks of gestation. The thickness of the fetal ventricular walls and interventricular septum were measured by M-mode echocardiography. Using conventional Doppler echocardiography, the mitral and tricuspid early (E) and late (A) diastolic velocities and the ventricular myocardial performance index (MPI) were determined. Results: The fetuses of women with GIGT had a greater abdominal circumference (P = 0.02), a larger amniotic fluid index (P = 0.03), and a tendency to be heavier (P = 0.058) at the third scan. There were no significant differences in myocardial thickness, mitral and tricuspid E and A velocities, and E/A ratios between study and control groups. The left and right ventricular MPIs, while similar between the two groups in the first and second scans, had decreased significantly by late gestation in the GIGT fetuses (P for trend = 0.018 and 0.014, respectively) and were significantly lower than those of the control group (P = 0.002 and 0.0008, respectively). Conclusions: Fetuses of women with mild GIGT lack the ventricular hypertrophy and diastolic dysfunction that is common in fetuses of diabetic mothers, and they have a decreased MPI late in gestation. Copyright © 2007 ISUOG. Published by John Wiley & Sons, Ltd. | en_US |
dc.language | eng | en_US |
dc.publisher | John Wiley & Sons Ltd. The Journal's web site is located at http://www.interscience.wiley.com/jpages/0960-7692/ | en_US |
dc.relation.ispartof | Ultrasound in Obstetrics and Gynecology | en_US |
dc.subject | Fetus | - |
dc.subject | Gestational impaired glucose tolerance | - |
dc.subject | Myocardial performance | - |
dc.subject.mesh | Adult | en_US |
dc.subject.mesh | Blood Flow Velocity | en_US |
dc.subject.mesh | Diabetes, Gestational | en_US |
dc.subject.mesh | Echocardiography, Doppler | en_US |
dc.subject.mesh | Female | en_US |
dc.subject.mesh | Fetal Development | en_US |
dc.subject.mesh | Fetal Heart - Physiopathology - Ultrasonography | en_US |
dc.subject.mesh | Gestational Age | en_US |
dc.subject.mesh | Glucose Intolerance | en_US |
dc.subject.mesh | Glucose Tolerance Test | en_US |
dc.subject.mesh | Heart Rate, Fetal | en_US |
dc.subject.mesh | Humans | en_US |
dc.subject.mesh | Mitral Valve - Ultrasonography | en_US |
dc.subject.mesh | Pregnancy | en_US |
dc.subject.mesh | Tricuspid Valve - Ultrasonography | en_US |
dc.subject.mesh | Ultrasonography, Prenatal | en_US |
dc.title | Fetal myocardial performance in pregnancies complicated by gestational impaired glucose tolerance | en_US |
dc.type | Article | en_US |
dc.identifier.email | Cheung, YF:xfcheung@hku.hk | en_US |
dc.identifier.authority | Cheung, YF=rp00382 | en_US |
dc.description.nature | link_to_subscribed_fulltext | en_US |
dc.identifier.doi | 10.1002/uog.3957 | en_US |
dc.identifier.pmid | 17330321 | - |
dc.identifier.scopus | eid_2-s2.0-34247335903 | en_US |
dc.relation.references | http://www.scopus.com/mlt/select.url?eid=2-s2.0-34247335903&selection=ref&src=s&origin=recordpage | en_US |
dc.identifier.volume | 29 | en_US |
dc.identifier.issue | 4 | en_US |
dc.identifier.spage | 395 | en_US |
dc.identifier.epage | 400 | en_US |
dc.identifier.isi | WOS:000245903400006 | - |
dc.publisher.place | United Kingdom | en_US |
dc.identifier.scopusauthorid | Wong, ML=37021124800 | en_US |
dc.identifier.scopusauthorid | Wong, WHS=13310222200 | en_US |
dc.identifier.scopusauthorid | Cheung, YF=7202111067 | en_US |
dc.identifier.citeulike | 1208843 | - |
dc.identifier.issnl | 0960-7692 | - |