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Article: Fetal myocardial performance in pregnancies complicated by gestational impaired glucose tolerance

TitleFetal myocardial performance in pregnancies complicated by gestational impaired glucose tolerance
Authors
Issue Date2007
PublisherJohn 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?
AbstractObjective: 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 Identifierhttp://hdl.handle.net/10722/170385
ISSN
2015 Impact Factor: 4.197
2015 SCImago Journal Rankings: 1.766
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorWong, MLen_US
dc.contributor.authorWong, WHSen_US
dc.contributor.authorCheung, YFen_US
dc.date.accessioned2012-10-30T06:07:56Z-
dc.date.available2012-10-30T06:07:56Z-
dc.date.issued2007en_US
dc.identifier.citationUltrasound In Obstetrics And Gynecology, 2007, v. 29 n. 4, p. 395-400en_US
dc.identifier.issn0960-7692en_US
dc.identifier.urihttp://hdl.handle.net/10722/170385-
dc.description.abstractObjective: 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.languageengen_US
dc.publisherJohn Wiley & Sons Ltd. The Journal's web site is located at http://www.interscience.wiley.com/jpages/0960-7692/en_US
dc.relation.ispartofUltrasound in Obstetrics and Gynecologyen_US
dc.subject.meshAdulten_US
dc.subject.meshBlood Flow Velocityen_US
dc.subject.meshDiabetes, Gestationalen_US
dc.subject.meshEchocardiography, Doppleren_US
dc.subject.meshFemaleen_US
dc.subject.meshFetal Developmenten_US
dc.subject.meshFetal Heart - Physiopathology - Ultrasonographyen_US
dc.subject.meshGestational Ageen_US
dc.subject.meshGlucose Intoleranceen_US
dc.subject.meshGlucose Tolerance Testen_US
dc.subject.meshHeart Rate, Fetalen_US
dc.subject.meshHumansen_US
dc.subject.meshMitral Valve - Ultrasonographyen_US
dc.subject.meshPregnancyen_US
dc.subject.meshTricuspid Valve - Ultrasonographyen_US
dc.subject.meshUltrasonography, Prenatalen_US
dc.titleFetal myocardial performance in pregnancies complicated by gestational impaired glucose toleranceen_US
dc.typeArticleen_US
dc.identifier.emailCheung, YF:xfcheung@hku.hken_US
dc.identifier.authorityCheung, YF=rp00382en_US
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.doi10.1002/uog.3957en_US
dc.identifier.pmid17330321-
dc.identifier.scopuseid_2-s2.0-34247335903en_US
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-34247335903&selection=ref&src=s&origin=recordpageen_US
dc.identifier.volume29en_US
dc.identifier.issue4en_US
dc.identifier.spage395en_US
dc.identifier.epage400en_US
dc.identifier.isiWOS:000245903400006-
dc.publisher.placeUnited Kingdomen_US
dc.identifier.scopusauthoridWong, ML=37021124800en_US
dc.identifier.scopusauthoridWong, WHS=13310222200en_US
dc.identifier.scopusauthoridCheung, YF=7202111067en_US
dc.identifier.citeulike1208843-

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