Evaluation of cardiac function of the fetus by inferior vena cava diameter pulse waveform.

Abstract:

BACKGROUND:The diameter pulse waveforms (DPWs) are known to reflect the pressure waveforms at the target vessel. Our purpose was to clarify the usefulness of DPWs recorded noninvasively from the fetal inferior vena cava (IVC) for detecting cardiac function. METHODS:A paired ultrasonic phase-locked echo tracking system was used to follow the movement of diametrically opposite points of the IVC. RESULTS:We studied 90 healthy fetuses (20-40 weeks, normal group) and 21 fetuses with cardiac abnormalities. The 4 component (A, X, V, and Y) waves of the DPW were identified. In the normal group, there was an increase in the depth of X and Y descents with advancing gestation. The 21 fetuses with suspected cardiac dysfunction were divided into normal and cardiac dysfunction subgroups, according to the values of fractional shortening and preload index. Of these, 11 fetuses with cardiac dysfunction had significantly higher incidence of shallow X nadir (P < .001) than the remaining 10 fetuses with normal cardiac function. CONCLUSION:The DPW analysis in the fetal IVC proved useful for detecting fetal cardiac dysfunction in utero.

journal_name

Am Heart J

journal_title

American heart journal

authors

Mori A,Uchida N,Ishiguro Y,Atsuko T,Kanako M,Mikio M

doi

10.1016/j.ahj.2007.06.015

subject

Has Abstract

pub_date

2007-10-01 00:00:00

pages

789-94

issue

4

eissn

0002-8703

issn

1097-6744

pii

S0002-8703(07)00515-7

journal_volume

154

pub_type

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