Cardiac Measurements of Size and Shape in Fetuses With Absent or Reversed End-Diastolic Velocity of the Umbilical Artery and Perinatal Survival and Severe Growth Restriction Before 34 Weeks' Gestation.
Cardiac Measurements of Size and Shape in Fetuses With Absent or Reversed End-Diastolic Velocity of the Umbilical Artery and Perinatal Survival and Severe Growth Restriction Before 34 Weeks' Gestation.
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DOI：
10.1002/jum.15532
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发表时间：
2021-08
期刊：
影响因子：
--
通讯作者：
Romero R
中科院分区：
文献类型：
--
作者：
DeVore GR;Portella PP;Andrade EH;Yeo L;Romero R
本研究的目的是评估胎儿的四腔心视图的舒张末期的大小和形状以及右心室（RV）和左心室（LV）在孕34周前的生长受限胎儿的脐动脉舒张末期速度的缺失或逆转，并比较围产儿死亡和新生儿期存活的结果。研究了49例胎儿生长受限和脐动脉舒张末期流速缺失或逆转。测量四腔心切面（4CV）、右心室（RV）和左心室（LV）的大小、形状和球形指数。计算Z评分值<-1.65和> 1.65的胎儿数量和百分比。在49个胎儿中，有13个围产期死亡（27%）和36个新生儿存活（63%）。新生儿存活者的独特测量结果是RV心尖横向宽度增加，以下测量值减少：LV和RV宽度、LV和RV面积以及RV球形指数。右心室和左心室大小和面积较小的胎儿以及球形右心室的胎儿围产期死亡风险显著降低。
The purpose of this study was to evaluate the end-diastolic size and shape of the four-chamber view as well as the right ventricle (RV) and left ventricle (LV) in growth-restricted fetuses before 34 weeks’ gestation with absent or reversed end-diastolic velocity of the umbilical artery and compare the results between those with perinatal deaths and those who survived the neonatal period. Forty-nine fetuses with growth restriction and absent or reversed end-diastolic velocity of the umbilical artery were studied. The size and shape and sphericity index of the four-chamber view (4CV) and the right (RV) and left (LV) ventricles were assessed. The number and percent of fetuses with Z-score values < −1.65 and > 1.65 were computed. Of the 49 fetuses, there were 13 perinatal deaths (27%) and 36 (63%) neonatal survivors. Measurements that were unique for neonatal survivors were an increased RV apical transverse width and decreased measurements of the following: LV and RV widths, LV and RV areas, as well as RV sphericity indices. Fetuses with a smaller RV and LV size and area and those with a globular-shaped RV were at significantly lower risk for perinatal death.
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影响因子：
2.3
作者：
DeVore, Greggory R.;Cuneo, Bettina;Sklansky, Mark
通讯作者：
Sklansky, Mark
影响因子：
37.8
作者：
Crispi, Fatima;Bijnens, Bart;Gratacos, Eduard
通讯作者：
Gratacos, Eduard
影响因子：
9.8
作者：
Cruz-Lemini, Monica;Crispi, Fatima;Gratacos, Eduard
通讯作者：
Gratacos, Eduard
影响因子：
3
作者：
DeVore, Greggory R.;Klas, Berthold;Sklansky, Mark
通讯作者：
Sklansky, Mark
影响因子：
2.8
作者：
Firpo, C;Hoffman, JIE;Silverman, NH
通讯作者：
Silverman, NH