Comparison of fetal cardiac functions between small-for-gestational age fetuses and late-onset growth-restricted fetuses

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dc.contributor.authorKaya, Başak
dc.contributor.authorTayyar, Ahmet
dc.contributor.authorKanber Acar, Deniz
dc.contributor.authorKaya, Serdar
dc.date.accessioned2019-12-25T09:21:03Z
dc.date.available2019-12-25T09:21:03Z
dc.date.issued2019
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Kadın Hastalıkları ve Doğum Ana Bilim Dalı
dc.description.abstractBackground: This study aimed to investigate fetal cardiac functions by spectral tissue Doppler imaging (s-TDI) in pregnancies complicated with late-onset fetal growth restriction (LO-FGR) and small-for-gestational age (SGA). Methods: Forty pregnancies complicated with late-onset FCR and 40 pregnancies complicated with SGA between the 34th and 37th weeks of gestation were enrolled in this study. Forty gestational age-matched pregnant women with no obstetrics complication were randomly selected as a control group. Small fetuses were classified as fetal growth restriction or SGA according to estimated fetal weight (EFW), umbilical artery pulsatility index (PI), cerebroplacental ratio (CPR) and uterine artery PI. s-TDI measurements were obtained at the right atrioventricular valve annulus. Results: SGA and LO-FGR fetuses had significantly lower A' and S' values, and higher E'/A' ratio than the control group (P < 0.001). In comparison to controls, significantly prolonged isovolumetric contraction time (ICT') and isovolumetric relaxation time (IRT') and, significantly shortened ejection time (ET') were observed in fetuses with SGA and LO-FGR. Increased myocardial performance index (MPI') values were also found in fetuses with SGA and LO-FGR compared to controls. Conclusion: The signs of cardiac dysfunction were observed both in fetuses with SGA and LO-FGR. The fetal cardiac function assessment with s-TDI could be a valuable method in the diagnosis of true growth restricted fetuses and in the management of these fetuses.
dc.identifier.citationKaya, B., Tayyar, A., Kanber, Acar, D. ve Kaya, S. (2019). Comparison of fetal cardiac functions between small-for-gestational age fetuses and late-onset growth-restricted fetuses. Journal of Perinatal Medicine, 47(8), 879-884. https://doi.org/10.1515/jpm-2019-0206
dc.identifier.doi10.1515/jpm-2019-0206
dc.identifier.endpage884
dc.identifier.issn1619-3997
dc.identifier.issn0300-5577
dc.identifier.issue8
dc.identifier.scopusqualityQ2
dc.identifier.startpage879
dc.identifier.urihttps://doi.org/10.1515/jpm-2019-0206
dc.identifier.urihttps://hdl.handle.net/20.500.12511/4676
dc.identifier.volume47
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherWalter De Gruyter Gmbh
dc.relation.ispartofJournal of Perinatal Medicineen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/embargoedAccess
dc.subjectDetal Cardiac Function
dc.subjectLate-Onset Fetal Growth Restriction
dc.subjectSmall-For-Gestational Age
dc.titleComparison of fetal cardiac functions between small-for-gestational age fetuses and late-onset growth-restricted fetuses
dc.typeArticle

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