Altered fetal cardiac function in smoking during pregnancy

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dc.authorid0000-0002-2257-2355
dc.contributor.authorKaya, Serdar
dc.contributor.authorKandemir, Hülya
dc.contributor.authorKaya, Başak
dc.contributor.authorSanhal, Cem Yaşar
dc.date.accessioned2023-09-14T07:43:43Z
dc.date.available2023-09-14T07:43:43Z
dc.date.issued2022
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Kadın Hastalıkları ve Doğum Ana Bilim Dalı
dc.description.abstractMaternal smoking during pregnancy remains a major public health issue and is associated with adverse perinatal outcomes. This study aimed to evaluate fetal cardiac functions in chronic maternal smoking during pregnancy and to compare them with non-smoker pregnant women. Forty-two smoker pregnant women between 24 and 34 weeks of gestation and gestational age-matched 44 non-smoker pregnant women were enrolled in this cross-sectional study. Fetal cardiac functions were measured using conventional Doppler echocardiography. The peak velocities of the mitral valve during early diastole (E) and atrial contraction (A) were measured, and the E/A ratio was calculated. The following time periods were also calculated; isovolumetric contraction time (ICT), isovolumetric relaxation time (IRT), and ejection time (ET). Then, the fetal left ventricle modified myocardial performance index (Mod-MPI) was calculated. No significant differences were noted between the groups in terms of E, A, and E/A ratio z-scores (p > 0.05). The ICT and IRT z-scores were found to be significantly higher in the study group compared with those in the control group (p = 0.001 and p = 0.034). Mod-MPI z-score was also found significantly higher in the study group than in the control group (p = 0.034). There was no significant difference between the groups in terms of ET (p > 0.05). The signs of systolic, diastolic, and global cardiac dysfunction were demonstrated in fetuses of pregnant women with chronic smoking. It, therefore, merits consideration that the fetal heart is also exposed to the detrimental effects of smoking.
dc.identifier.citationKaya, S., Kandemir, H., Kaya, B. ve Sanhal, C. Y. (2022). Altered fetal cardiac function in smoking during pregnancy. Journal of Fetal Medicine, 9(3-4), 65-69. https://dx.doi.org/10.1007/s40556-022-00349-3
dc.identifier.doi10.1007/s40556-022-00349-3
dc.identifier.endpage69
dc.identifier.issn2348-1153
dc.identifier.issn2348-8859
dc.identifier.issue45385
dc.identifier.startpage65
dc.identifier.urihttps://dx.doi.org/10.1007/s40556-022-00349-3
dc.identifier.urihttps://hdl.handle.net/20.500.12511/11428
dc.identifier.volume9
dc.identifier.wos000843247100001en_US
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.institutionauthorKaya, Başak
dc.language.isoen
dc.publisherThieme Medical and Scientific Publishers Pvt Ltd
dc.relation.ispartofJournal of Fetal Medicineen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectMaternal Smoking
dc.subjectModifed Myocardial Performance Index
dc.subjectFetal Cardiac Function
dc.subjectConventional Doppler Echocardiography
dc.titleAltered fetal cardiac function in smoking during pregnancy
dc.typeArticle

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