The assessment of cardiac function with tissue Doppler imaging in fetuses with congenital diaphragmatic hernia

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dc.authorid0000-0002-2257-2355
dc.contributor.authorKaya, Başak
dc.contributor.authorTayyar, Ahmet
dc.contributor.authorSezer, Salim
dc.contributor.authorKaya, Serdar
dc.date.accessioned2020-03-25T06:30:13Z
dc.date.available2020-03-25T06:30:13Z
dc.date.issued2020
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Kadın Hastalıkları ve Doğum Ana Bilim Dalı
dc.description.abstractIntroduction: This study aimed to evaluate the cardiac function of fetuses with congenital diaphragmatic hernia by conventional echocardiography and spectral tissue Doppler imaging (s-TDI) and to evaluate the relationship between cardiac function and the severity of pulmonary hypoplasia. We also aimed to investigate the effect of diaphragmatic hernia side on fetal cardiac function. Methods: Fetal cardiac function were evaluated in 28 fetuses (20 with left-sided and 8 with right-sided) complicated with isolated congenital diaphragmatic hernia (CDH) and 56 gestational age matched control in this single center prospective study. s-TDI measurements were obtained at the right atrioventricular valve annulus. The annular peak velocities and their ratios, the time periods of cardiac cycle and myocardial performance index were calculated. Results: 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 CDH by s-TDI. Fetuses with CDH also had higher myocardial performance index (MPI ') z-scores compared to controls. There were no significant differences in terms of s-TDI cardiac function parameters between fetuses with right- and left-sided CDH. In correlation analysis, a significant positive correlation was found between ET ' value and o/e LHR. Conclusion: The signs of both systolic and diastolic altered function were observed in fetuses with CDH with s-TDI independent of the side of the hernia, and a significant positive correlation was observed between fetal cardiac systolic function and the severity of pulmonary hypoplasia.
dc.identifier.citationKaya, B., Tayyar, A., Sezer, S. ve Kaya, S. (2020). The assessment of cardiac function with tissue Doppler imaging in fetuses with congenital diaphragmatic hernia. Journal of Maternal-Fetal & Neonatal Medicine 33(7), 1233-1238. https://doi.org/10.1080/14767058.2019.1674806
dc.identifier.doi10.1080/14767058.2019.1674806
dc.identifier.endpage1238
dc.identifier.issue7
dc.identifier.scopusqualityQ2
dc.identifier.startpage1233
dc.identifier.urihttps://doi.org/10.1080/14767058.2019.1674806
dc.identifier.urihttps://hdl.handle.net/20.500.12511/5090
dc.identifier.volume33
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherTaylor & Francis
dc.relation.ispartofJournal of Maternal-Fetal & Neonatal Medicineen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/embargoedAccess
dc.subjectCongenital Diaphragmatic Hernia
dc.subjectFetal Cardiac Function
dc.subjectGlobal Cardiac Function
dc.subjectSpectral Tissue Doppler İmaging
dc.subjectFetal Cardiac Dysfunction
dc.subjectPulmonary Hypoplasia
dc.titleThe assessment of cardiac function with tissue Doppler imaging in fetuses with congenital diaphragmatic hernia
dc.typeArticle

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