Normal fetal Doppler inferior vena cava, transtricuspid, and umbilical artery flow velocity waveforms between 11 and 16 weeks' gestation

Objectives: Our objectives were to determine flow velocity waveform patterns in the fetal inferior vena cava and to relate these waveforms to transtricuspid and umbilical artery waveforms and fetal heart rate in early gestation. Study Design: Doppler waveforms were recorded in 40 normal fetuses at 1...

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Veröffentlicht in:American journal of obstetrics and gynecology 1992-03, Vol.166 (3), p.921-924
Hauptverfasser: Wladimiroff, Juriy W., Huisman, Tjeerd W.A., Stewart, Patricia A., Stijnen, Th
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container_end_page 924
container_issue 3
container_start_page 921
container_title American journal of obstetrics and gynecology
container_volume 166
creator Wladimiroff, Juriy W.
Huisman, Tjeerd W.A.
Stewart, Patricia A.
Stijnen, Th
description Objectives: Our objectives were to determine flow velocity waveform patterns in the fetal inferior vena cava and to relate these waveforms to transtricuspid and umbilical artery waveforms and fetal heart rate in early gestation. Study Design: Doppler waveforms were recorded in 40 normal fetuses at 11 to 16 weeks of gestation. Only transvaginal scanning was carried out at 11 to 12 weeks and only transabdominal scanning was used at 15 to 16 weeks. Results: The ratio of time velocity integrals of flow from the inferior vena cava during systole and early diastole, the percentage of reverse flow in this vessel, the pulsatility index from the umbilical artery, and the fetal heart rate were negatively correlated with gestational age. Peak E-wave and A-wave velocities and E/A ratios from the transtricuspid waveforms were positively correlated with gestational age. Conclusion: Early normal pregnancies are associated with remarkable changes in fetal flow velocity waveforms at both the cardiac and the extracardiac level.
doi_str_mv 10.1016/0002-9378(92)91363-F
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Placenta</topic><topic>Reference Values</topic><topic>Tricuspid Valve - embryology</topic><topic>Ultrasonography, Prenatal</topic><topic>Umbilical Arteries - diagnostic imaging</topic><topic>Umbilical Arteries - physiology</topic><topic>Vena Cava, Inferior - embryology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wladimiroff, Juriy W.</creatorcontrib><creatorcontrib>Huisman, Tjeerd W.A.</creatorcontrib><creatorcontrib>Stewart, Patricia A.</creatorcontrib><creatorcontrib>Stijnen, Th</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>American journal of obstetrics and gynecology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wladimiroff, Juriy W.</au><au>Huisman, Tjeerd W.A.</au><au>Stewart, Patricia A.</au><au>Stijnen, Th</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Normal fetal Doppler inferior vena cava, transtricuspid, and umbilical artery flow velocity waveforms between 11 and 16 weeks' gestation</atitle><jtitle>American journal of obstetrics and gynecology</jtitle><addtitle>Am J Obstet Gynecol</addtitle><date>1992-03</date><risdate>1992</risdate><volume>166</volume><issue>3</issue><spage>921</spage><epage>924</epage><pages>921-924</pages><issn>0002-9378</issn><eissn>1097-6868</eissn><coden>AJOGAH</coden><abstract>Objectives: Our objectives were to determine flow velocity waveform patterns in the fetal inferior vena cava and to relate these waveforms to transtricuspid and umbilical artery waveforms and fetal heart rate in early gestation. Study Design: Doppler waveforms were recorded in 40 normal fetuses at 11 to 16 weeks of gestation. Only transvaginal scanning was carried out at 11 to 12 weeks and only transabdominal scanning was used at 15 to 16 weeks. Results: The ratio of time velocity integrals of flow from the inferior vena cava during systole and early diastole, the percentage of reverse flow in this vessel, the pulsatility index from the umbilical artery, and the fetal heart rate were negatively correlated with gestational age. Peak E-wave and A-wave velocities and E/A ratios from the transtricuspid waveforms were positively correlated with gestational age. Conclusion: Early normal pregnancies are associated with remarkable changes in fetal flow velocity waveforms at both the cardiac and the extracardiac level.</abstract><cop>Philadelphia, PA</cop><pub>Mosby, Inc</pub><pmid>1550165</pmid><doi>10.1016/0002-9378(92)91363-F</doi><tpages>4</tpages></addata></record>
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source MEDLINE; Access via ScienceDirect (Elsevier)
subjects Adult
Biological and medical sciences
Blood Flow Velocity
Doppler ultrasonography
Female
fetal blood flow
Fetus - physiology
Gestational Age
Gynecology. Andrology. Obstetrics
Heart Rate, Fetal
Humans
Management. Prenatal diagnosis
Medical sciences
Pregnancy
Pregnancy. Fetus. Placenta
Reference Values
Tricuspid Valve - embryology
Ultrasonography, Prenatal
Umbilical Arteries - diagnostic imaging
Umbilical Arteries - physiology
Vena Cava, Inferior - embryology
title Normal fetal Doppler inferior vena cava, transtricuspid, and umbilical artery flow velocity waveforms between 11 and 16 weeks' gestation
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