Deformation of the left and right ventricular longitudinal myocardium in fetuses with umbilical cord around neck
Background Umbilical cord around neck, a common obstetric complication, affects fetal hemodynamics. Does it influence fetal cardiac functions？ The purpose of this study was to investigate the left and right ventricular systolic and diastolic functions of fetuses with umbilical cord around neck in th...
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| Veröffentlicht in: | Chinese medical journal 2012-05, Vol.125 (9), p.1608-1613 |
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| description | Background Umbilical cord around neck, a common obstetric complication, affects fetal hemodynamics. Does it influence fetal cardiac functions？ The purpose of this study was to investigate the left and right ventricular systolic and diastolic functions of fetuses with umbilical cord around neck in the third trimester by applying velocity vector imaging （VVI）.
Methods Thirty-five cases of fetuses with umbilical cord around neck whose gestational ages from 35 to 40 weeks were selected, including 20 cases of umbilical artery ratio of the highest systolic velocity （S） to the lowest diastolic velocity （D） （S/D） 〈3.0 and 15 cases of umbilical artery S/D ≥3.0, while 20 cases of normal fetuses of 35–40 gestational weeks were selected as the control group. The changes in longitudinal velocity, strain, and strain rate of fetal left and right ventricle in systole and diastole in two groups, and the changes in fetal cardiac function under the situation of umbilical cord around neck were analyzed.
Results Longitudinal strain and strain rate overall of fetal left and right ventricle in systole and diastole were less in fetuses with umbilical artery S/D 33.0 and umbilical cord around neck than those in fetuses with umbilical artery S/D 〈3.0 and those in control group （P 〈0.05）; there was no significant difference （P 〉0.05） in longitudinal strain and strain rate overall of fetal left and right ventricle in systole and diastole between fetuses with umbilical artery S/D 〈3.0 and those in control group.
Conclusions Left and right ventricular systolic and diastolic dysfunction was detected in fetuses with umbilical cord around neck and umbilical artery S/D 33.0. VVI could sensitively respond to cardiac function changes in fetuses with umbilical cord around neck, which provides another valuable method in the evaluation of fetal cardiac function. |
| doi_str_mv | 10.3760/cma.j.issn.0366-6999.2012.09.016 |
| format | Article |
| fullrecord | <record><control><sourceid>wanfang_jour_proqu</sourceid><recordid>TN_cdi_wanfang_journals_zhcmj201209016</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><cqvip_id>41912084</cqvip_id><wanfj_id>zhcmj201209016</wanfj_id><sourcerecordid>zhcmj201209016</sourcerecordid><originalsourceid>FETCH-LOGICAL-c268t-6f03a32abd28745c72f9fdc6db4756a1fcda58004ec2c8243cfd1763c0e957743</originalsourceid><addsrcrecordid>eNo90MlOHDEQBmArIgoT4BUic0FcuuO9u48IsklIuSTnlsfLtCdte_ASNHn6OBrIqS6f6q_6AbjFqKeDQB-Vl_2-dzmHHlEhOjFNU08QJj2aeoTFG7AhnJGOC4bPwOa_OQfvc94jRDgfxDtwTsiI0EjRBhwejI3Jy-JigNHCshi4GlugDBomt1sK_G1CSU7VVSa4xrBzpWoX5Ar9MSqZtKseugCtKTWbDJ9dWWD1W7c61ZCKSUOZYm37glG_LsFbK9dsrl7mBfj5-dOP-6_d4_cv3-7vHjtFxFg6YRGVlMitJuPAuBqInaxWQm_ZwIXEVmnJ2xPMKKJGwqiyGg-CKmQmPgyMXoCb095nGawMu3kfa2pX5_nPovz-X2loapU1eHuChxSfqsll9i4rs64ymFjzjFE7SPAR80Y_vNC69UbPh-S8TMf5tc4Grk9ALa2oJ9diXw3DU0scGf0L5jmIRw</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1026865815</pqid></control><display><type>article</type><title>Deformation of the left and right ventricular longitudinal myocardium in fetuses with umbilical cord around neck</title><source>MEDLINE</source><source>DOAJ Directory of Open Access Journals</source><source>EZB-FREE-00999 freely available EZB journals</source><creator>Zuo, Dong-Mei ; Wang, Chao-Hong ; Wang, Yue-Heng</creator><creatorcontrib>Zuo, Dong-Mei ; Wang, Chao-Hong ; Wang, Yue-Heng</creatorcontrib><description>Background Umbilical cord around neck, a common obstetric complication, affects fetal hemodynamics. Does it influence fetal cardiac functions？ The purpose of this study was to investigate the left and right ventricular systolic and diastolic functions of fetuses with umbilical cord around neck in the third trimester by applying velocity vector imaging （VVI）.
Methods Thirty-five cases of fetuses with umbilical cord around neck whose gestational ages from 35 to 40 weeks were selected, including 20 cases of umbilical artery ratio of the highest systolic velocity （S） to the lowest diastolic velocity （D） （S/D） 〈3.0 and 15 cases of umbilical artery S/D ≥3.0, while 20 cases of normal fetuses of 35–40 gestational weeks were selected as the control group. The changes in longitudinal velocity, strain, and strain rate of fetal left and right ventricle in systole and diastole in two groups, and the changes in fetal cardiac function under the situation of umbilical cord around neck were analyzed.
Results Longitudinal strain and strain rate overall of fetal left and right ventricle in systole and diastole were less in fetuses with umbilical artery S/D 33.0 and umbilical cord around neck than those in fetuses with umbilical artery S/D 〈3.0 and those in control group （P 〈0.05）; there was no significant difference （P 〉0.05） in longitudinal strain and strain rate overall of fetal left and right ventricle in systole and diastole between fetuses with umbilical artery S/D 〈3.0 and those in control group.
Conclusions Left and right ventricular systolic and diastolic dysfunction was detected in fetuses with umbilical cord around neck and umbilical artery S/D 33.0. VVI could sensitively respond to cardiac function changes in fetuses with umbilical cord around neck, which provides another valuable method in the evaluation of fetal cardiac function.</description><identifier>ISSN: 0366-6999</identifier><identifier>EISSN: 2542-5641</identifier><identifier>DOI: 10.3760/cma.j.issn.0366-6999.2012.09.016</identifier><identifier>PMID: 22800830</identifier><language>eng</language><publisher>China: Department of Ultrasound, Second Hospital of Hebei Medical University, Shijiazhuang, Hebei 050000, China%Hebei Medical University, Shijiazhuang, Hebei 050000, China</publisher><subject>Adult ; Female ; Fetus - abnormalities ; Fetus - physiopathology ; Gestational Age ; Heart Ventricles - diagnostic imaging ; Heart Ventricles - pathology ; Heart Ventricles - physiopathology ; Humans ; Myocardium - pathology ; Pregnancy ; Pregnancy Complications ; Ultrasonography, Prenatal ; Umbilical Arteries - diagnostic imaging ; Umbilical Arteries - pathology ; Umbilical Arteries - physiopathology ; Umbilical Cord - diagnostic imaging ; Umbilical Cord - physiopathology ; Young Adult ; 右心室 ; 心肌 ; 心脏功能 ; 收缩压 ; 纵向变形 ; 胎儿 ; 脐带 ; 速度向量</subject><ispartof>Chinese medical journal, 2012-05, Vol.125 (9), p.1608-1613</ispartof><rights>Copyright © Wanfang Data Co. Ltd. All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Uhttp://image.cqvip.com/vip1000/qk/85656X/85656X.jpg</thumbnail><link.rule.ids>314,776,780,860,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22800830$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Zuo, Dong-Mei</creatorcontrib><creatorcontrib>Wang, Chao-Hong</creatorcontrib><creatorcontrib>Wang, Yue-Heng</creatorcontrib><title>Deformation of the left and right ventricular longitudinal myocardium in fetuses with umbilical cord around neck</title><title>Chinese medical journal</title><addtitle>Chinese Medical Journal</addtitle><description>Background Umbilical cord around neck, a common obstetric complication, affects fetal hemodynamics. Does it influence fetal cardiac functions？ The purpose of this study was to investigate the left and right ventricular systolic and diastolic functions of fetuses with umbilical cord around neck in the third trimester by applying velocity vector imaging （VVI）.
Methods Thirty-five cases of fetuses with umbilical cord around neck whose gestational ages from 35 to 40 weeks were selected, including 20 cases of umbilical artery ratio of the highest systolic velocity （S） to the lowest diastolic velocity （D） （S/D） 〈3.0 and 15 cases of umbilical artery S/D ≥3.0, while 20 cases of normal fetuses of 35–40 gestational weeks were selected as the control group. The changes in longitudinal velocity, strain, and strain rate of fetal left and right ventricle in systole and diastole in two groups, and the changes in fetal cardiac function under the situation of umbilical cord around neck were analyzed.
Results Longitudinal strain and strain rate overall of fetal left and right ventricle in systole and diastole were less in fetuses with umbilical artery S/D 33.0 and umbilical cord around neck than those in fetuses with umbilical artery S/D 〈3.0 and those in control group （P 〈0.05）; there was no significant difference （P 〉0.05） in longitudinal strain and strain rate overall of fetal left and right ventricle in systole and diastole between fetuses with umbilical artery S/D 〈3.0 and those in control group.
Conclusions Left and right ventricular systolic and diastolic dysfunction was detected in fetuses with umbilical cord around neck and umbilical artery S/D 33.0. VVI could sensitively respond to cardiac function changes in fetuses with umbilical cord around neck, which provides another valuable method in the evaluation of fetal cardiac function.</description><subject>Adult</subject><subject>Female</subject><subject>Fetus - abnormalities</subject><subject>Fetus - physiopathology</subject><subject>Gestational Age</subject><subject>Heart Ventricles - diagnostic imaging</subject><subject>Heart Ventricles - pathology</subject><subject>Heart Ventricles - physiopathology</subject><subject>Humans</subject><subject>Myocardium - pathology</subject><subject>Pregnancy</subject><subject>Pregnancy Complications</subject><subject>Ultrasonography, Prenatal</subject><subject>Umbilical Arteries - diagnostic imaging</subject><subject>Umbilical Arteries - pathology</subject><subject>Umbilical Arteries - physiopathology</subject><subject>Umbilical Cord - diagnostic imaging</subject><subject>Umbilical Cord - physiopathology</subject><subject>Young Adult</subject><subject>右心室</subject><subject>心肌</subject><subject>心脏功能</subject><subject>收缩压</subject><subject>纵向变形</subject><subject>胎儿</subject><subject>脐带</subject><subject>速度向量</subject><issn>0366-6999</issn><issn>2542-5641</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo90MlOHDEQBmArIgoT4BUic0FcuuO9u48IsklIuSTnlsfLtCdte_ASNHn6OBrIqS6f6q_6AbjFqKeDQB-Vl_2-dzmHHlEhOjFNU08QJj2aeoTFG7AhnJGOC4bPwOa_OQfvc94jRDgfxDtwTsiI0EjRBhwejI3Jy-JigNHCshi4GlugDBomt1sK_G1CSU7VVSa4xrBzpWoX5Ar9MSqZtKseugCtKTWbDJ9dWWD1W7c61ZCKSUOZYm37glG_LsFbK9dsrl7mBfj5-dOP-6_d4_cv3-7vHjtFxFg6YRGVlMitJuPAuBqInaxWQm_ZwIXEVmnJ2xPMKKJGwqiyGg-CKmQmPgyMXoCb095nGawMu3kfa2pX5_nPovz-X2loapU1eHuChxSfqsll9i4rs64ymFjzjFE7SPAR80Y_vNC69UbPh-S8TMf5tc4Grk9ALa2oJ9diXw3DU0scGf0L5jmIRw</recordid><startdate>201205</startdate><enddate>201205</enddate><creator>Zuo, Dong-Mei</creator><creator>Wang, Chao-Hong</creator><creator>Wang, Yue-Heng</creator><general>Department of Ultrasound, Second Hospital of Hebei Medical University, Shijiazhuang, Hebei 050000, China%Hebei Medical University, Shijiazhuang, Hebei 050000, China</general><scope>2RA</scope><scope>92L</scope><scope>CQIGP</scope><scope>W91</scope><scope>~WA</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope><scope>2B.</scope><scope>4A8</scope><scope>92I</scope><scope>93N</scope><scope>PSX</scope><scope>TCJ</scope></search><sort><creationdate>201205</creationdate><title>Deformation of the left and right ventricular longitudinal myocardium in fetuses with umbilical cord around neck</title><author>Zuo, Dong-Mei ; Wang, Chao-Hong ; Wang, Yue-Heng</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c268t-6f03a32abd28745c72f9fdc6db4756a1fcda58004ec2c8243cfd1763c0e957743</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Adult</topic><topic>Female</topic><topic>Fetus - abnormalities</topic><topic>Fetus - physiopathology</topic><topic>Gestational Age</topic><topic>Heart Ventricles - diagnostic imaging</topic><topic>Heart Ventricles - pathology</topic><topic>Heart Ventricles - physiopathology</topic><topic>Humans</topic><topic>Myocardium - pathology</topic><topic>Pregnancy</topic><topic>Pregnancy Complications</topic><topic>Ultrasonography, Prenatal</topic><topic>Umbilical Arteries - diagnostic imaging</topic><topic>Umbilical Arteries - pathology</topic><topic>Umbilical Arteries - physiopathology</topic><topic>Umbilical Cord - diagnostic imaging</topic><topic>Umbilical Cord - physiopathology</topic><topic>Young Adult</topic><topic>右心室</topic><topic>心肌</topic><topic>心脏功能</topic><topic>收缩压</topic><topic>纵向变形</topic><topic>胎儿</topic><topic>脐带</topic><topic>速度向量</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Zuo, Dong-Mei</creatorcontrib><creatorcontrib>Wang, Chao-Hong</creatorcontrib><creatorcontrib>Wang, Yue-Heng</creatorcontrib><collection>中文科技期刊数据库</collection><collection>中文科技期刊数据库-CALIS站点</collection><collection>中文科技期刊数据库-7.0平台</collection><collection>中文科技期刊数据库-医药卫生</collection><collection>中文科技期刊数据库- 镜像站点</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><collection>Wanfang Data Journals - Hong Kong</collection><collection>WANFANG Data Centre</collection><collection>Wanfang Data Journals</collection><collection>万方数据期刊 - 香港版</collection><collection>China Online Journals (COJ)</collection><collection>China Online Journals (COJ)</collection><jtitle>Chinese medical journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Zuo, Dong-Mei</au><au>Wang, Chao-Hong</au><au>Wang, Yue-Heng</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Deformation of the left and right ventricular longitudinal myocardium in fetuses with umbilical cord around neck</atitle><jtitle>Chinese medical journal</jtitle><addtitle>Chinese Medical Journal</addtitle><date>2012-05</date><risdate>2012</risdate><volume>125</volume><issue>9</issue><spage>1608</spage><epage>1613</epage><pages>1608-1613</pages><issn>0366-6999</issn><eissn>2542-5641</eissn><abstract>Background Umbilical cord around neck, a common obstetric complication, affects fetal hemodynamics. Does it influence fetal cardiac functions？ The purpose of this study was to investigate the left and right ventricular systolic and diastolic functions of fetuses with umbilical cord around neck in the third trimester by applying velocity vector imaging （VVI）.
Methods Thirty-five cases of fetuses with umbilical cord around neck whose gestational ages from 35 to 40 weeks were selected, including 20 cases of umbilical artery ratio of the highest systolic velocity （S） to the lowest diastolic velocity （D） （S/D） 〈3.0 and 15 cases of umbilical artery S/D ≥3.0, while 20 cases of normal fetuses of 35–40 gestational weeks were selected as the control group. The changes in longitudinal velocity, strain, and strain rate of fetal left and right ventricle in systole and diastole in two groups, and the changes in fetal cardiac function under the situation of umbilical cord around neck were analyzed.
Results Longitudinal strain and strain rate overall of fetal left and right ventricle in systole and diastole were less in fetuses with umbilical artery S/D 33.0 and umbilical cord around neck than those in fetuses with umbilical artery S/D 〈3.0 and those in control group （P 〈0.05）; there was no significant difference （P 〉0.05） in longitudinal strain and strain rate overall of fetal left and right ventricle in systole and diastole between fetuses with umbilical artery S/D 〈3.0 and those in control group.
Conclusions Left and right ventricular systolic and diastolic dysfunction was detected in fetuses with umbilical cord around neck and umbilical artery S/D 33.0. VVI could sensitively respond to cardiac function changes in fetuses with umbilical cord around neck, which provides another valuable method in the evaluation of fetal cardiac function.</abstract><cop>China</cop><pub>Department of Ultrasound, Second Hospital of Hebei Medical University, Shijiazhuang, Hebei 050000, China%Hebei Medical University, Shijiazhuang, Hebei 050000, China</pub><pmid>22800830</pmid><doi>10.3760/cma.j.issn.0366-6999.2012.09.016</doi><tpages>6</tpages></addata></record> |
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| ispartof | Chinese medical journal, 2012-05, Vol.125 (9), p.1608-1613 |
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| source | MEDLINE; DOAJ Directory of Open Access Journals; EZB-FREE-00999 freely available EZB journals |
| subjects | Adult Female Fetus - abnormalities Fetus - physiopathology Gestational Age Heart Ventricles - diagnostic imaging Heart Ventricles - pathology Heart Ventricles - physiopathology Humans Myocardium - pathology Pregnancy Pregnancy Complications Ultrasonography, Prenatal Umbilical Arteries - diagnostic imaging Umbilical Arteries - pathology Umbilical Arteries - physiopathology Umbilical Cord - diagnostic imaging Umbilical Cord - physiopathology Young Adult 右心室 心肌 心脏功能 收缩压 纵向变形 胎儿 脐带 速度向量 |
| title | Deformation of the left and right ventricular longitudinal myocardium in fetuses with umbilical cord around neck |
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