Cited by 70Congenital Heart Disease StudiesCardiovascular Function and Risk FactorsPrenatal Screening and Diagnostics

Ultrasound assessment of fetal cardiac function

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Crispi, Fàtima, Valenzuela‐Alcaraz, Brenda, Cruz‐Lemini, Monica, Gratacós, Eduard·2013·Australasian Journal of Ultrasound in Medicine

Abstract

Introduction : Fetal heart evaluation with US is feasible and reproducible, although challenging due to the smallness of the heart, the high heart rate and limited access to the fetus. However, some cardiac parameters have already shown a strong correlation with outcomes and may soon be incorporated into clinical practice. Materials and Methods : Cardiac function assessment has proven utility in the differential diagnosis of cardiomyopathies or prediction of perinatal mortality in congenital heart disease. In addition, some cardiac parameters with high sensitivity such as MPI or annular peak velocities have shown promising results in monitoring and predicting outcome in intrauterine growth restriction or congenital diaphragmatic hernia. Conclusion : Cardiac function can be adequately evaluated in most fetuses when appropriate expertise, equipment and time are available. Fetal cardiac function assessment is a promising tool that may soon be incorporated into clinical practice to diagnose, monitor or predict outcome in some fetal conditions. Thus, more research is warranted to further define specific protocols for each fetal condition that may affect cardiac function.

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Crossref · 10.1002/j.2205-0140.2013.tb00242.x

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  • Outliers were removed using a median absolute deviation (MAD) * 2.5 cut-off, discarding measurements greater than 1.13 cm for TAPSE and 0.74 cm for MAPSE.

    “Of these, outliers were removed using the median absolute deviation (MAD) * 2.5 to provide a cut-off as previously described [12].Measurements greater than 1.13cm and 0.74cm for TAPSE and MAPSE were discarded, which removed 2 and 5 data volumes, from each group respectively.”

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  1. [19]Guyton AC. HJ. Textboook of Medical Phisiology. 12 ed. Philadelphia: Elsevier Saunders 2011.
  2. [56]Hamill N, Romero R, Hassan SS, Lee W, Myers SA, Mittal P, et al. Repeatability and reproducibility of fetal cardiac ventricular volume calculations using spatiotemporal image correlation and virtual organ computer‐aided analysis. J Ultrasound Med 2009; 28 (10): 1301– 11. 19778875 PMC3071609

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Authors
Crispi, F., Valenzuela‐Alcaraz, B., Cruz‐Lemini, M., & Gratacós, E.
Affiliations
  • Centre for Biomedical Network Research on Rare Diseases (ES)
  • Fetal and Perinatal Medicine Research Group Institut d'Investigacions Biomèdiques August Pi i Sunyer University of Barcelona Barcelona Spain
Corresponding author
Gratacós, Eduard
Venue
Australasian Journal of Ultrasound in Medicine
Publisher
Wiley
Published
2013-11
Volume
16
Issue
4
Pages
158-167
ISSN
  • 1836-6864 (ISSN-L)
  • 2205-0140
OpenAlex
W2219667269
Cited by
70
References
63
Citations by year
2026: 7 · 2025: 8 · 2024: 6 · 2023: 17 · 2022: 6 · 2021: 6 · 2020: 9 · 2019: 8 · 2018: 1 · 2017: 1 · 2015: 1
FWCI
0.04
Type
journal article
Language
en
Open access
Locations
  • Australasian Journal of Ultrasound in Medicine (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • Fundación Mutua Madrileña
  • Cerebra
  • Instituto de Salud Carlos III (PI11/00051, PI11/, PI12/00801, PI11/01709)
  • European Regional Development Fund
Topics
  • Health Sciences › Medicine › Epidemiology › Congenital Heart Disease Studies
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Function and Risk Factors
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Prenatal Screening and Diagnostics
Keywords
fetal cardiac function, fetal echocardiography, fetal cardiomyopathy, congenital heart disease, myocardial performance index, fetal growth restriction, congenital diaphragmatic hernia, fetal heart rate

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