Methods for prenatal assessment of fetal cardiac function

被引:73
作者
Van Mieghem, Tim
DeKoninck, Philip
Steenhaut, Patricia [2 ]
Deprest, Jan [1 ]
机构
[1] Katholieke Univ Leuven Hosp, Dept Obstet & Gynaecol, Div Woman & Child, Fetal Diag & Therapy Unit, B-3000 Louvain, Belgium
[2] St Luc Univ Hosp, Dept Obstet & Gynaecol, B-1200 Brussels, Belgium
关键词
echocardiography; cardiac function; ultrasound; fetal heart; VENTRICULAR LONGITUDINAL FUNCTION; CARDIOVASCULAR PROFILE SCORE; MYOCARDIAL PERFORMANCE INDEX; TWIN-TRANSFUSION-SYNDROME; BLOOD-FLOW-VELOCITY; CAVA DIAMETER PULSE; GESTATIONAL-AGE; STRAIN-RATE; 4-DIMENSIONAL ULTRASOUND; DUCTUS-VENOSUS;
D O I
10.1002/pd.2379
中图分类号
Q3 [遗传学];
学科分类号
071007 ; 090102 ;
摘要
Fetal cardiac function is increasingly recognized as a marker of disease severity and prognosis in selected fetal conditions. Magnetic resonance imaging (MRI) has been used in experimental (animal) fetal cardiology but the lack of a noninvasive fetal electrocardiogram (ECG) to trigger image acquisition remains a major limiting factor precluding its application in humans. Fetal medicine specialists are therefore limited to ultrasound to evaluate human fetal cardiac function. In this review, we aim to provide a complete overview of the different ultrasound techniques that can be used for fetal cardiac function assessment and we discuss their (theoretical) strengths and shortcomings. Conventional methods include M-mode assessment of ventricular contractility and Doppler assessment of the precordial veins and cardiac Output (CO). More recent techniques such as the measurement of the myocardial performance index (MPI), myocardial motion analysis with tissue Doppler, speckle tracking and three-dimensional (3D) ultrasound techniques are also discussed. Copyright (C) 2009 John Wiley & Sons, Ltd.
引用
收藏
页码:1193 / 1203
页数:11
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