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Methods for prenatal assessment of fetal cardiac function

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Van Mieghem, Tim [Division of Woman and Child, Fetal Diagnosis and Therapy Unit, University Hospitals Leuven, B-3000 Leuven, Belgium] DeKoninck, Philip [Division of Woman and Child, Fetal Diagnosis and Therapy Unit, University Hospitals Leuven, B-3000 Leuven, Belgium] Steenhaut, Patricia [UCL] Deprest, Jan [Division of Woman and Child, Fetal Diagnosis and Therapy Unit, University Hospitals Leuven, B-3000 Leuven, Belgium]

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.

Document type Article de périodique (Journal article) – Journal Article, Research Support, Non-U.S. Gov't, Review
Publication date 2009
Language Anglais
Journal information "Prenatal Diagnosis" - Vol. 29, no. 13, p. 1193-203 (2009)
Peer reviewed yes
Publisher John Wiley & Sons Ltd (Chichester)
issn 0197-3851
e-issn 1097-0223
Publication status Publié
Affiliation UCL - MD/GYPE - Département de gynécologie, d'obstétrique et de pédiatrie
MESH Subject Ventricular Function ; Stroke Volume ; Pregnancy ; Magnetic Resonance Imaging ; Laser-Doppler Flowmetry ; Humans ; Heart Defects, Congenital - diagnosis ; Fetal Heart - physiology - ultrasonography ; Female ; Animals
Keywords echocardiography ; cardiac function ; ultrasound ; fetal heart
Links
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Bibliographic reference Van Mieghem, Tim ; DeKoninck, Philip ; Steenhaut, Patricia ; Deprest, Jan. Methods for prenatal assessment of fetal cardiac function. In: Prenatal Diagnosis, Vol. 29, no. 13, p. 1193-203 (2009)
Permanent URL http://hdl.handle.net/2078.1/34285