Evaluation of the effect of gestational diabetes mellitus on fetal cardiac functions with Myocardial Performance Index
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Date
2023
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Abstract
BACKGROUND: We aimed to evaluate the fetal cardiac functions with Myocardial Performance Index (MPI) in gestational diabetes mellitus (GDM). METHODS: In this study, 35 patients who were diagnosed with GDM, and 35 pregnant without glucose intolerance and their babies were evaluated. Fetal echocardiographic, biometric measurements, umbilical artery pulsatility indices (UAPI) and ductus venosus pulsatility indices (DVPI) measurements were performed to evaluate fetal well-being between the groups. RESULTS: There was no statistically significant difference between the groups in terms of UAPI, DVPI, systolic functions, the mode of delivery and 5-minute APGAR scores (P=0.849, P=0.485, P=0.770, P=0.060, P=0.587). There was statistically significant difference between the isovolumetric relaxation time and isovolumetric contraction time of groups (P=0.006, P=0.03). The MPI results were statistically different between the groups (P=0.000). Postpartum need for hospitalization was more frequently observed in GDM than the control group (P=0.014). CONCLUSIONS: MPI, which is independent of the ventricular anatomy and fetal heart rate, showing both diastolic and systolic functions, was found significantly higher in GDM. We recommend performing MPI measurement routinely to fetal cardiac functions in GDM. Copyright © 2023 Edizioni Minerva Medica.
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Diabetes, Gestational , Echocardiography , Female , Fetal Heart , Humans , Postpartum Period , Pregnancy , Prenatal Care , adult , Apgar score , Article , biparietal distance , birth weight , clinical article , controlled study , diastolic blood pressure , ductus venosus , echocardiography , female , fetal well being , fetus , fetus heart rate , follow up , gestational age , gestational diabetes , glucose intolerance , gynecology , heart function , heart performance , hospitalization , human , menstrual cycle , mitral valve regurgitation , myocardial performance index , oral glucose tolerance test , pulmonary aspiration , relaxation time , subvalvular aortic stenosis , systolic blood pressure , umbilical artery , diagnostic imaging , fetus heart , physiology , pregnancy , pregnancy diabetes mellitus , prenatal care , procedures , puerperium