Evaluation of the effect of gestational diabetes mellitus on fetal cardiac functions with Myocardial Performance Index

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dc.contributor.authorAlkan F.
dc.contributor.authorOncel Alanyali M.
dc.contributor.authorArtunc Ulkumen B.
dc.contributor.authorCoskun S.
dc.date.accessioned2024-07-22T08:02:50Z
dc.date.available2024-07-22T08:02:50Z
dc.date.issued2023
dc.description.abstractBACKGROUND: 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.
dc.identifier.DOI-ID10.23736/S2724-606X.21.04941-1
dc.identifier.issn2724606X
dc.identifier.urihttp://akademikarsiv.cbu.edu.tr:4000/handle/123456789/12013
dc.language.isoEnglish
dc.publisherEdizioni Minerva Medica
dc.subjectDiabetes, Gestational
dc.subjectEchocardiography
dc.subjectFemale
dc.subjectFetal Heart
dc.subjectHumans
dc.subjectPostpartum Period
dc.subjectPregnancy
dc.subjectPrenatal Care
dc.subjectadult
dc.subjectApgar score
dc.subjectArticle
dc.subjectbiparietal distance
dc.subjectbirth weight
dc.subjectclinical article
dc.subjectcontrolled study
dc.subjectdiastolic blood pressure
dc.subjectductus venosus
dc.subjectechocardiography
dc.subjectfemale
dc.subjectfetal well being
dc.subjectfetus
dc.subjectfetus heart rate
dc.subjectfollow up
dc.subjectgestational age
dc.subjectgestational diabetes
dc.subjectglucose intolerance
dc.subjectgynecology
dc.subjectheart function
dc.subjectheart performance
dc.subjecthospitalization
dc.subjecthuman
dc.subjectmenstrual cycle
dc.subjectmitral valve regurgitation
dc.subjectmyocardial performance index
dc.subjectoral glucose tolerance test
dc.subjectpulmonary aspiration
dc.subjectrelaxation time
dc.subjectsubvalvular aortic stenosis
dc.subjectsystolic blood pressure
dc.subjectumbilical artery
dc.subjectdiagnostic imaging
dc.subjectfetus heart
dc.subjectphysiology
dc.subjectpregnancy
dc.subjectpregnancy diabetes mellitus
dc.subjectprenatal care
dc.subjectprocedures
dc.subjectpuerperium
dc.titleEvaluation of the effect of gestational diabetes mellitus on fetal cardiac functions with Myocardial Performance Index
dc.typeArticle

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