Use of the modified myocardial performance index for evaluating fetal cardiac functions in pregestational diabetic pregnancy babies

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dc.contributor.authorOncel Alanyali M.
dc.contributor.authorAlkan F.
dc.contributor.authorArtunc Ulkumen B.
dc.contributor.authorCoskun S.
dc.date.accessioned2024-07-22T08:06:51Z
dc.date.available2024-07-22T08:06:51Z
dc.date.issued2021
dc.description.abstractThe aim of this study is assessment of importance of use of the modified myocardial performance index (Mod-MPI) for the evaluation of foetal cardiac function in foetuses of women with pregestational diabetes mellitus (PDM). In this study, data of 30 pregnant patients aged 18–45 years diagnosed with PDM and 30 pregnant women aged 18–45 years with normal pregnancy and their babies were evaluated. Foetal echocardiographic and doppler measurements, foetal biometric measurements, umbilical artery and ductus venosus pulsatility indexes were measured in both PDM and control groups. The Mod-MPI was significantly higher in foetuses of PDM women. Many influences especially cardiac and postpartum complications are observed in infants of PDM women. The Mod-MPI is a simple and useful method for assessing foetal ventricular function. Our study has shown that PDM is associated with foetal ventricular dysfunction.Impact statementWhat is already known on this subject? Although MPI is frequently used in routine clinical assessment of neonates, it is not used adequately in foetuses. Many influences especially cardiac and postpartum complications are observed in infants of PDM women. However, there are few studies focussed specifically on the assessment of foetal cardiac function in PDM. What do the results of this study add? MPI, which shows both diastolic and systolic functions is independent of ventricular anatomy and foetal heart rate, was found significantly higher in diabetic mother foetuses, can be said to be a valuable parameter in evaluating foetal cardiac functions globally. What are the implications of these findings for clinical practice and/or further research? Our study has shown that foetuses PDM are associated with foetal ventricular dysfunction. For this MPI measurement can be routinely performed at foetal cardiac measurements in foetuses of PDM mothers. © 2020 Informa UK Limited, trading as Taylor & Francis Group.
dc.identifier.DOI-ID10.1080/01443615.2020.1718623
dc.identifier.issn01443615
dc.identifier.urihttp://akademikarsiv.cbu.edu.tr:4000/handle/123456789/13732
dc.language.isoEnglish
dc.publisherTaylor and Francis Ltd.
dc.subjectAdult
dc.subjectBiometry
dc.subjectDiabetes Mellitus
dc.subjectEchocardiography, Doppler
dc.subjectFemale
dc.subjectFetal Heart
dc.subjectGestational Age
dc.subjectHumans
dc.subjectPregnancy
dc.subjectPregnancy Complications
dc.subjectPregnancy in Diabetics
dc.subjectPulsatile Flow
dc.subjectUltrasonography, Prenatal
dc.subjectUmbilical Arteries
dc.subjectUmbilical Veins
dc.subjectVentricular Dysfunction
dc.subjectinsulin
dc.subjectA wave
dc.subjectadult
dc.subjectApgar score
dc.subjectArticle
dc.subjectascending aorta
dc.subjectbirth weight
dc.subjectblood pressure measurement
dc.subjectcardiac index
dc.subjectcesarean section
dc.subjectclinical article
dc.subjectcolor Doppler flowmetry
dc.subjectcontrolled clinical trial
dc.subjectcontrolled study
dc.subjectdiabetes mellitus
dc.subjectdiet therapy
dc.subjectechocardiography
dc.subjectfemale
dc.subjectfetus
dc.subjectfetus function test
dc.subjectfetus movement
dc.subjectfetus myocardium
dc.subjectfractional shortening
dc.subjectgestational age
dc.subjectheart ejection fraction
dc.subjectheart function
dc.subjectheart left ventricle enddiastolic diameter
dc.subjectheart left ventricle endsystolic diameter
dc.subjectheart performance
dc.subjecthuman
dc.subjecthypoglycemia
dc.subjectinsulin dependent diabetes mellitus
dc.subjectinsulin treatment
dc.subjectinterventricular septum
dc.subjectmaternal age
dc.subjectmeconium aspiration
dc.subjectmodified myocardial performance index
dc.subjectneonatal intensive care unit
dc.subjectneonatal respiratory distress syndrome
dc.subjectnewborn
dc.subjectnon insulin dependent diabetes mellitus
dc.subjectpregnancy
dc.subjectpregnancy diabetes mellitus
dc.subjectpregnant woman
dc.subjectpriority journal
dc.subjectprospective study
dc.subjectpuerperal infection
dc.subjectpulsatility index
dc.subjecttachycardia
dc.subjectumbilical artery
dc.subjectvaginal delivery
dc.subjectbiometry
dc.subjectdiabetes mellitus
dc.subjectdiagnostic imaging
dc.subjectDoppler echocardiography
dc.subjectfetus echography
dc.subjectfetus heart
dc.subjectheart ventricle function
dc.subjectpathophysiology
dc.subjectpregnancy
dc.subjectpregnancy complication
dc.subjectpregnancy diabetes mellitus
dc.subjectprocedures
dc.subjectpulsatile flow
dc.subjectumbilical artery
dc.subjectumbilical vein
dc.titleUse of the modified myocardial performance index for evaluating fetal cardiac functions in pregestational diabetic pregnancy babies
dc.typeArticle

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