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首页> 外文期刊>Journal of the American Society of Echocardiography: official publication of the American Society of Echocardiography >Prospective Assessment of Fetal Cardiac Function With Speckle Tracking in Healthy Fetuses and Recipient Fetuses of Twin-to-Twin Transfusion Syndrome
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Prospective Assessment of Fetal Cardiac Function With Speckle Tracking in Healthy Fetuses and Recipient Fetuses of Twin-to-Twin Transfusion Syndrome

机译:双胎和双胎输血综合症中健康胎儿和接受者胎儿的斑点追踪前瞻性评估。

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Background: The aim of this study was to assess speckle tracking-derived fetal cardiac function in a normal population and in recipient fetuses of twin-to-twin transfusion syndrome (TTTS).Methods: A case-control study was conducted of 59 uncomplicated singleton pregnancies and 17 recipient fetuses of TTTS. Peak systolic strain, strain rate, velocity, and displacement were calculated, corrected for gestational age, and compared between patients with TTTS and controls.Results: The feasibility of speckle tracking was 83% in controls but only 61 % in patients with TTTS. Myocardial velocity and displacement increased over gestation, and regional differences were present within each wall and between walls. Strain and strain rate were stable within each wall but were higher in the right ventricle than in the left ventricle and septum. Right ventricular strain was decreased in patients with TTTS compared with controls (0.75 +- 0.34 vs 1.00 +- 0.37 multiples of the median, P = .04).Conclusion: The feasibility of speckle tracking is low when imaging conditions are challenging, but it can identify right ventricular failure in selected patients with TTTS.
机译:背景:本研究的目的是评估正常人群和双胎-双胎输血综合征(TTTS)的受者胎儿中散斑追踪引起的胎儿心脏功能。方法:对59例单纯性单胎孕妇进行了病例对照研究。 TTTS怀孕和17名胎儿。计算峰值收缩期应变,应变率,速度和位移,校正胎龄,并与TTTS患者和对照组进行比较。结果:在对照组中,斑点追踪的可行性为83%,而TTTS患者仅为61%。妊娠期间心肌速度和位移增加,并且每壁内和壁间均存在区域差异。每个壁内的应变和应变率稳定,但右心室比左心室和隔膜高。与对照组相比,TTTS患者的右心室应变降低(0.75 +-0.34 vs 1.00 +-0.37的中位数倍数,P = .04)。可以确定某些TTTS患者的右心室衰竭。

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