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Cardiac function and dysfunction in the fetus

机译:胎儿心脏功能和功能障碍

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摘要

Evaluation of fetal cardiac function is one of the most important components of fetal echocardiography. Fetal cardiac dysfunction is closely linked to risk of intrauterine fetal demise, in many, but not all cases is indicative of worse postnatal prognosis and may prompt the use of medications or interventions to optimize outcomes. There may be implications for termination versus continuation of pregnancy, an indication for early delivery, a change in location and even mode of delivery. In extreme cases, fetal cardiac dysfunction may prompt prenatal or early neonatal listing for cardiac transplantation. There are several important differences between the fetal and postnatal circulatory physiology which affect echocardiographic assessment of cardiac dysfunction. In this review, we examine the echocardiographic findings according to their underlying pathophysiology with reference to common causes.
机译:胎儿心功能评估是胎儿超声心动图中最重要的组成部分之一。 胎儿心脏功能障碍与宫内胎儿消亡的风险紧密相关,在许多情况下,但并非所有病例都表明出生后预后更差,并且可以促使使用药物或干预措施来优化结果。 可能对终止的影响与怀孕的延续进行影响,提前发货的指示,位置变化甚至交付方式。 在极端情况下,胎儿心脏功能障碍可能会及时的产前或早期的心脏移植清单。 胎儿和产后循环生理有几个重要差异,影响心脏功能障碍的超声心动图评估。 在本综述中,我们根据常见原因根据其潜在的病理生理学检查超声心动图。

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