Aortic diameter pulse waves and blood flow velocity in the small, for gestational age, fetus

An ultrasound phase-locked, echo-tracking system was used for noninvasive measurements of pulsatile diameter changes in the descending aorta of 60 small, for gestational age (SGA), fetuses and of 60 fetuses appropriate for gestational age (AGA). Pulsed Doppler ultrasound was used for the recording of blood flow velocity in the aorta and in the umbilical artery of the SGA fetuses. In the SGA fetuses, a weight-related higher end-diastolic diameter and a lower relative pulse amplitude suggest that diastolic blood pressure was increased; a less steep rise of the initial ascending part of the pulse wave and a lower relative pulse amplitude suggest that the absolute stroke volume was decreased. Except for a positive correlation between relative pulse amplitude and mean velocity in the aorta, no correlation was found between diameter pulse waves and blood flow velocity. Aortic diameter pulse waves apparently yield no unequivocal information as to peripheral resistance, for which purpose blood flow velocity waveform analysis would seem, at least at present, to be the only available method.