Evaluation of changes of cardiac morphology and function in fetuses with ductus arteriosus constriction by

Tianjing Li1,2, Jiancheng Han1, Yanli Han1

  • 1Department of Ultrasound, Beijing Anzhen Hospital, Capital Medical University, Beijing, China.

Frontiers in Pediatrics
|February 23, 2023
PubMed

Insights

Premature ductus arteriosus constriction (DA Con) affects fetal heart morphology and function, particularly the right ventricle. Fetal heart quantification (FHQ) technology aids in assessing these changes.

Area of Science:

  • Cardiology
  • Fetal Medicine
  • Medical Imaging

Background:

  • Premature ductus arteriosus constriction (DA Con) can lead to adverse cardiac outcomes.
  • These include right ventricular enlargement, hypertrophy, and tricuspid regurgitation.

Purpose of the Study:

  • To evaluate cardiac morphology and function in fetuses with DA Con.
  • To compare findings between different severity groups and healthy controls using FHQ technology.

Main Methods:

  • Retrospective analysis of 34 fetuses with DA Con and 45 controls.
  • Fetal echocardiography and FHQ technology were used to assess cardiac parameters.
  • Detailed analysis of ventricular segments and global function was performed.

Main Results:

  • No significant difference in left ventricular parameters between groups.
  • Reduced right ventricular global longitudinal strain (GS), sphericity index (SI), fractional shortening (FS), and fractional area change (FAC) in DA Con fetuses, especially in basal-middle segments.
  • Moderate to severe DA Con showed increased LV-FS and decreased RV-FS compared to mild to moderate DA Con.

Conclusions:

  • Fetal heart morphology and function are altered in DA Con fetuses compared to controls.
  • FHQ technology offers a comprehensive tool for evaluating cardiac changes in DA Con.
Abstract

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