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Assessment of myocardial performance index in late-onset fetal growth restriction
The aim of this study is to determine whether the myocardial performance index (MPI) is increased in fetal growth restriction (FGR) fetuses and if increased MPI is related to adverse outcomes of FGR. This is a prospective cross-sectional study. Seventy-three late-onset FGR fetuses and 97 gestational...
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Published in: | Nagoya journal of medical science 2021-05, Vol.83 (2), p.259-268 |
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container_title | Nagoya journal of medical science |
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creator | Nguyen, Tran Thao Nguyen Kotani, Tomomi Imai, Kenji Ushida, Takafumi Moriyama, Yoshinori Kobayashi, Tomoko Niimi, Kaoru Sumigama, Seiji Yamamoto, Eiko Vo, Van Duc Le, Minh Tam Le, Lam Huong Nguyen, Dac Nguyen Nguyen, Vu Quoc Huy Truong, Quang Vinh Cao, Ngoc Thanh Kikkawa, Fumitaka |
description | The aim of this study is to determine whether the myocardial performance index (MPI) is increased in fetal growth restriction (FGR) fetuses and if increased MPI is related to adverse outcomes of FGR. This is a prospective cross-sectional study. Seventy-three late-onset FGR fetuses and 97 gestational-age matched control fetuses were enrolled in this study. Fetal blood flow parameters including MPI values were measured and compared between the two groups. For the effect of severity of growth restriction on MPI value, they were also compared with < 3
rd
and 3
rd
– 10
th
centile groups. FGR fetuses were divided into two groups by favorable and adverse outcome and ultrasound parameters were compared between these two groups. Moreover, significant factors related to adverse outcomes by univariate analysis were analyzed by multivariate logistic regression analysis. Pulsatility index of umbilical arterial flow (UA-PI), MPI and amniotic fluid index in the FGR were significantly different from the control fetuses. However, no significant difference between < 3
rd
and 3
rd
– 10
th
centile groups was detected in MPI and UA-PI. The increased levels of MPI and UA-PI were independently related with adverse outcome of late-onset FGR pregnancy. In conclusion, MPI values were increased in late-onset FGR pregnancy, and the higher level of MPI could predict adverse outcome as well as the measurement of UA-PI. Clinicians should consider cardiac dysfunction in FGR through increased MPI. |
doi_str_mv | 10.18999/nagjms.83.2.259 |
format | article |
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rd
and 3
rd
– 10
th
centile groups. FGR fetuses were divided into two groups by favorable and adverse outcome and ultrasound parameters were compared between these two groups. Moreover, significant factors related to adverse outcomes by univariate analysis were analyzed by multivariate logistic regression analysis. Pulsatility index of umbilical arterial flow (UA-PI), MPI and amniotic fluid index in the FGR were significantly different from the control fetuses. However, no significant difference between < 3
rd
and 3
rd
– 10
th
centile groups was detected in MPI and UA-PI. The increased levels of MPI and UA-PI were independently related with adverse outcome of late-onset FGR pregnancy. In conclusion, MPI values were increased in late-onset FGR pregnancy, and the higher level of MPI could predict adverse outcome as well as the measurement of UA-PI. Clinicians should consider cardiac dysfunction in FGR through increased MPI.</description><identifier>ISSN: 0027-7622</identifier><identifier>EISSN: 2186-3326</identifier><identifier>DOI: 10.18999/nagjms.83.2.259</identifier><identifier>PMID: 34239174</identifier><language>eng</language><publisher>Nagoya University</publisher><subject>Original Paper</subject><ispartof>Nagoya journal of medical science, 2021-05, Vol.83 (2), p.259-268</ispartof><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8236689/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8236689/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,315,733,786,790,891,27957,27958,53827,53829</link.rule.ids></links><search><creatorcontrib>Nguyen, Tran Thao Nguyen</creatorcontrib><creatorcontrib>Kotani, Tomomi</creatorcontrib><creatorcontrib>Imai, Kenji</creatorcontrib><creatorcontrib>Ushida, Takafumi</creatorcontrib><creatorcontrib>Moriyama, Yoshinori</creatorcontrib><creatorcontrib>Kobayashi, Tomoko</creatorcontrib><creatorcontrib>Niimi, Kaoru</creatorcontrib><creatorcontrib>Sumigama, Seiji</creatorcontrib><creatorcontrib>Yamamoto, Eiko</creatorcontrib><creatorcontrib>Vo, Van Duc</creatorcontrib><creatorcontrib>Le, Minh Tam</creatorcontrib><creatorcontrib>Le, Lam Huong</creatorcontrib><creatorcontrib>Nguyen, Dac Nguyen</creatorcontrib><creatorcontrib>Nguyen, Vu Quoc Huy</creatorcontrib><creatorcontrib>Truong, Quang Vinh</creatorcontrib><creatorcontrib>Cao, Ngoc Thanh</creatorcontrib><creatorcontrib>Kikkawa, Fumitaka</creatorcontrib><title>Assessment of myocardial performance index in late-onset fetal growth restriction</title><title>Nagoya journal of medical science</title><description>The aim of this study is to determine whether the myocardial performance index (MPI) is increased in fetal growth restriction (FGR) fetuses and if increased MPI is related to adverse outcomes of FGR. This is a prospective cross-sectional study. Seventy-three late-onset FGR fetuses and 97 gestational-age matched control fetuses were enrolled in this study. Fetal blood flow parameters including MPI values were measured and compared between the two groups. For the effect of severity of growth restriction on MPI value, they were also compared with < 3
rd
and 3
rd
– 10
th
centile groups. FGR fetuses were divided into two groups by favorable and adverse outcome and ultrasound parameters were compared between these two groups. Moreover, significant factors related to adverse outcomes by univariate analysis were analyzed by multivariate logistic regression analysis. Pulsatility index of umbilical arterial flow (UA-PI), MPI and amniotic fluid index in the FGR were significantly different from the control fetuses. However, no significant difference between < 3
rd
and 3
rd
– 10
th
centile groups was detected in MPI and UA-PI. The increased levels of MPI and UA-PI were independently related with adverse outcome of late-onset FGR pregnancy. In conclusion, MPI values were increased in late-onset FGR pregnancy, and the higher level of MPI could predict adverse outcome as well as the measurement of UA-PI. Clinicians should consider cardiac dysfunction in FGR through increased MPI.</description><subject>Original Paper</subject><issn>0027-7622</issn><issn>2186-3326</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><recordid>eNpVj0tLAzEYRYMotlb3LvMHZszknY1QilahIIKuh0zmS5syMylJfPTfW9CNm3sX53LgInTbkLrRxpi7yW73Y641q2lNhTlDc9poWTFG5TmaE0JVpSSlM3SV854Qbgwxl2jGOGWmUXyOXpc5Q84jTAVHj8djdDb1wQ74AMnHNNrJAQ5TD9-nxIMtUMUpQ8Eeymm1TfGr7HCCXFJwJcTpGl14O2S4-esFen98eFs9VZuX9fNquan2TKlScaMEt7zrlGhkx6Wl1HOhBRGCc3CKOOpdz7wWzhsuQEsBrPdOC8OMBsYW6P7Xe_joRujd6UGyQ3tIYbTp2EYb2v9kCrt2Gz9bTZmU2rAfpbVgfQ</recordid><startdate>20210501</startdate><enddate>20210501</enddate><creator>Nguyen, Tran Thao Nguyen</creator><creator>Kotani, Tomomi</creator><creator>Imai, Kenji</creator><creator>Ushida, Takafumi</creator><creator>Moriyama, Yoshinori</creator><creator>Kobayashi, Tomoko</creator><creator>Niimi, Kaoru</creator><creator>Sumigama, Seiji</creator><creator>Yamamoto, Eiko</creator><creator>Vo, Van Duc</creator><creator>Le, Minh Tam</creator><creator>Le, Lam Huong</creator><creator>Nguyen, Dac Nguyen</creator><creator>Nguyen, Vu Quoc Huy</creator><creator>Truong, Quang Vinh</creator><creator>Cao, Ngoc Thanh</creator><creator>Kikkawa, Fumitaka</creator><general>Nagoya University</general><scope>5PM</scope></search><sort><creationdate>20210501</creationdate><title>Assessment of myocardial performance index in late-onset fetal growth restriction</title><author>Nguyen, Tran Thao Nguyen ; Kotani, Tomomi ; Imai, Kenji ; Ushida, Takafumi ; Moriyama, Yoshinori ; Kobayashi, Tomoko ; Niimi, Kaoru ; Sumigama, Seiji ; Yamamoto, Eiko ; Vo, Van Duc ; Le, Minh Tam ; Le, Lam Huong ; Nguyen, Dac Nguyen ; Nguyen, Vu Quoc Huy ; Truong, Quang Vinh ; Cao, Ngoc Thanh ; Kikkawa, Fumitaka</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-j377t-49754a4bb7516b46a22f458505544ec70c2fcd3f85cf945e865e3dfc859398e33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Original Paper</topic><toplevel>online_resources</toplevel><creatorcontrib>Nguyen, Tran Thao Nguyen</creatorcontrib><creatorcontrib>Kotani, Tomomi</creatorcontrib><creatorcontrib>Imai, Kenji</creatorcontrib><creatorcontrib>Ushida, Takafumi</creatorcontrib><creatorcontrib>Moriyama, Yoshinori</creatorcontrib><creatorcontrib>Kobayashi, Tomoko</creatorcontrib><creatorcontrib>Niimi, Kaoru</creatorcontrib><creatorcontrib>Sumigama, Seiji</creatorcontrib><creatorcontrib>Yamamoto, Eiko</creatorcontrib><creatorcontrib>Vo, Van Duc</creatorcontrib><creatorcontrib>Le, Minh Tam</creatorcontrib><creatorcontrib>Le, Lam Huong</creatorcontrib><creatorcontrib>Nguyen, Dac Nguyen</creatorcontrib><creatorcontrib>Nguyen, Vu Quoc Huy</creatorcontrib><creatorcontrib>Truong, Quang Vinh</creatorcontrib><creatorcontrib>Cao, Ngoc Thanh</creatorcontrib><creatorcontrib>Kikkawa, Fumitaka</creatorcontrib><collection>PubMed Central (Full Participant titles)</collection><jtitle>Nagoya journal of medical science</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Nguyen, Tran Thao Nguyen</au><au>Kotani, Tomomi</au><au>Imai, Kenji</au><au>Ushida, Takafumi</au><au>Moriyama, Yoshinori</au><au>Kobayashi, Tomoko</au><au>Niimi, Kaoru</au><au>Sumigama, Seiji</au><au>Yamamoto, Eiko</au><au>Vo, Van Duc</au><au>Le, Minh Tam</au><au>Le, Lam Huong</au><au>Nguyen, Dac Nguyen</au><au>Nguyen, Vu Quoc Huy</au><au>Truong, Quang Vinh</au><au>Cao, Ngoc Thanh</au><au>Kikkawa, Fumitaka</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Assessment of myocardial performance index in late-onset fetal growth restriction</atitle><jtitle>Nagoya journal of medical science</jtitle><date>2021-05-01</date><risdate>2021</risdate><volume>83</volume><issue>2</issue><spage>259</spage><epage>268</epage><pages>259-268</pages><issn>0027-7622</issn><eissn>2186-3326</eissn><notes>Corresponding Author: Tomomi Kotani, MD, PhD</notes><notes>Center for Maternal-Neonatal Care, Nagoya University Hospital, 65 Tsurumai-cho, Showa-ku, Nagoya 466-8560, Japan</notes><notes>Tel: +81-52-744-2261, Fax:+81-52-744-2268, E-mail: itoto@med.nagoya-u.ac.jp.</notes><abstract>The aim of this study is to determine whether the myocardial performance index (MPI) is increased in fetal growth restriction (FGR) fetuses and if increased MPI is related to adverse outcomes of FGR. This is a prospective cross-sectional study. Seventy-three late-onset FGR fetuses and 97 gestational-age matched control fetuses were enrolled in this study. Fetal blood flow parameters including MPI values were measured and compared between the two groups. For the effect of severity of growth restriction on MPI value, they were also compared with < 3
rd
and 3
rd
– 10
th
centile groups. FGR fetuses were divided into two groups by favorable and adverse outcome and ultrasound parameters were compared between these two groups. Moreover, significant factors related to adverse outcomes by univariate analysis were analyzed by multivariate logistic regression analysis. Pulsatility index of umbilical arterial flow (UA-PI), MPI and amniotic fluid index in the FGR were significantly different from the control fetuses. However, no significant difference between < 3
rd
and 3
rd
– 10
th
centile groups was detected in MPI and UA-PI. The increased levels of MPI and UA-PI were independently related with adverse outcome of late-onset FGR pregnancy. In conclusion, MPI values were increased in late-onset FGR pregnancy, and the higher level of MPI could predict adverse outcome as well as the measurement of UA-PI. Clinicians should consider cardiac dysfunction in FGR through increased MPI.</abstract><pub>Nagoya University</pub><pmid>34239174</pmid><doi>10.18999/nagjms.83.2.259</doi><tpages>10</tpages><oa>free_for_read</oa></addata></record> |
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title | Assessment of myocardial performance index in late-onset fetal growth restriction |
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