دورية أكاديمية
أعرض في EDS

Post-COVID-19 Fetal Cardiac Morphology and Systolic Evaluation in Infected Pregnant Women by Fetal Heart Quantification Technology.

التفاصيل البيبلوغرافية
العنوان: Post-COVID-19 Fetal Cardiac Morphology and Systolic Evaluation in Infected Pregnant Women by Fetal Heart Quantification Technology.
المؤلفون: Zhu F; Ultrasonic Department, The Third Affiliated Hospital of Zhengzhou University (Maternal and Child Health Hospital of Henan Province), Zhengzhou, China., Zhao Y; Prenatal Diagnosis Center, The Third Affiliated Hospital of Zhengzhou University (Maternal and Child Health Hospital of Henan Province), Zhengzhou, China., Wu J; Ultrasonic Department, The Third Affiliated Hospital of Zhengzhou University (Maternal and Child Health Hospital of Henan Province), Zhengzhou, China., Wang M; Ultrasonic Department, The Third Affiliated Hospital of Zhengzhou University (Maternal and Child Health Hospital of Henan Province), Zhengzhou, China., Zhu Z; Ultrasonic Department, The Third Affiliated Hospital of Zhengzhou University (Maternal and Child Health Hospital of Henan Province), Zhengzhou, China., Zhang L; Ultrasonic Department, The Third Affiliated Hospital of Zhengzhou University (Maternal and Child Health Hospital of Henan Province), Zhengzhou, China.
المصدر: Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine [J Ultrasound Med] 2024 Jul; Vol. 43 (7), pp. 1199-1209. Date of Electronic Publication: 2024 Mar 11.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: John Wiley and Sons Country of Publication: England NLM ID: 8211547 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1550-9613 (Electronic) Linking ISSN: 02784297 NLM ISO Abbreviation: J Ultrasound Med Subsets: MEDLINE
أسماء مطبوعة: Publication: 2017- : Oxford, UK : John Wiley and Sons
Original Publication: [Philadelphia, Pa.] : W.B. Saunders, c1982-
مواضيع طبية MeSH: COVID-19*/diagnostic imaging , COVID-19*/physiopathology , COVID-19*/complications , Fetal Heart*/diagnostic imaging , Fetal Heart*/physiopathology , Pregnancy Complications, Infectious*/diagnostic imaging , Pregnancy Complications, Infectious*/physiopathology , Ultrasonography, Prenatal*/methods , Echocardiography*/methods, Humans ; Female ; Pregnancy ; Adult ; Prospective Studies ; SARS-CoV-2 ; Systole ; China/epidemiology
مستخلص: Objectives: Due to the government's liberalization of epidemic control, the current 2019 novel coronavirus disease (COVID-19) has started to spread widely within China. This study aimed to use the fetal heart quantification (fetal HQ) technique to assess the cardiac function and morphology of the fetuses of pregnant women diagnosed with COVID-19 in the early stages of pregnancy.
Methods: Exactly 86 pregnant women diagnosed with COVID-19 infection in early pregnancy (COVID-19 group) and 90 healthy pregnant women (control group) who underwent fetal echocardiography were prospectively included in this study. The fetal HQ technique was applied to compare the differences in the global sphericity index (GSI), global strain values (GS), fractional area change (FAC), and 24-segment fractional shortening (FS) of the left and right ventricles, between the COVID-19 group and the control group.
Results: Compared with the control group, the differences in GS and 24-segment FS of the left ventricle in the COVID-19 group were not statistically significant. However, the COVID-19 group showed lower GSI values compared with the control group (1.24 vs 1.28). FAC (48.12%) of the left ventricle and GS (-23.55%), FAC (41.74%) of the right ventricle in the COVID-19 group were reduced compared with FAC (50.50%) of the left ventricle and GS (-27.63%), FAC (46.01%) of the right ventricle in the control group. Segmental analysis revealed reduced FS in segments 20-24 in the COVID-19 group compared with the control group. Right ventricular GS was an independent predictor of adverse pregnancy outcome with an optimal cutoff value of -18.66%.
Conclusions: The results suggest that COVID-19 infection in early pregnancy may have a negative impact on fetal cardiac morphology and function. Fetal HQ may offer a new assessment method for the early identification of fetal cardiac alterations in pregnant women infected with COVID-19.
(© 2024 The Authors. Journal of Ultrasound in Medicine published by Wiley Periodicals LLC on behalf of American Institute of Ultrasound in Medicine.)
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معلومات مُعتمدة: 2023GJZ03 The Basic Research Funds of Central Public Welfare Research Institutes of China; 62027827 The National Natural Science Foundation of China
فهرسة مساهمة: Keywords: COVID‐19; SARS‐COV‐2; echocardiography; fetal heart quantification; fetus; speckle‐tracking
تواريخ الأحداث: Date Created: 20240311 Date Completed: 20240617 Latest Revision: 20240617
رمز التحديث: 20240617
DOI: 10.1002/jum.16444
PMID: 38465462
قاعدة البيانات: MEDLINE
الوصف
تدمد:1550-9613
DOI:10.1002/jum.16444