Donald School Journal of Ultrasound in Obstetrics and Gynecology

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VOLUME 15 , ISSUE 3 ( July-September, 2021 ) > List of Articles

REVIEW ARTICLE

Recent Topics in Fetal Cardiology

Yuka Yamamoto, Ken Takahashi, Atsuo Itakura

Keywords : Color M-mode, Diastolic function, Fetal cardiac function

Citation Information : Yamamoto Y, Takahashi K, Itakura A. Recent Topics in Fetal Cardiology. Donald School J Ultrasound Obstet Gynecol 2021; 15 (3):249-253.

DOI: 10.5005/jp-journals-10009-1706

License: CC BY-NC 4.0

Published Online: 30-09-2021

Copyright Statement:  Copyright © 2021; The Author(s).


Abstract

The intraventricular pressure difference (IVPD) is the diastolic suction from the base to the apex during early diastole. This diastolic suction has been shown to actively contribute to rapid filling, which requires adequate filling under low pressure. The IVPD is an important cardiac diastolic functional marker in adults, children, and fetuses. Originally, IVPD could be measured only by direct hemodynamic monitoring; however, velocity estimation was made in the acquired color M-mode imaging, which was analyzed using originally developed programming. In this paper, IVPD analysis in normal fetuses as well as in cases of congenital heart disease has been shown. The IVPD is a useful tool for evaluating fetal diastolic function.


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  1. Donofrio MT, Moon-Grady AJ, Hornberger LK, et al. Diagnosis and treatment of fetal cardiac disease: a scientific statement from the American Heart Association. Circulation 2014;129(21):2183–2242. DOI: 10.1161/01.cir.0000437597.44550.5d.
  2. Rychik J, Tian Z, Bebbington M, et al. The twin-twin transfusion syndrome: spectrum of cardiovascular abnormality and development of a cardiovascular score to assess severity of disease. Am J Obstet Gynecol 2007;197(392):e1–e8. DOI: 10.1016/j.ajog.2007.06.055.
  3. Courtois M, Kovacs SJ, Ludbrook PA. Transmitral pressure-flow velocity relation: Importance of regional pressure gradients in the left ventricle during diastole. Circulation 1988;78(3):661–671. DOI: 10.1161/01.cir.78.3.661.
  4. Courtois M, Kovacs SJ, Ludbrook PA. Physiological early diastolic intraventricular pressure gradient is lost during acute myocardial ischemia. Circulation 1990;81(5):1688–1696. DOI: 10.1161/01.cir.81.5.1688.
  5. Notomi Y, Martin-Miklovic MG, Oryszak SJ, et al. Enhanced ventricular untwisting during exercise: a mechanistic manifestation of elastic recoil described by Doppler tissue imaging. Circulation 2006;113(21):2524–2533. DOI: 10.1161/CIRCULATIONAHA.105.596502.
  6. Nikolic SD, Feneley MP, Pajaro OE, et al. Origin of regional pressure gradients in the left ventricle during early diastole. Am J Physiol 1995;268(2 Pt 2):550–557. DOI: 10.1152/ajpheart.1995.268.2.H550.
  7. Steine K, Stugaard M, Smiseth OA. Mechanisms of diastolic intraventricular regional pressure differences and flow in the inflow and outflow tracts. J Am Coll Cardiol 2002;40(5):983–990. DOI: 10.1016/s0735-1097(02)02046-6.
  8. Rovner A, Smith R, Greenberg NL, et al. Improvement in diastolic intraventricular pressure gradients in patients with HOCM after ethanol septal reduction. Am J Physiol Heart Circ Physiol 2003;285(6):2492–2499. DOI: 10.1152/ajpheart.00265.2003.
  9. Yotti R, Bermejo J, Antoranz JC, et al. A noninvasive method for assessing impaired diastolic suction in patients with dilated cardiomyopathy. Circulation 2005;112(19):2921–2929. DOI: 10.1161/CIRCULATIONAHA.105.561340.
  10. Rovner A, Greenberg NL, Thomas JD, et al. Relationship of diastolic intraventricular pressure gradients and aerobic capacity in patients with diastolic heart failure. Am J Physiol Heart Circ Physiol 2005;289(5):2081–2088. DOI: 10.1152/ajpheart.00951.2004.
  11. Greenberg NL, Vandervoort PM, Firstenberg MS, et al. Estimation of diastolic intraventricular pressure gradients by Doppler M-mode echocardiography. Am J Physiol Heart Circ Physiol 2001;280(6):2507–2515. DOI: 10.1152/ajpheart.2001.280.6.H2507.
  12. Pohjoismäki JLO, Krüger M, Al-Furoukh N, et al. Postnatal cardiomyocyte growth and mitochondrial reorganization cause multiple changes in the proteome of human cardiomyocytes. Mol Biosyst 2013;9(6):1210–1219. DOI: 10.1039/c3mb25556e.
  13. Yamamoto Y, Takahashi K, Takemoto Y, et al. Evaluation of myocardial function according to early diastolic intraventricular pressure difference in fetuses. J Am Soc Echocardiogr 2017;30(11):1130–1137. DOI: 10.1016/j.echo.2017.07.013.
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