Fetal strain and strain rate during pregnancy measured with speckle tracking echocardiography: A systematic review.

Establishment of the maturational patterns of the fetal left and right ventricle strain and strain rate by two-dimensional speckle tracking echocardiography is a prerequisite for its routine clinical adaptation in pregnancy. The aim of this study is to review systematically current literature on the...

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Publicado en:European Journal of Obstetrics & Gynecology & Reproductive Biology Vol. 250; pp. 178 - 188
Autores principales: van Oostrum, Noortje H.M., de Vet, Chantelle M., van der Woude, Daisy A.A., Kemps, Hareld M.C., Oei, S. Guid, van Laar, Judith O.E.H.
Formato: research systematic review tables/charts Journal Article
Publicado: Elsevier B.V. Jul2020
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jul2020
      vid: 250
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      pub: Elsevier B.V.
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        NLM32446149
        144242097
        10.1016/j.ejogrb.2020.04.002
        NLM32446149
        144242097
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        atl: Fetal strain and strain rate during pregnancy measured with speckle tracking echocardiography: A systematic review.
      aug:
        au:
          van Oostrum, Noortje H.M.
          de Vet, Chantelle M.
          van der Woude, Daisy A.A.
          Kemps, Hareld M.C.
          Oei, S. Guid
          van Laar, Judith O.E.H.
        affil: Department of Gynaecology and Obstetrics, Máxima Medical Centre, De Run 4600, 5504 DB Veldhoven, The Netherlands
      sug:
        subj:
          Ultrasonography, Prenatal
          Echocardiography
          Cross Sectional Studies
          Infant
          Heart Ventricle
          Fetal Heart
          Reproducibility of Results
          Pregnancy
          Female
          Human
          Prospective Studies
          Systematic Review
          Infant: 1-23 months
          Female
      ab: Establishment of the maturational patterns of the fetal left and right ventricle strain and strain rate by two-dimensional speckle tracking echocardiography is a prerequisite for its routine clinical adaptation in pregnancy. The aim of this study is to review systematically current literature on the development of left and right ventricle strain and strain rate derived by speckle tracking during gestation. EMBASE, Medline and Central were searched, from inception to October 2019, for observational studies of singletons in uncomplicated, non-anomalous pregnancies, measuring global longitudinal strain and strain rate with 2D speckle tracking echocardiography in the fetal heart during gestation. 23 Studies met the inclusion criteria. The gestational age of the included fetuses varied from 12 to 42 weeks. Four studies used a longitudinal study design, with few consecutive measurements at varying gestational ages. 19 Studies performed either cross sectional or both longitudinal and cross sectional measurements. The ultrasound devices and speckle tracking algorithm software used, varied. Strain and strain rate during gestation increased, decreased or remained stable in the left and right fetal ventricle with increasing gestation. Due to considerable variation in the included gestational ages measured and inconsistency in the direction of strain and strain rate development, a meta-analysis could not be performed. Contradictory results concerning the development of strain and strain rate during gestation were shown, probably due to suboptimal study designs and varying algorithms and ultrasound devices used. A large longitudinal cohort study is needed to obtain reference values for fetal cardiac deformation in the uncomplicated, singleton pregnancy.
      pubtype: Academic Journal
      doctype:
        research
        systematic review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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