Pulmonary vein pulsatility in fetuses of diabetic mothers: prenatal Doppler echocardiographic study

OBJECTIVE: To verify the hypothesis that the pulmonary vein pulsatility index is higher in fetuses of diabetic mothers than it is in normal fetuses of nondiabetic mothers. METHODS: Twenty-four fetuses of mothers with either gestational or previous diabetes (cases), and 25 normal fetuses of mothers w...

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Main Authors: Paulo Zielinsky, Antonio L. Piccoli Jr, Lucas Teixeira, Eduardo I. Gus, João L. Mânica, Fabíola Satler, Humberto Vaz, Luiz H. Nicoloso, Stelamaris Luchese, Marlui Sheid, Silvana Marcantonio, Domingos Hatém
Format: Article
Language:English
Published: Sociedade Brasileira de Cardiologia (SBC) 2003-12-01
Series:Arquivos Brasileiros de Cardiologia
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2003001400007&tlng=en
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author Paulo Zielinsky
Antonio L. Piccoli Jr
Lucas Teixeira
Eduardo I. Gus
João L. Mânica
Fabíola Satler
Humberto Vaz
Luiz H. Nicoloso
Stelamaris Luchese
Marlui Sheid
Silvana Marcantonio
Domingos Hatém
author_facet Paulo Zielinsky
Antonio L. Piccoli Jr
Lucas Teixeira
Eduardo I. Gus
João L. Mânica
Fabíola Satler
Humberto Vaz
Luiz H. Nicoloso
Stelamaris Luchese
Marlui Sheid
Silvana Marcantonio
Domingos Hatém
author_sort Paulo Zielinsky
collection DOAJ
description OBJECTIVE: To verify the hypothesis that the pulmonary vein pulsatility index is higher in fetuses of diabetic mothers than it is in normal fetuses of nondiabetic mothers. METHODS: Twenty-four fetuses of mothers with either gestational or previous diabetes (cases), and 25 normal fetuses of mothers without systemic disease (control) were examined. Fetuses were examined through prenatal Doppler and color flow mapping. The pulmonary vein pulsatility index was obtained by placing the pulsed Doppler sample volume over the right superior pulmonary vein and applying the formula (systolic velocity - presystolic velocity)/mean velocity. RESULTS: The mean gestational age of the study fetuses was 30.3±2.7 weeks, and gestational age of the controls was 29±3.3 weeks, with no significant difference in gestational age between groups (p=0.14). Fetuses of diabetic mothers had a mean pulmonary vein pulsatility index of 1.6±1, and those of the control group had an index of 0.86±0.27. CONCLUSION: Fetuses of diabetic mothers had pulmonary vein pulsatility indexes (parameter easily obtained through Doppler echocardiography that may be related to fetal diastolic function) higher than those in fetuses of mothers with normal glycemia.
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spelling doaj.art-addc523efd874bdb830fdd776fe32f192022-12-21T19:36:17ZengSociedade Brasileira de Cardiologia (SBC)Arquivos Brasileiros de Cardiologia1678-41702003-12-0181660460710.1590/S0066-782X2003001400007Pulmonary vein pulsatility in fetuses of diabetic mothers: prenatal Doppler echocardiographic studyPaulo Zielinsky0Antonio L. Piccoli Jr1Lucas Teixeira2Eduardo I. Gus3João L. Mânica4Fabíola Satler5Humberto Vaz6Luiz H. Nicoloso7Stelamaris Luchese8Marlui Sheid9Silvana Marcantonio10Domingos Hatém11Fundação Universitária de CardiologiaFundação Universitária de CardiologiaFundação Universitária de CardiologiaFundação Universitária de CardiologiaFundação Universitária de CardiologiaFundação Universitária de CardiologiaFundação Universitária de CardiologiaFundação Universitária de CardiologiaFundação Universitária de CardiologiaFundação Universitária de CardiologiaFundação Universitária de CardiologiaFundação Universitária de CardiologiaOBJECTIVE: To verify the hypothesis that the pulmonary vein pulsatility index is higher in fetuses of diabetic mothers than it is in normal fetuses of nondiabetic mothers. METHODS: Twenty-four fetuses of mothers with either gestational or previous diabetes (cases), and 25 normal fetuses of mothers without systemic disease (control) were examined. Fetuses were examined through prenatal Doppler and color flow mapping. The pulmonary vein pulsatility index was obtained by placing the pulsed Doppler sample volume over the right superior pulmonary vein and applying the formula (systolic velocity - presystolic velocity)/mean velocity. RESULTS: The mean gestational age of the study fetuses was 30.3±2.7 weeks, and gestational age of the controls was 29±3.3 weeks, with no significant difference in gestational age between groups (p=0.14). Fetuses of diabetic mothers had a mean pulmonary vein pulsatility index of 1.6±1, and those of the control group had an index of 0.86±0.27. CONCLUSION: Fetuses of diabetic mothers had pulmonary vein pulsatility indexes (parameter easily obtained through Doppler echocardiography that may be related to fetal diastolic function) higher than those in fetuses of mothers with normal glycemia.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2003001400007&tlng=enfetal echocardiographyfetal diastolic functionfetal pulmonary venous flowdiabetespulmonary vein pulsatility index
spellingShingle Paulo Zielinsky
Antonio L. Piccoli Jr
Lucas Teixeira
Eduardo I. Gus
João L. Mânica
Fabíola Satler
Humberto Vaz
Luiz H. Nicoloso
Stelamaris Luchese
Marlui Sheid
Silvana Marcantonio
Domingos Hatém
Pulmonary vein pulsatility in fetuses of diabetic mothers: prenatal Doppler echocardiographic study
Arquivos Brasileiros de Cardiologia
fetal echocardiography
fetal diastolic function
fetal pulmonary venous flow
diabetes
pulmonary vein pulsatility index
title Pulmonary vein pulsatility in fetuses of diabetic mothers: prenatal Doppler echocardiographic study
title_full Pulmonary vein pulsatility in fetuses of diabetic mothers: prenatal Doppler echocardiographic study
title_fullStr Pulmonary vein pulsatility in fetuses of diabetic mothers: prenatal Doppler echocardiographic study
title_full_unstemmed Pulmonary vein pulsatility in fetuses of diabetic mothers: prenatal Doppler echocardiographic study
title_short Pulmonary vein pulsatility in fetuses of diabetic mothers: prenatal Doppler echocardiographic study
title_sort pulmonary vein pulsatility in fetuses of diabetic mothers prenatal doppler echocardiographic study
topic fetal echocardiography
fetal diastolic function
fetal pulmonary venous flow
diabetes
pulmonary vein pulsatility index
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2003001400007&tlng=en
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