Document Detail


Examination of the fetal cardiovascular system.
MedLine Citation:
PMID:  20864421     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
Doppler evaluation of the placenta and fetal cardiovascular system is one of the primary surveillance tools in prenatal medicine. By assessing uterine and umbilical arteries, placental development can be documented. This is useful for the prediction of hypertensive maternal disorders and placental dysfunction and fetal growth failure. The umbilical artery flow velocity waveform provides an estimate of villous vascular occlusion in the fetal compartment of the placenta. Middle cerebral artery Doppler is important in studying fetal responses to abnormal oxygenation and fetal anemia. Precordial venous Doppler gives insight into the cardiac effects of many conditions such as fetal growth restriction, twin-twin transfusion syndrome and fetal arrhythmia. Further quantification of these effects requires cardiac Doppler to quantify diastolic and systolic function as well as global myocardial performance. This article reviews important characteristics of arterial and venous Doppler waveform analysis, individual vascular beds and their clinical application in fetal evaluation.
Authors:
Ahmet A Baschat
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Seminars in fetal & neonatal medicine     Volume:  16     ISSN:  1878-0946     ISO Abbreviation:  Semin Fetal Neonatal Med     Publication Date:  2011 Feb 
Date Detail:
Created Date:  2010-12-28     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101240003     Medline TA:  Semin Fetal Neonatal Med     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  2-12     Citation Subset:  IM    
Copyright Information:
Copyright © 2010 Elsevier Ltd. All rights reserved.
Affiliation:
Department of Obstetrics, Gynecology & Reproductive Sciences, University of Maryland School of Medicine, 22 S. Greene Street, Room N6E12, Baltimore, MD 21201, USA. abaschat@umm.edu
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