Document Detail

Simultaneous Doppler recording of the pulmonary artery and vein: a new technique for the evaluation of a fetal arrhythmia.
MedLine Citation:
PMID:  8264020     Owner:  NLM     Status:  MEDLINE    
We describe a new technique to evaluate cardiac rhythm using color and pulsed Doppler ultrasonography to identify and record pulmonary arterial and venous waveforms. Fifty fetuses were examined during the second and third trimesters of pregnancy. Simultaneous pulsed Doppler recording of the pulmonary artery and vein was obtained in 100% of fetuses between 15 and 40 weeks' gestation. Atrial systole was identified from the pulmonary vein and was manifested by an interruption of venous flow. Ventricular systole was manifested by a sharp peak that returned toward the baseline before it continued through the duration of systole as a lower-velocity waveform. This technique has the following advantages: (1) the lung parenchyma is easily accessible, irrespective of fetal position; (2) the pulmonary arteries and veins are adjacent to each other as they enter and exit the lung, thus making it easy to simultaneously obtain Doppler recordings of these vessels; (3) the pulsed Doppler waveform has an appearance similar to an electrocardiogram.
G R DeVore; J Horenstein
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine     Volume:  12     ISSN:  0278-4297     ISO Abbreviation:  J Ultrasound Med     Publication Date:  1993 Nov 
Date Detail:
Created Date:  1994-01-24     Completed Date:  1994-01-24     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  8211547     Medline TA:  J Ultrasound Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  669-71     Citation Subset:  IM    
Genetics Institute Fetal Diagnostic Center, Pasadena, California.
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MeSH Terms
Arrhythmias, Cardiac / ultrasonography*
Evaluation Studies as Topic
Fetal Diseases / ultrasonography*
Gestational Age
Pregnancy Trimester, Second
Pregnancy Trimester, Third
Pulmonary Artery / ultrasonography*
Pulmonary Veins / ultrasonography*
Ultrasonography, Prenatal / methods*

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