医学
胎儿超声心动图
胎儿
怀孕
心脏病学
妊娠期
胎龄
内科学
斑点追踪超声心动图
介绍
产前诊断
心力衰竭
遗传学
射血分数
生物
家庭医学
作者
Edin Medjedović,Zijo Begić,Milan Stanojević,Buena Aziri,Edin Begić,Milan Djukić,Zorica Mladenović,Asım Kurjak
出处
期刊:Journal of Perinatal Medicine
[De Gruyter]
日期:2023-12-14
卷期号:52 (2): 230-238
标识
DOI:10.1515/jpm-2023-0359
摘要
Abstract Objectives Prenatal cardiology is a part of preventive cardiology based on fetal echocardiography and fetal interventional cardiology, which facilitates treatment of congenital heart defects (CHD) in pediatric patients and consequently in adults. Timely prenatal detection of CHD plays a pivotal role in facilitating the appropriate referral of pregnant women to facilities equipped to provide thorough perinatal care within the framework of a well-structured healthcare system. The aim of this paper is to highlight the role of left atrial strain (LAS) in prenatal evaluation of fetal heart and prediction of structural and functional disorders. Methods We conducted a comprehensive literature review searching PubMed for articles published from inception up until August 2023, including the search terms “left atrial strain”, “fetal echocardiography”, and “prenatal cardiology” combined through Boolean operators. In addition, references lists of identified articles were further reviewed for inclusion. Results Our review underscores the significance of LAS parameters in fetal echocardiography as a screening tool during specific gestational windows (starting from 11 to 14 weeks of gestation, followed by better visualization between 18 and 22 weeks of gestation). The left atrial strain technique and its parameters serve as valuable indicators, not only for identifying cardiac complications but also for predicting and guiding therapeutic interventions in cases of both cardiac and noncardiac pregnancy complications in fetuses. Evidence suggests establishment of second-trimester reference strain and strain rate values by speckle-tracking echocardiography in the healthy fetal cohort is essential for the evaluation of myocardial pathologies during pregnancy. Conclusions Finding of LAS of fetal heart is feasible and probably can have potential for clinical and prognostic implications.
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