The Prediction of Adverse Perinatal Outcomes in Intrauterine Growth Restriction using the Doppler Indices of Myocardial Performance and Aortic Isthmus

Background: Intrauterine growth restriction [IUGR] represented a challenging health problem, faced during daily clinical practice. Early diagnosis is of crucial importance. Aim of the work: To determine the value of the aortic isthmic flow index and the left mod-myocardial performance index [MPI] in...

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Autores principales:	Muhamed Ahmed Al Bellehy, Khattab Abdelhaleem Omar, Samia Eid, Abdelrahman Emam
Formato:	article
Lenguaje:	EN
Publicado:	Al-Azhar University, Faculty of Medicine (Damietta) 2020
Materias:	doppler ultrasound intrauterine growth restriction myocardial performance index isthmic flow index aortic isthmus Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/6f98f27d5ce04fb28e577f733175f95f
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spelling	oai:doaj.org-article:6f98f27d5ce04fb28e577f733175f95f2021-12-02T10:38:22ZThe Prediction of Adverse Perinatal Outcomes in Intrauterine Growth Restriction using the Doppler Indices of Myocardial Performance and Aortic Isthmus2636-41742682-378010.21608/ijma.2020.37083.1151https://doaj.org/article/6f98f27d5ce04fb28e577f733175f95f2020-10-01T00:00:00Zhttps://ijma.journals.ekb.eg/article_111019_019f7b73104de21488f2f127cdfba0bf.pdfhttps://doaj.org/toc/2636-4174https://doaj.org/toc/2682-3780Background: Intrauterine growth restriction [IUGR] represented a challenging health problem, faced during daily clinical practice. Early diagnosis is of crucial importance. Aim of the work: To determine the value of the aortic isthmic flow index and the left mod-myocardial performance index [MPI] in the prediction of adverse perinatal outcomes in fetuses affected by IUGR. Patients and Methods: Forty Singleton fetuses with IUGR between 28 and 34 weeks were recruited. The left mod-MPI and the isthmic flow index [IFI] were calculated. Ultrasound indices had been correlated with perinatal outcome. Results: There was a statistically significant association between abnormal aortic isthmus diastolic flow and low 1-minute Apgar score and neonatal intensive care unit [NICU] admission. There was a statistically significant association between the left mod-MPI and the meconium stained amniotic fluid [AF], the need for Neonatal resuscitation, NICU admission, neonatal sepsis, and neonatal death. When considering cutoff value for prediction of adverse fetal outcome by Left MPI, a cutoff of 0.53 confers 85.2% sensitivity, 80% specificity, PPV 92%, NPV 66.7%, and accuracy of 83.8%. In addition, 85% of fetuses had normal Aortic isthmus [AoI] waveform [IFI type I] and 15% had abnormal AoI waveform, and there was a statistically significant association between abnormal AoI diastolic flow and each of [IFI of II, III, V], [low 1-minute Apgar score] and [NICU admission]. Conclusion: AoI IFI and left mod-MPI could be considered valuable for the assessment of chronic placental insufficiency, and play a role in prediction of adverse perinatal outcome associated with IUGR.‎Muhamed Ahmed Al BellehyKhattab Abdelhaleem OmarSamia EidAbdelrahman EmamAl-Azhar University, Faculty of Medicine (Damietta)articledoppler ultrasoundintrauterine growth restrictionmyocardial performance indexisthmic flow indexaortic isthmusMedicine (General)R5-920ENInternational Journal of Medical Arts, Vol 2, Iss 4, Pp 886-897 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	doppler ultrasound intrauterine growth restriction myocardial performance index isthmic flow index aortic isthmus Medicine (General) R5-920
spellingShingle	doppler ultrasound intrauterine growth restriction myocardial performance index isthmic flow index aortic isthmus Medicine (General) R5-920 Muhamed Ahmed Al Bellehy Khattab Abdelhaleem Omar Samia Eid Abdelrahman Emam The Prediction of Adverse Perinatal Outcomes in Intrauterine Growth Restriction using the Doppler Indices of Myocardial Performance and Aortic Isthmus
description	Background: Intrauterine growth restriction [IUGR] represented a challenging health problem, faced during daily clinical practice. Early diagnosis is of crucial importance. Aim of the work: To determine the value of the aortic isthmic flow index and the left mod-myocardial performance index [MPI] in the prediction of adverse perinatal outcomes in fetuses affected by IUGR. Patients and Methods: Forty Singleton fetuses with IUGR between 28 and 34 weeks were recruited. The left mod-MPI and the isthmic flow index [IFI] were calculated. Ultrasound indices had been correlated with perinatal outcome. Results: There was a statistically significant association between abnormal aortic isthmus diastolic flow and low 1-minute Apgar score and neonatal intensive care unit [NICU] admission. There was a statistically significant association between the left mod-MPI and the meconium stained amniotic fluid [AF], the need for Neonatal resuscitation, NICU admission, neonatal sepsis, and neonatal death. When considering cutoff value for prediction of adverse fetal outcome by Left MPI, a cutoff of 0.53 confers 85.2% sensitivity, 80% specificity, PPV 92%, NPV 66.7%, and accuracy of 83.8%. In addition, 85% of fetuses had normal Aortic isthmus [AoI] waveform [IFI type I] and 15% had abnormal AoI waveform, and there was a statistically significant association between abnormal AoI diastolic flow and each of [IFI of II, III, V], [low 1-minute Apgar score] and [NICU admission]. Conclusion: AoI IFI and left mod-MPI could be considered valuable for the assessment of chronic placental insufficiency, and play a role in prediction of adverse perinatal outcome associated with IUGR.‎
format	article
author	Muhamed Ahmed Al Bellehy Khattab Abdelhaleem Omar Samia Eid Abdelrahman Emam
author_facet	Muhamed Ahmed Al Bellehy Khattab Abdelhaleem Omar Samia Eid Abdelrahman Emam
author_sort	Muhamed Ahmed Al Bellehy
title	The Prediction of Adverse Perinatal Outcomes in Intrauterine Growth Restriction using the Doppler Indices of Myocardial Performance and Aortic Isthmus
title_short	The Prediction of Adverse Perinatal Outcomes in Intrauterine Growth Restriction using the Doppler Indices of Myocardial Performance and Aortic Isthmus
title_full	The Prediction of Adverse Perinatal Outcomes in Intrauterine Growth Restriction using the Doppler Indices of Myocardial Performance and Aortic Isthmus
title_fullStr	The Prediction of Adverse Perinatal Outcomes in Intrauterine Growth Restriction using the Doppler Indices of Myocardial Performance and Aortic Isthmus
title_full_unstemmed	The Prediction of Adverse Perinatal Outcomes in Intrauterine Growth Restriction using the Doppler Indices of Myocardial Performance and Aortic Isthmus
title_sort	prediction of adverse perinatal outcomes in intrauterine growth restriction using the doppler indices of myocardial performance and aortic isthmus
publisher	Al-Azhar University, Faculty of Medicine (Damietta)
publishDate	2020
url	https://doaj.org/article/6f98f27d5ce04fb28e577f733175f95f
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The Prediction of Adverse Perinatal Outcomes in Intrauterine Growth Restriction using the Doppler Indices of Myocardial Performance and Aortic Isthmus

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