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August 1, 2000Ultrasound in Obstetrics and Gynecology

Echocardiographic assessment of ventricular filling pressure during the second and third trimesters of gestation

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Population

50 normal pregnancies between the 13th and 37th weeks of gestation

Design

Cohort

Authors

GPGiuseppe PacileoPediatric CardiologyDPD. PaladiniIstituto Giannina GasliniMRMaria Giovanna RussoPediatric Cardiology

Discussion

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Implication

Stable E/Ea ratios may reflect unchanging fetal compliance in mid-to-late gestation; leaves open prognostic utility in high-risk pregnancies.

Structured PICO

P
Population
50 normal pregnancies between the 13th and 37th weeks of gestation
I
Intervention
Echocardiographic assessment using pulsed-wave (PW) Doppler and PW-Doppler tissue imaging (DTI)
O
Outcome
Changes in atrioventricular diastolic flow velocities (peak E, peak A, E/A ratio) and annular velocities with gestational agesurrogate

The stability of the E/Ea ratio during the second and third trimesters suggests that fetal ventricular compliance does not change significantly during this period of gestation.

Cite This Study

Pacileo et al. (2000) studied this question.

synapsesocial.com/papers/6a702d988031ec7bb1dc2bbchttps://doi.org/10.1046/j.1469-0705.2000.00204.x
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Also Consider

Synapse has enriched 3 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Doppler Estimation of Left Ventricular Filling Pressure in Sinus Tachycardia1998 · 595 citations
  2. 2Doppler Tissue Imaging: A Noninvasive Technique for Evaluation of Left Ventricular Relaxation and Estimation of Filling Pressures1997 · 3,038 citations
  3. 3Echocardiographic Doppler evaluation of left ventricular diastolic function. Physics and physiology.1991 · 417 citations