Evidence mapPaperPMID 39732899Full record

ArticleScientific reports2024

Diagnostic value of combined maternal cardiac work and fetoplacental circulation parameters in detecting fetal intrauterine hypoxia in preeclamptic women.

Jinghao Du, Jing Zhao, Wanyan Li, Lihong Wang

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Article in Scientific reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

4 authors.

Jinghao DuBinzhou Medical University, 346 Guanhai Road, Yantai, 264003, Shandong, China.
Jing ZhaoDepartment of Hematology, Yantai Yuhuangding Hospital, Yantai, Shandong, China.
Wanyan LiDepartment of Ultrasound, Yantai Yuhuangding Hospital, Yantai, Shandong, China.
Lihong WangDepartment of Ultrasound, Yantai Yuhuangding Hospital, Yantai, Shandong, China. mooros@126.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

To investigate the correlation between fetoplacental circulation and maternal left ventricular myocardial work (MW) parameters in patients with preeclampsia (PE) and the prediction of fetal hypoxia. Seventy-eight PE patients (PE group) were assigned to intrauterine-hypoxia (27) and non-intrauterine-hypoxia (51) groups, and 45 healthy pregnant women were controls. The receiver operating characteristic (ROC) curve evaluated the diagnostic efficacy of each parameter for fetal intrauterine hypoxia. Relative to the controls and the non-intrauterine-hypoxia group, the umbilical artery (UA) S/D, PI, and RI, as well as the global work index (GWI), global effective work, and global ineffective work, increased in the PE group and intrauterine-hypoxia group (P < 0.05), respectively, while the cerebroplacental ratio (CPR) and global work efficiency decreased (P < 0.05). Relative to the controls group, the middle cerebral artery S/D, PI, and RI decreased in the PE group (P < 0.05). Correlation analysis showed that the fetoplacental circulation parameters were correlated with MW parameters (P < 0.05), and CPR achieved the highest correlation. ROC curves showed that UA-S/D, combined with GWI, produced the highest predictive value for fetal hypoxia in PE patients. There was a linear correlation between MW parameters and fetoplacental parameters, and CPR showed the highest correlation with MW. UA-S/D, combined with GWI, exhibited optimal diagnostic efficacy in predicting fetal intrauterine hypoxia in PE patients.

Indexed as

Fetal HypoxiaHeart VentriclesPlacental CirculationPre-EclampsiaAdultCase-Control StudiesFemaleHumansMyocardiumPregnancyROC CurveFetal intrauterine hypoxiaFetoplacental circulationMyocardial workPreeclampsia

Identifiers

PMID39732899
PMCPMC11682035

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