Fetal Cardiac Function During the First Trimester of Pregnancy

Overview

Journal J Prenat Med

Date 2012 Mar 23

PMID 22439077

Citations 10

Authors

Oriana Valenti

Fosca A F Di Prima

Eliana Renda

Marianna Faraci

Entela Hyseni

Roberta De Domenico

Santo Monte

Elsa Giorgio

Affiliations

Soon will be listed here.

Abstract

Chromosomally normal first trimester fetuses with an increased nuchal translucency measurement have an elevated risk of congenital heart defect (CHD). so there is an increased demand for imaging the fetal heart during the first and early second trimesters of pregnancy.Echocardiographic and anatomical correlations in firsttrimester fetuses show that by 11 weeks' gestation, the position of the fetal heart within the chest is similar to that in later gestation, and the spatial relation of the great arteries and their relative sizes are similar to those on second-trimester scans by 12 weeks' gestation.In the first trimester during the heart analysis it's possible value: anatomic structure (size, rate), hemodynamic development through analysis of these waveforms and flow patterns (inflow and outflow waveforms of the diastolic filling and the systolic ejection) and modification during the first trimester.

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References

Carvalho J, Moscoso G, Ville Y . First-trimester transabdominal fetal echocardiography. Lancet. 1998; 351(9108):1023-7. DOI: 10.1016/S0140-6736(97)08406-7. View

Rasanen J, Wood D, Weiner S, Ludomirski A, Huhta J . Role of the pulmonary circulation in the distribution of human fetal cardiac output during the second half of pregnancy. Circulation. 1996; 94(5):1068-73. DOI: 10.1161/01.cir.94.5.1068. View

Gardiner H . Response of the fetal heart to changes in load: from hyperplasia to heart failure. Heart. 2005; 91(7):871-3. PMC: 1768969. DOI: 10.1136/hrt.2004.047399. View

Snijders R, Noble P, Sebire N, Souka A, Nicolaides K . UK multicentre project on assessment of risk of trisomy 21 by maternal age and fetal nuchal-translucency thickness at 10-14 weeks of gestation. Fetal Medicine Foundation First Trimester Screening Group. Lancet. 1998; 352(9125):343-6. DOI: 10.1016/s0140-6736(97)11280-6. View

Leiva M, Tolosa J, Binotto C, Weiner S, Huppert L, Denis A . Fetal cardiac development and hemodynamics in the first trimester. Ultrasound Obstet Gynecol. 1999; 14(3):169-74. DOI: 10.1046/j.1469-0705.1999.14030169.x. View

Makikallio K, Jouppila P, Rasanen J . Human fetal cardiac function during the first trimester of pregnancy. Heart. 2005; 91(3):334-8. PMC: 1768783. DOI: 10.1136/hrt.2003.029736. View

Matias A, Montenegro N, Areias J, Leite L . Haemodynamic evaluation of the first trimester fetus with special emphasis on venous return. Hum Reprod Update. 2000; 6(2):177-89. DOI: 10.1093/humupd/6.2.177. View

Wapner R, Thom E, Simpson J, Pergament E, Silver R, Filkins K . First-trimester screening for trisomies 21 and 18. N Engl J Med. 2003; 349(15):1405-13. DOI: 10.1056/NEJMoa025273. View

Allan L, Benacerraf B, Copel J, Carvalho J, Chaoui R, Eik-Nes S . Isolated major congenital heart disease. Ultrasound Obstet Gynecol. 2001; 17(5):370-9. DOI: 10.1046/j.1469-0705.2001.00439.x. View

10.

Edelstone D, Rudolph A . Preferential streaming of ductus venosus blood to the brain and heart in fetal lambs. Am J Physiol. 1979; 237(6):H724-9. DOI: 10.1152/ajpheart.1979.237.6.H724. View

11.

Murta C, Moron A, de Avila M . Detection of functional changes of the fetal heart in the first trimester of gestation. Arq Bras Cardiol. 2001; 72(6):739-50. DOI: 10.1590/s0066-782x1999000600009. View

12.

Hyett J, Perdu M, Sharland G, Snijders R, Nicolaides K . Using fetal nuchal translucency to screen for major congenital cardiac defects at 10-14 weeks of gestation: population based cohort study. BMJ. 1999; 318(7176):81-5. PMC: 27679. DOI: 10.1136/bmj.318.7176.81. View

13.

Smrcek J, Berg C, Geipel A, Fimmers R, Diedrich K, Gembruch U . Early fetal echocardiography: heart biometry and visualization of cardiac structures between 10 and 15 weeks' gestation. J Ultrasound Med. 2006; 25(2):173-82. DOI: 10.7863/jum.2006.25.2.173. View