Hostname: page-component-76fb5796d-zzh7m Total loading time: 0 Render date: 2024-04-27T02:14:51.779Z Has data issue: false hasContentIssue false
  • English
  • Français

Invited Lecture†: Fetal cardiac function and circulatory dynamics—the impact of Doppler echocardiography

Published online by Cambridge University Press:  19 August 2008

Jean-Claude Fouron
Jean-Claude Fouron*
Affiliation:
From the Department of Pediatrics, Service of Cardiology, Ste-Justine Hospital, University of Montreal, Montreal
*
Dr. Jean-Claude Fouron, Sainte-Justine HospitalCardiology Service, 3175, C^te Ste-Catherine, Montreal, Quebec H3T IC5, Canada. Tel. (514) 345-4654; Fax. (514) 345-4896.
Rights & Permissions [Opens in a new window]

Abstract

An abstract is not available for this content so a preview has been provided. As you have access to this content, a full PDF is available via the ‘Save PDF’ action button.
Image of the first page of this content. For PDF version, please use the ‘Save PDF’ preceeding this image.'
Type
Editorials
Information
Cardiology in the Young , Volume 6 , Issue 2 , April 1996 , pp. 120 - 129
Copyright
Copyright © Cambridge University Press 1996

Footnotes

†

Lecture given to the Fetal Cardiology Working Group at the XXX Annual General Meeting of the European Paediatric Cardiology Association, Bologna, May 1995

References

1.Friedman, WFThe intrinsic physiologic properties of the developing heart. Prog Cardiovasc Dis 1972; 15: 87–111CrossRefGoogle ScholarPubMed
2.Sweeney, U, Nag, ACEisenberg, BManasck, FJ. Developmental aspects of cardiac contractile protein. Basic Res Cardiol 1985; 80 (Suppl 2): 123–127.Google Scholar
3.Anderson, PAW. Myocardial development. In: Long, W (ed). Fetal and Neonatal Cardiology. WB Saunders, Philadelphia, 1990, pp 17–38Google Scholar
4.Nakanishi, TJarmakani, JMDevelopmental changes in myocardial mechanical function and subcellular organelles. Am J Physiol 1984; 246: H615–H625.Google ScholarPubMed
5.Nayler, WGFassold, ECalcium accumulating and ATPase activity of cardiac sarcoplasmic reticulum before and after birth. Cardiovasc Res 1977; 11: 231–237.CrossRefGoogle ScholarPubMed
6.Romero, TCovell, J, Friedman, WFA comparison of pressure- volume relations of the fetal, newborn, and adult heart. Am J Physiol 1972; 222: 1285–1290.CrossRefGoogle ScholarPubMed
7.Rudolph, AMHeymann, MACardiac output in the fetal lamb: The effects of spontaneous and induced changes of heart rate on right and left ventricular output. Am J Obstet Gynecol 1976; 124: 183–192.CrossRefGoogle ScholarPubMed
8.Gilbert, RDControl of fetal cardiac output during changes in blood volume. Am J Physiol 1980; 238: H80–H86.Google ScholarPubMed
9.Thornburg, KLMorton, MJFilling and arterial pressures as determinants of RV stroke volume in the sheep fetus. Am J Physiol 1983; 244: H656–H663.Google ScholarPubMed
10.Kenny, J, Plappert, T, Doubilet, P, Salzman, D, St John sutton, MG. Effects of heart rate on ventricular size, stroke volume and output in the normal human fetus: A prospective Doppler echocardiographic study. Circulation 1987; 76: 52–58CrossRefGoogle ScholarPubMed
11.Hawkins, JVanHare, GE, Schmidt, KGRudolph, AMEffects of increasing afterload on left ventricular output in fetal lambs. Circ Res 1989; 65: 127–134.CrossRefGoogle ScholarPubMed
12.Kirkpatrick, SE, Pitlick, PTNalibo, FF, Friedman, WFFrank- Starling relationship as an important determinant of fetal cardiac output. Am J Physiol 1976; 231: 495–500.CrossRefGoogle ScholarPubMed
13.Fouron, JCHébert, FCardiovascular adaptation of newborn lambs to hypervolemia with polycythemia. Can J Physiol Pharmacol 1970; 48: 312–320.CrossRefGoogle ScholarPubMed
14.Atkins, DLClark, EBMarvin, WJForamen ovale/atrialseptum area ratio: A marker of transatrial blood flow. Circulation 1982; 66: 281–283.CrossRefGoogle Scholar
15.Behrman, RE, Lees, MHPeterson, ENDeLannox, CWSeeds, AEDistribution of the circulation in the normal and asphyxi ated fetal primate. Am J Obstet Gynecol 1970; 108: 956–969.CrossRefGoogle Scholar
16.Edelstone, DIRudolph, AMPreferential streaming of the ductus venosus blood to the brain and heart in fetal lambs. Am J Physiol 1979; 237: H724–729.Google Scholar
17.Kiserud, T, Eik-Nes, SH, Blaas, HG, Hellevik, UR. Foramen ovale:an ultrasonographic study of its relation to the inferior vena cava, ductus venosus and hepatic veins. Ultrasound Obstet Gynecol 1992; 2: 389–396.CrossRefGoogle Scholar
18.Itskovitz, J, LaGamma, EFRudolph, AMEffects of cord compression on fetal blood flow distribution and O2, distribution. Am J Physiol 1987; 252: H100–H109.Google Scholar
19.Dawes, GS The fetal circulation. In: Dawes, GS (ed). Fetal and Neonatal Physiology. Year Book Medical Publishers, Chicago, 1968, 91–105Google Scholar
20.Rudolph, AMDistribution and regulation of blood flow in the fetal and neonatal lamb. Circ Res 1985; 57: 811–20CrossRefGoogle ScholarPubMed
21.St, JohnSutton, MGroves, AMacNeil, ASharland, GAllan, LAssessment of changes in blood flow through the lungs and foramen ovale in the normal human fetus with gestational age: a prospective Doppler echocardiographic study. Br Heart J 1994; 71: 232–237.Google Scholar
22.Fouron, JC,Absi, F, Lessard, M, Drblik, S. Reciprocal vertical shift in the superior and inferior vena cavae flow velocity waveforms during umbilical blood flow impairment. J Mat Fet Invest 1993; 3: 197 [Abstract]Google Scholar
23.Reller, MD, Morton, MJ, Reid, DL, Thornburg, KL. Fetal lamb ventricles respond differently to filling and arterial pressures and to in utero ventilation. Pediatr Rca 1987; 22: 621–626.Google ScholarPubMed
24.Fouron, JC, Drblik, SP. Fetal cardiovascular dynamics in intrauterine growth retardation. In: Copel, JA.Reed, KL. (ed). Doppler Ultrasound in Obstetrics and Gynecology. Raven Press, Ltd., New York, 1995.Google Scholar
25.Pinson, CW, Morton, MJ, Thornburg, KL. Mild pressure loading alters right ventricular function in fetal sheep. Circ Rca 1991; 68:947–957.Google ScholarPubMed
26.Kenny, JF, Plappert, E, Doubilet, P, Saltzman, DH, Cartier, M, Zollars, L, Leatherman, GF, St John Sutton, MG. Changes in intracardiac blood flow velocities and right and left ventricular stroke volumes with gestational age in the normal human fetus: A prospective Doppler echocardiographic study. Circulation 1986; 74: 1208–1216.CrossRefGoogle ScholarPubMed
27.St John Sutton, MG, Gewitz, MH, Shah, B, Cohen, A, Reichek, N, Gabbe, S, Huff, DS. Quantative assessment of growth and function of the cardiac chamber in the normal human fetus: a prospective longitudinal study. Circulation 1984; 69:645–654.CrossRefGoogle Scholar
28.Reed, KL, Meijboom, EJ, Sahn, DJ, Scagnelli, SA, Valdes-Cruz, LM, Shenker, L. Cardiac Doppler flow velocities in human fetuses. Circulation 1986; 73: 41–46CrossRefGoogle ScholarPubMed
29.Machado, MVL, Chita, SC, Allan, LD. Acceleration time in the aorta and pulmonary artery measured by Doppler echocardiography in the midtrimester normal human fetus. Br Heart J 1987; 58: 15–18CrossRefGoogle ScholarPubMed
30.Isaac, K, Ethevenot, G, Admant, P, Brembilla, B, Pernot, C. A new Doppler method of assessing left ventricular ejection force in chronic congestive heart failure. AmJ Cardiol 1989; 64: 81–87Google Scholar
31.St John Sutton, M, Gill, T, Plappert, T, Saltzman, DH, Doubilet, P. Assessment of right and left ventricular function in terms of force development with gestational age in the normal human fetus. Br Heart J 1991; 66: 285–289.CrossRefGoogle Scholar
32.Reed, KI, Sahn, DJ, Scagnelli, S, Anderson, CF, Shenker, L. Doppler echocardiographic studies of diastolic function in the human fetal heart: Changes during gestation. J Am Coil Cardiol 1986; 8: 391–395.CrossRefGoogle ScholarPubMed
33.Carceller-Blanchard, AM, Fouron, JC. Determinants of the Doppler flow velocity profile through the mitral valve of the human fetus. Br Heart J 1993; 70: 457–460.CrossRefGoogle ScholarPubMed
34.Fouron, JC, Leduc, L, Grignon, A, Maragnes, P, Lessard, M, Drblik, SP. Importance of meticulous ultrasonographic investigation of the acardiac twin. J Ultrasound in Med 1994; 13: 1001–1004.CrossRefGoogle ScholarPubMed
35.Sonesson, SE, Fouron, JC, Tawile, C, Lessard, M, Skoll, A. Reference values for Doppler velocimetric indices from the fetaland placental ends of the umbilical artery during normal pregnancy. J Clin Ultrasound 1993; 21: 317–324CrossRefGoogle Scholar
36.Eik-Nes, SMarsal, KBrubakk, AO, Kristoffersen, KUlstein, MUltrasonic measurement of human fetal blood flow. J Biomed Eng 1982; 4: 28–36CrossRefGoogle ScholarPubMed
37.Chen, HY, Lu, CC, Cheng, YT, Hsieh, FJ, Liu, JY. Antenatal measurement of fetal umbilical venous flow by pulsed Dopplerand B-mode ultrasonography. J Ultrasound Med 1986; 5:319–321.CrossRefGoogle Scholar
38.Kiserud, T, Hellevik, LR, Eik-Nes, SH, Angelsen, BAJ, Blaas, HG, Estimation of the pressure gradient across the fetal ductusvenosus based on Doppler velocimetty. Ultrasound Med Biol 1994; 20: 225–232.CrossRefGoogle Scholar
39.Gudmundsson, S, Huhta, JC, Wood, DC, Tulver, GT, Cohen, AW, Weiner, S. Venous Doppler ultrasonography in the fetuswith nonimmune hydrops. AmJ Obstet Gynecol 1991; 16433–16437.Google Scholar
40.Rizzo, G, Capponi, A, Arduini, D, Romanini, C. Ductus venosus waveforms in appropriate and small for gestational age fetuses. Early Human Dcv 1994; 39: 15–26CrossRefGoogle ScholarPubMed
41.Kiserud, T, Eik-Nes, SH, Hellevik, LR, Blaas, HG, Ductus Venosus blood velocity changes in fetal cardiac diseases. J MatFet Invest 1993; 3: 15–20Google Scholar
42.Huhta, JC, Kenneth, JM, Fisher, DJ, Sharif, DS, Wasserstrum, N, Martin, C. Detection and quantitation of constriction of the fetalductus arteriosus by Doppler echocardiography. Circulation 1987; 75: 406–412.CrossRefGoogle ScholarPubMed
43.Tulzer, G, Gudmundsson, S, Sharkey, AM, Wood, DC, Cohen, AW, Huhta, JC. Doppler echocardiography of fetal ductus arteriosus constriction versus increased right ventricular output. J Am Coil Cardiol 1991; 18: 532–536.CrossRefGoogle ScholarPubMed
44.Fouron, JC, Zarelli, M, Drblik, SP, Lessard, M. Normal flow velocity profile of the fetal aortic isthmus through normal gestation. Am J Cardiol 1994; 74: 483–486.CrossRefGoogle ScholarPubMed
45.Angelini, A, Allan, LD, Anderson, RH, Crawford, DC, Chits, SK, Ho, SY. Measurements of the dimensions of the aortic and pulmonary pathways in the human fetus: a correlative echocardiographic and morphometric study. Br Heart J 1988; 60: 221–226.CrossRefGoogle ScholarPubMed
46.Patton, DJ, Fouron, JCCerebral arteriovenous malformation: comparison of pre-and postnatal central blood flow dynamics. Ped Cardiol 1995; 16: 141–144.CrossRefGoogle Scholar
47.Bonnin, P, Fouron, JC, Teyssier, G, Sonesson, SE, Skoll, A. Quantitative assessment of circulatory changes in the fetal aortic isthmus during progressive increase of resistance to placental blood flow. Circulation 1993; 88: 216–222.CrossRefGoogle Scholar
48.Fouron, JC, Teyssier, G, Maroto, E, Lessard, M, Marquette, G. Diastolic circulatory dynamics in the presence of elevated placental resistance and retrograde diastolic flow in the umbilicalartery. A Doppler echographic study in lambs. Am J Obstet Gynecol 1991; 164: 195–203.CrossRefGoogle Scholar
49.Fouron, JC, Teyssier, G, Bonnin, P, Sonesson, SE, Skoll, A, Lessard, M. Blood flow velocity profile in the fetal aortic isthmus. Asensitive indicator of changes in systemic peripheral resistance Il-clinical observations. J Matern Fetal Invest 1993; 3: 219–224.Google Scholar