我们旨在评估和比较患有家族性地中海热(FMF)的孕妇和健康孕妇的胎儿心脏形态和功能。
该研究包括34名FMF孕妇和68名与母亲年龄相匹配的健康孕妇。妊娠,奇偶校验,胎龄,和第34-37孕周的孕前体重指数(BMI)。使用二维(2D)成像进行胎儿超声心动图评估,M模式成像,脉冲波(PW)多普勒,和组织多普勒成像(TDI)。
胎儿心脏形态学测量,包括心胸比率,心轴角,右心室和左心室面积,球度指数,两组室间隔厚度相似。与对照组相比,心肌性能指标(MPI),这表明了整体的心肌表现,明显更高,FMF组的射血时间(ET)明显缩短。此外,它显示了舒张功能参数,例如,三尖瓣E波,E/A,E/E比率,和二尖瓣E波,E/A,E/E比率,均显著增高;三尖瓣A波和二尖瓣A波显著降低。我们发现,FMF持续时间超过8年的患者的二尖瓣和三尖瓣环平面收缩期偏移(MAPSE和TAPSE)显着低于FMF持续时间小于8年的患者。
FMF孕妇没有胎儿心脏形态学改变。然而,舒张功能可能有变化。随着母体FMF持续时间的增加,心脏收缩功能也可能发生变化。
We aimed to evaluate and compare fetal cardiac morphology and functions of pregnant women with familial Mediterranean fever (FMF) and healthy pregnant women.
The study included 34 pregnant women with FMF and 68 healthy pregnant women matched with maternal age, gravidity, parity, gestational age, and pre-pregnancy body mass index (BMI) in 34th-37th gestational weeks. Fetal echocardiographic evaluation was performed with two-dimensional (2D) imaging, M-mode imaging, pulsed wave (PW) Doppler, and tissue Doppler imaging (TDI).
Fetal cardiac morphological measures, including cardiothoracic ratio, cardiac axis angle, right and left ventricular area, sphericity index, and ventricular septal thickness was similar in both groups. Compared with the control group, myocardial performance index (MPI), which indicates global myocardial performance, was significantly higher, and ejection time (ET) was significantly shortened in the FMF group. In addition, which shows the diastolic functional parameters such as, tricuspid E wave, E/A, E/E\' ratio, and mitral E wave, E/A, E/E\' ratio, were significantly higher; tricuspid A and mitral A waves were significantly lower. We found that mitral and tricuspid annular plane systolic excursion (MAPSE and TAPSE) were significantly lower in those with FMF duration over eight years than those with FMF duration less than 8 years.
There is no fetal cardiac morphological change in pregnant women with FMF. However, there may be changes in diastolic function. As the maternal FMF duration increases, systolic functions may also change.