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dc.contributor.authorZanardini, Cristina
dc.contributor.authorD'Antonio, Francesco
dc.contributor.authorHvingel, Bodil
dc.contributor.authorVårtun, Åse
dc.contributor.authorPrefumo, Federico
dc.contributor.authorFlacco, Maria E.
dc.contributor.authorManzoli, Lamberto
dc.contributor.authorAcharya, Ganesh
dc.date.accessioned2020-03-26T09:10:49Z
dc.date.available2020-03-26T09:10:49Z
dc.date.issued2019-08-23
dc.description.abstractAim To evaluate the level of agreement between M‐mode and pulsed‐wave tissue Doppler imaging (PW‐TDI) techniques in assessing fetal mitral annular plane systolic excursion (MAPSE), tricuspid annular plane systolic excursion (TAPSE) and septal annular plane systolic excursion (SAPSE) in a low‐risk population. Methods This prospective longitudinal study included healthy fetuses assessed from 18 to 40 weeks of gestation. Tricuspid annular plane systolic excursion, MAPSE and SAPSE were measured using anatomical M‐mode and PW‐TDI. The agreement between the two diagnostic tests was assessed using Bland–Altman analysis. Results Fifty fetuses were included in the final analysis. Mean values of TASPE were higher than that of MAPSE. There was a progressive increase of TAPSE, MAPSE and SAPSE values with advancing gestation. For each parameter assessed, there was an overall good agreement between the measurements obtained with M‐mode and PW‐TDI techniques. However, the measurements made with M‐mode were slightly higher than those obtained with PW‐TDI (mean differences: 0.03, 0.05 and 0.03 cm for TAPSE, MAPSE and SAPSE, respectively). When stratifying the analyses by gestational age, the mean values of TAPSE, MAPSE and SAPSE measured with M‐Mode were higher compared to those obtained with PW‐TDI, although the mean differences between the two techniques tended to narrow with increasing gestation. Tricuspid annular plane systolic excursion, MAPSE and SAPSE measurements were all significantly, positively associated with gestational age (all P < 0.001). Conclusion Fetal atrioventricular annular plane displacement can be assessed with M‐mode technique, or with PW‐TDI as the velocity‐time integral of the myocardial systolic waveform. Atrioventricular annular plane displacement values obtained with M‐mode technique are slightly higher than those obtained with PW‐TDI.en_US
dc.description"This is the peer reviewed version of the following article:<br>Zanardini, C.; D'Antonio, F.; Hvingel, B.; Vårtun, Å.; Prefumo, F.; Flacco, M.E.; Manzoli, L.; Acharya, G.(2019) Agreement between anatomical M-mode and tissue Doppler imaging in the assessment of fetal atrioventricular annular plane displacement in uncomplicated pregnancies: A prospective longitudinal study.<i> Journal of obstetrics and gynaecology Research, 45</i> <br>which has been published in final form at 10.1111/jog.14068.<br> This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions."en_US
dc.identifier.citationZanardini, C.; D'Antonio, F.; Hvingel, B.; Vårtun, Å.; Prefumo, F.; Flacco, M.E.; Manzoli, L.; Acharya, G.(2019) Agreement between anatomical M-mode and tissue Doppler imaging in the assessment of fetal atrioventricular annular plane displacement in uncomplicated pregnancies: A prospective longitudinal study. Journal of obstetrics and gynaecology Research, 45</>, (11)1-8en_US
dc.identifier.cristinIDFRIDAID 1739246
dc.identifier.issn1341-8076
dc.identifier.urihttps://hdl.handle.net/10037/17859
dc.language.isoengen_US
dc.publisherWileyen_US
dc.relation.journalJournal of obstetrics and gynaecology research
dc.rights.accessRightsopenAccessen_US
dc.rights.holder© 2019 Japan Society of Obstetrics and Gynecologyen_US
dc.subjectVDP::Medical disciplines: 700::Clinical medical disciplines: 750::Gynecology and obstetrics: 756en_US
dc.subjectVDP::Medisinske Fag: 700::Klinisk medisinske fag: 750::Gynekologi og obstetrikk: 756en_US
dc.titleAgreement between anatomical M-mode and tissue Doppler imaging in the assessment of fetal atrioventricular annular plane displacement in uncomplicated pregnancies: A prospective longitudinal studyen_US
dc.type.versionacceptedVersionen_US
dc.typeJournal articleen_US
dc.typeTidsskriftartikkelen_US
dc.typePeer revieweden_US


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