Fetal epicardial fat thickness in non-severe idiopathic polyhydramnios: Its impact on fetal cardiac function and perinatal outcomes

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dc.contributor.authorDogru, Sukran
dc.contributor.authorAkkus, Fatih
dc.date.accessioned2024-02-23T12:58:15Z
dc.date.available2024-02-23T12:58:15Z
dc.date.issued2023
dc.departmentNEÜen_US
dc.description.abstractObjective: This study aimed to evaluate fetal epicardial fat thickness (EFT) along with fetal myocardial performance index (MPI) and its effects on perinatal outcomes in non-severe idiopathic polyhydramnios (IP).Materials and Methods: This prospective study included 92 participants, 32 diagnosed with non-severe IP, and 60 healthy pregnant women. Amniotic fluid indices (AFI), umbilical and middle cerebral artery Doppler, EFT, and MPI measurements were performed for all patients.Results: The fetal EFT and MPI values were statistically higher in the non-severe IP group than in the control group (p = 0.0001, p = 0.014, respectively). The optimal fetal EFT cutoff value for predicting non-severe IP disease was found as 1.3 mm with a specificity of 81.7% and sensitivity of 59.4%. The EFT cutoff for predicting cesarean section in non-severe IP cases was 1.25 mm (p = 0.038). Apgar scores, neonatal intensive care unit, respiratory distress syndrome, and stillbirth rates were not different between groups.Conclusion: In this study, EFT and MPI were found to be higher in non-severe IP cases compared to controls. It was observed that the increase in MPI and EFT was associated with the increase in cesarean rates, but not with adverse fetal outcomes.en_US
dc.identifier.doi10.1002/jcu.23476
dc.identifier.endpage980en_US
dc.identifier.issn0091-2751
dc.identifier.issn1097-0096
dc.identifier.issue6en_US
dc.identifier.pmid37199060en_US
dc.identifier.scopus2-s2.0-85159711524en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage974en_US
dc.identifier.urihttps://doi.org/10.1002/jcu.23476
dc.identifier.urihttps://hdl.handle.net/20.500.12452/10617
dc.identifier.volume51en_US
dc.identifier.wosWOS:000991515500001en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherWileyen_US
dc.relation.ispartofJournal Of Clinical Ultrasounden_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectFetal Epicardial Fat Thicknessen_US
dc.subjectIdiopathic Polyhydramniosen_US
dc.subjectMyocardial Performance Indexen_US
dc.titleFetal epicardial fat thickness in non-severe idiopathic polyhydramnios: Its impact on fetal cardiac function and perinatal outcomesen_US
dc.typeArticleen_US

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