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Assessment of strain and dyssynchrony in normal fetuses using speckle tracking echocardiography – comparison of three different ultrasound probes

  • Daniel Rolf EMAIL logo , Rene Schmidt , Mareike Möllers , Kathrin Oelmeier de Murcia , Janina Braun , Kerstin Hammer , Walter Klockenbusch and Ralf Schmitz
Published/Copyright: July 28, 2017

Abstract

Objective:

To evaluate segmental left (LV-S) and right (RV-S) ventricular strain as well as longitudinal mechanical myocardial dyssynchrony as a time difference between peaks in strain of both ventricles in fetuses (two-chamber-dyssynchrony, 2C-DYS) using speckle tracking echocardiography (STE). The aim of our study was to evaluate the influence of data acquisition on the results of STE measurement using different ultrasound probes.

Methods:

We prospectively recorded cardiac cycles of four-chamber views of 56 normal fetuses with three different ultrasound probes and analyzed them offline with speckle tracking imaging software. Furthermore, we looked at a possible influence of heartbeat variability (beat-to-beat variability).

Results:

The evaluation of the parameters was feasible with all three probes in 53 cases. There was no influence of heartbeat variability and no noticeable differences in 2C-DYS, LV-S and RV-S in all cases and for all three probes determined.

Conclusion:

Assessment of strain and dyssynchrony using STE with three different probes is comparable. Further research is needed to validate dyssynchrony as a predictor for fetal outcome.

Acknowledgements

The authors have no conflicts of interest to disclose. Philips Medical Systems (Andover, MA, USA) provided us with the ultrasound probes S8-3 and X5-1 for study data acquisition.

  1. Author’s statement

  2. Conflict of interest: Authors state no conflict of interest.

  3. Material and methods: Informed consent: Informed consent has been obtained from all individuals included in this study.

  4. Ethical approval: The research related to human subject use has complied with all the relevant national regulations, and institutional policies, and is in accordance with the tenets of the Helsinki Declaration, and has been approved by the authors’ institutional review board or equivalent committee.

  5. Funding sources: This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.

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Received: 2017-04-03
Accepted: 2017-06-30
Published Online: 2017-07-28
Published in Print: 2018-11-27

©2018 Walter de Gruyter GmbH, Berlin/Boston

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