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Quantitative measurements of celeration times and indexes in the ductus venosus spectral Doppler waveforms in normal fetuses

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Published/Copyright: February 18, 2020

Abstract

Background

Ductus venosus spectral waveform has two peaks and two nadirs: S, v, D and a velocities, which are obtained after to some extent of accelerations or decelerations throughout a cardiac cycle. It is aimed to define the actual celeration times and indexes and their relationships with the fetal heart rate (FHR).

Methods

The acceleration times and indexes were measured in 357 patients between 11 and 40 weeks of pregnancies with low risk.

Results

The FHR has a gradual increasing negative correlation from time for S to time for a with each of the cardiac times of phases according to the statistical analysis (correlations were minus 190, 269, 407 and 541 for S, v, D and a phase times, respectively). The acceleration aS and the deceleration Da have positive correlations with the FHR; however, the deceleration Sv and the acceleration vD do not correlate with the FHR.

Conclusion

The deceleration Da time and index are the main components for determining the FHR in fetuses. Therefore, the atrial contraction is the strongest component for determining the FHR in fetuses.

  1. Author contributions: Cemil Gürses: Study design, imaging and measurements, data collection. Burak Karadağ: Study design, data entry and statistical analysis. Onur Erol: Study design, writing and final approval. All the authors have accepted responsibility for the entire content of this submitted manuscript and approved submission.

  2. Research funding: None declared.

  3. Employment or leadership: None declared.

  4. Honorarium: None declared.

  5. Competing interests: The funding organization(s) played no role in the study design; in the collection, analysis, and interpretation of data; in the writing of the report; or in the decision to submit the report for publication.

References

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Received: 2019-11-19
Accepted: 2020-01-04
Published Online: 2020-02-18
Published in Print: 2020-03-26

©2020 Walter de Gruyter GmbH, Berlin/Boston

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