Gestational Diabetes, Myocardial Dysfunction
Conditions
Brief summary
The myocardial tissue is the most likely structure affected by hyperglycemia. The myocardial performance index (MPI) is a pulsed wave Doppler-derived index of global myocardial function. It is defined as the sum of the isovolumetric contraction time (ICT) and isovolumetric relaxation time (IRT) divided by the ejection time (ET) The fetal right heart contributes more to the cardiac output than the left heart; therefore, it is important to assess the right ventricular function. The investigators will measure right ventricular MPI in diabetic and normal pregnancies.
Detailed description
Gestational diabetes mellitus (GDM) is the most common metabolic disorder in pregnancy, with an overall prevalence of 3-7 % during pregnancy. The myocardial tissue is the most likely structure affected by hyperglycemia. The myocardial performance index (MPI) is a pulsed wave Doppler-derived index of global myocardial function. It is defined as the sum of the isovolumetric contraction time (ICT) and isovolumetric relaxation time (IRT) divided by the ejection time (ET) The fetal right heart contributes more to the cardiac output than the left heart; therefore, it is important to assess the right ventricular function. The investigators will measure right ventricular MPI in diabetic and normal pregnancies.
Interventions
fetal right ventricular myocardial performance index measured with tissue doppler
Sponsors
Study design
Eligibility
Inclusion criteria
* 18-40 years old pregnant women
Exclusion criteria
* fetal cardiac anomalies * multiple gestations
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| ultrasonographic myocardial performance index values | during procedure | cardiac contractility will be measured with Doppler ultrasonography |
Countries
Turkey (Türkiye)