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Clinical significance of cardiac isovolumetric contraction time and aortic pulse waveforms in the human fetus

Research Project

Project/Area Number 14370322
Research Category

Grant-in-Aid for Scientific Research (B)

Allocation TypeSingle-year Grants
Section一般
Research Field Embryonic/Neonatal medicine
Research InstitutionKyushu University

Principal Investigator

SATOH Shoji  Kyushu University, Hospital, Assistant Professor, 病院, 講師 (00225947)

Co-Investigator(Kenkyū-buntansha) NAKANO Hitoo  Kyushu University, Director, 理事(教授) (40038766)
TSUKIMORI Kiyomi  Kyushu University, Hospital, Assistant Professor, 病院・講師 (90253450)
NAKANAMI Naoyuki  Kyushu University, Hospital, Research Associate, 病院・助手 (50343322)
Project Period (FY) 2002 – 2004
Project Status Completed (Fiscal Year 2004)
Budget Amount *help
¥11,400,000 (Direct Cost: ¥11,400,000)
Fiscal Year 2004: ¥1,500,000 (Direct Cost: ¥1,500,000)
Fiscal Year 2003: ¥2,300,000 (Direct Cost: ¥2,300,000)
Fiscal Year 2002: ¥7,600,000 (Direct Cost: ¥7,600,000)
KeywordsFetal descending aorta / Aortic pulse waveform / Cardiac function / Isovolumetric contraction time / Aortic pulse pressure / Cardiac failure / Circulator failure / Animal experiment / ヒト胎児
Research Abstract

Investigated was the clinical significance of the measurement of both the cardiac isovolumetric contraction time(ICT) and the pulse waveforms in the descending aorta in the human fetus. Fetal ICTs obtained from human fetuses with elevated PI values in the umbilical artery demonstrated the significant relationship between the prolongation of ICT and the abnormal fetal outcome. On the other hand, both the amplitude and the amplitude / end-diastolic diameter ratio (Amp/EDD) in the pulse waveforms in the descending aorta demonstrated the significant decrease in cases with fetal cardiac dysfunction and/or elevated placental vascular resistance. In the fetal lamb experiments, fetal ICT had the significant negative and positive relationship with Max dP/dt value in the left ventricle and the arterial pH, respectively, and both the amplitude and Amp/EDD in the descending aorta had the significant positive relationship with the aortic pulse amplitude and pO2. These results indicate that the fetal ICT and the pulse waveforms might be sensitive and non-invasive parameters for evaluating the cardiac contractility influenced by pH and the aortic pressure amplitude influenced by PaO2.

Report

(4 results)
  • 2004 Annual Research Report   Final Research Report Summary
  • 2003 Annual Research Report
  • 2002 Annual Research Report
  • Research Products

    (7 results)

All 2004 Other

All Journal Article (6 results) Publications (1 results)

  • [Journal Article] Fetal habituation correlates with functional brain development2004

    • Author(s)
      Morokuma S, et al.
    • Journal Title

      Behavioural Brain Research 153

      Pages: 459-463

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2004 Annual Research Report 2004 Final Research Report Summary
  • [Journal Article] Prenatal diagnosis of slow-rate ventricular tachycardia using fetal electrocardiography2004

    • Author(s)
      Yumoto Y, et al.
    • Journal Title

      Prenatal Diagnosis 24

      Pages: 463-467

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2004 Annual Research Report 2004 Final Research Report Summary
  • [Journal Article] 心弁信号、ドプラ血流波形および血管壁微小変位からみたヒト胎児における心機能の発達ならびに病的逸脱に関する研究2004

    • Author(s)
      佐藤 昌司
    • Journal Title

      日本産科婦人科雑誌 56

      Pages: 1171-1181

    • NAID

      110002100430

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2004 Annual Research Report 2004 Final Research Report Summary
  • [Journal Article] Fetal habituation correlates with functional brain development2004

    • Author(s)
      S.Morokuma, K.Fukushima, N.Kawai, M.Tomonaga, S.Satoh, H.Nakano
    • Journal Title

      Behavioural Brain Research 153

      Pages: 459-463

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] Prenatal diagnosis of slow-rate ventricular tachycardia using fetal echocardiography2004

    • Author(s)
      Y.Yumoto, S.Satoh, T.Koga, H.Nagata, R.Ngamatsu, H.Nakano
    • Journal Title

      Prenatal Diagnosis 24

      Pages: 463-467

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] Clinical significance of cardiac isovolumetric contraction time and aortic pulse waveforms for evaluating fetal circulation and cardiac performance2004

    • Author(s)
      S.Satoh
    • Journal Title

      Acta Obstetrica Gynaecologica Japonica 56

      Pages: 1171-1181

    • NAID

      110002103040

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Publications] Fujita Y, et al.: "Aortic pulse waveforms for evaluating cardiac performance in the human fetus"Ultrasound in Medicine and Biology. 28. 1245-1250 (2002)

    • Related Report
      2002 Annual Research Report

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Published: 2002-04-01   Modified: 2016-04-21  

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