Evidence map›Paper›PMID 40532670›Full record

ArticleFetal diagnosis and therapy2025

Left and Right Ventricular Strain Mechanics in Fetal Tachyarrhythmia.

Rukmini Komarlu, Janelle Noel-MacDonnell, Neha Chellu, Geetha Haligheri

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Article in Fetal diagnosis and therapy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 authors.

Rukmini KomarluDepartment of Pediatric Cardiology, Cleveland Clinic Children's, Cleveland, Ohio, USA.
Janelle Noel-MacDonnellDepartment of Health Services and Outcomes Research, Children's Mercy Hospital, Kansas City, Missouri, USA.
Neha ChelluDepartment of Biomedical Engineering, Johns Hopkins University, Baltimore, Maryland, USA.
Geetha HaligheriSchool of Medicine, University of Kansas Medical Center, Kansas City, Kansas, USA.

Funding

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6 · The paper itself

Abstract

<p>Introduction: Assessment of myocardial function in fetuses with supraventricular tachyarrhythmia is challenging. Speckle-tracking echocardiography (STE) is a newer sensitive method to assess ventricular systolic function. We sought to assess left (LV) and right (RV) ventricular myocardial strain mechanics in fetuses with tachyarrhythmia and hypothesized that strain mechanics are impaired in this patient population even after conversion to sinus rhythm.

methodsThis was a single-center retrospective review. LV and RV strain parameters were assessed using STE in tachyarrhythmia and after conversion to sinus rhythm and, compared to gestational age (GA), matched control fetuses in sinus rhythm.

resultsEighteen fetuses with tachyarrhythmia and 18 controls were analyzed at median GA of 31 weeks (range 28-34 weeks). LV Global Longitudinal Strain (GLS) (-4.5% [-5.2, -1.9] vs. -11.2% [-14.6, -9.9]; p value 0.0001), Strain Rate (-0.8% [-1.5, -0.6] vs. -1.7% [-2.5, -1.2]; p value 0.007), and Global Longitudinal Velocity (GLV) (0.7 cm/s [0.5, 1.3] vs. 1.8 cm/s [0.9, 2.1]; p value 0.003) were reduced in tachyarrhythmia and improved with sinus rhythm but remained abnormal compared to controls. RV GLS (-6.3% [-8.5, -5.1] vs. -13.6% [-15.3, -10.6]; p value <0.0001), Strain rate (-1.3% [-1.7, -0.9] vs. -2.1% [-2.5, -1.4]; p value 0.0103), and GLV (1.2 cm/s [0.8, 1.7] vs. 1.9 cm/s [1.2, 2.7]; p value 0.026) were low in tachyarrhythmia and improved with sinus rhythm but remained lower than in controls. Regional strain was decreased in all LV and RV segments in tachyarrhythmia.

conclusionFetuses in tachyarrhythmia had reduced measures of myocardial deformation that improved with sinus rhythm but remained low compared to matched controls. Future studies are needed to explore the utility of STE for serial monitoring of fetuses in tachyarrhythmia and to assess response to therapy. </p>.

Indexed as

Fetal HeartHeart VentriclesVentricular Function, LeftVentricular Function, RightCase-Control StudiesEchocardiographyFemaleHumansPregnancyRetrospective StudiesUltrasonography, PrenatalSpeckle-tracking echocardiographyStrainTachyarrhythmiaVentricular function

Identifiers

PMID40532670
PMCPMC12286586

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