Diagnostic value of the myocardial performance index and doppler parameters in detecting fetal growth restriction in pregnancies complicated by hypertensive disorders.

Yao Peng, Wei Feng, Sitong Yue, Yang He, Xue Liao, Zixian Wei, Ling Gan, Jiaqi Zhang

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Article in Quantitative imaging in medicine and surgery, 2026. 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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5 · Who and what money

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8 authors.

Yao Peng *Hubei Provincial Clinical Research Center for Accurate Fetus Malformation Diagnosis, Department of Ultrasound, Xiangyang No. 1 People's Hospital, Hubei University of Medicine, Xiangyang, China.

Wei Feng *Hubei Provincial Clinical Research Center for Accurate Fetus Malformation Diagnosis, Department of Ultrasound, Xiangyang No. 1 People's Hospital, Hubei University of Medicine, Xiangyang, China.

Sitong Yue *Hubei Provincial Clinical Research Center for Accurate Fetus Malformation Diagnosis, Department of Ultrasound, Xiangyang No. 1 People's Hospital, Hubei University of Medicine, Xiangyang, China.

Yang HeDepartment of Ultrasound Imaging, Postgraduate Union Training Base of Xiangyang No. 1 People's Hospital, School of Medicine, Wuhan University of Science and Technology, Xiangyang, China.

Xue LiaoDepartment of Ultrasound Imaging, Postgraduate Union Training Base of Xiangyang No. 1 People's Hospital, School of Medicine, Wuhan University of Science and Technology, Xiangyang, China.

Zixian WeiHubei Provincial Clinical Research Center for Accurate Fetus Malformation Diagnosis, Department of Ultrasound, Xiangyang No. 1 People's Hospital, Hubei University of Medicine, Xiangyang, China.

Ling GanHubei Provincial Clinical Research Center for Accurate Fetus Malformation Diagnosis, Department of Ultrasound, Xiangyang No. 1 People's Hospital, Hubei University of Medicine, Xiangyang, China.

Jiaqi ZhangHubei Provincial Clinical Research Center for Accurate Fetus Malformation Diagnosis, Department of Ultrasound, Xiangyang No. 1 People's Hospital, Hubei University of Medicine, Xiangyang, China.ORCID https://orcid.org/0000-0003-2234-1730

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Hypertensive disorders in pregnancy (HDP) are conditions that may affect fetal growth and development. This study aimed to assess the diagnostic value of the myocardial performance index (MPI) and Doppler parameters in identifying fetal growth restriction (FGR) in HDP. Further, this study also sought to analyze the correlation between fetal echocardiographic parameters and pregnancy outcomes. Methods: A total of 202 pregnant women at Xiangyang No. 1 People's Hospital were recruited for this prospective study and allocated to three groups: the healthy control group (n=95), HDP without FGR group (n=75), and HDP with FGR group (n=32). Fetal cardiac assessments included measurements of the MPI, umbilical artery pulsatility index (UA-PI), and middle cerebral artery pulsatility index (MCA-PI), with additional fetal and maternal clinical data collected. Statistical analyses were performed to compare these parameters among groups, and correlation analyses were performed to examine the relationships between birth weight and Doppler, clinical, and cardiac parameters. Results: The HDP with FGR group exhibited a significantly higher MPI (0.48±0.08 Conclusions: HDP with FGR was found to be associated with significant fetal cardiac dysfunction and increased placental resistance. The MPI and UA-PI could serve as effective quantitative markers for detecting FGR in hypertensive pregnancies. The significant correlation between these parameters and birth weight supports their clinical utility for early detection and targeted monitoring in high-risk pregnancies.

Indexed as

Doppler parametersFetal growth restriction (FGR)hypertensive disorders in pregnancy (HDP)myocardial performance index (MPI)

Identifiers

PMID42147897

DOI10.21037/qims-2025-2056

PMCPMC13178335

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LicenceCC BY-NC-ND

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.