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Fetal heart rate influence on the pulsatility index in the middle cerebral artery
Author(s) -
Mari Giancarlo,
Moise Kenneth J.,
Deter Russell L.,
Carpenter Robert J.,
Wasserstrum Nathan
Publication year - 1991
Publication title -
journal of clinical ultrasound
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.272
H-Index - 61
eISSN - 1097-0096
pISSN - 0091-2751
DOI - 10.1002/jcu.1870190305
Subject(s) - medicine , middle cerebral artery , fetus , cardiology , heart rate , pulsatility index , cerebral arteries , blood pressure , pregnancy , ischemia , genetics , biology
In 1300 Doppler assessments performed on the fetal cerebral arteries, 5 cases of heart rate deceleration were recorded while studying the middle cerebral artery. There were 3 normal fetuses (mean menstrual age ± standard deviation: 28.6 ± 2.1 weeks), one growth‐retarded fetus (34 weeks, menstrual age) and 1 fetus with red cell alloimmunization (27 weeks, menstrual age). The magnitude of decline in the heart rate during the deceleration ranged from 44 to 93 bpm (67 ± 18 bpm). Pulsatility index values were calculated on 44 waveforms and correlated with the heart rate. Linear regression analysis showed a statistically significant inverse correlation between the heart rate and the pulsatility index in the middle cerebral artery of 4 fetuses. These results indicate that heart rate will affect the pulsatility index of the middle cerebral artery.