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Normal reference ranges of inferior vena cava doppler indices from 14 to 40 weeks of gestation
Author(s) -
Luewan Suchaya,
Srisupundit Kasemsri,
Tongprasert Fuanglada,
Tongsong Theera
Publication year - 2012
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.21878
Subject(s) - medicine , inferior vena cava , gestational age , gestation , doppler effect , ultrasound , doppler ultrasound , pregnancy , fetus , obstetrics , radiology , physics , biology , genetics , astronomy
Objective: To establish normal reference ranges of inferior vena cava (IVC) Doppler velocities in normal singleton pregnancies from 14 to 40 weeks.Methods: A prospective descriptive study was conducted on normal singleton pregnancies with confirmed gestational age. The sonographic measurements of IVC Doppler indices, including preload index, peak velocity index for vein, and pulsatility index for vein, were determined by experienced sonographers.Results: A total of 645 measurements were performed, ranging from 12 to 30 measurements available for each gestational week. The relationship between gestational age and IVC Doppler indices was not linear. The best‐fitted regression equations for the indices are as follows:$$ {\rm Preload \ index} = 66.579 \times {\rm exp}(-0.35 \times {\rm GA})+0.183 $$$$\eqalign{ & \hskip-.7pc{\rm Peak \ velocity \ index \ of\ vein} = 420.58 \cr& \hskip7pc\times {\rm exp}(-0.350 \times {\rm GA}) +1.620}$$$$\eqalign{& \hskip-.5pc{\rm Pulsatility\ index\ of\ vein} = 565.81 \cr & \hskip8pc\times {\rm exp}(-0.35 \times {\rm GA})+1.690} $$ (GA = gestational age in week) All IVC Doppler indices rapidly declined from 14 to 20 weeks of gestation and then they were relatively constant or slightly decreased throughout the rest of pregnancy. The tables of normal reference ranges were constructed.Conclusions: Normal reference ranges of IVC Doppler indices for each gestational week from 14 to 40 weeks were constructed. This normative data may be a useful noninvasive tool in evaluation of fetal cardiac function. © 2012 Wiley Periodicals, Inc. J Clin Ultrasound, 2012