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The cardiac state diagram as a novel approach for the evaluation of pre- and post-ejection phases of the cardiac cycle in asphyxiated fetal lambs
KTH, School of Technology and Health (STH), Medical Engineering.ORCID iD: 0000-0002-5156-2535
KTH, School of Technology and Health (STH), Medical Engineering.
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2013 (English)In: Ultrasound in Medicine and Biology, ISSN 0301-5629, E-ISSN 1879-291X, Vol. 39, no 9, 1682-1687 p.Article in journal (Refereed) Published
Abstract [en]

The aim of this study was to investigate myocardial wall motion using echocardiography and color-coded tissue velocity imaging and to generate a cardiac state diagram for evaluation of the duration of the pre- and post-ejection phases in asphyxiated fetal lambs. Six near-term lambs were partly exteriorized and brought to cardiac arrest through asphyxia. Echocardiography measurements were recorded simultaneously with arterial blood sampling for lactate and blood gases. All fetal lambs exhibited prolongation of the pre- and post-ejection phases at the time when the most pronounced changes in lactate concentration and pH occurred. The mean change in duration of the pre- and post-ejection phases for all fetal lambs was 36 +/- 7 ms (p < 0.002) and 77 +/- 17 ms (p < 0.019), respectively, and the percentage change was 50% (p < 0.001) and 38% (p < 0.049), respectively. As asphyxia progressed in fetal lambs, the duration of the pre- and post-ejection phases increased. The cardiac state diagram has the potential to be a comprehensible tool for detecting fetal asphyxia.

Place, publisher, year, edition, pages
2013. Vol. 39, no 9, 1682-1687 p.
Keyword [en]
Cardiac state diagram, Cardiac time intervals, Doppler, Fetal physiology, Myocardial motion, Asphyxia, Tissue velocity imaging, Echocardiography
National Category
Radiology, Nuclear Medicine and Medical Imaging
Identifiers
URN: urn:nbn:se:kth:diva-129623DOI: 10.1016/j.ultrasmedbio.2013.04.012ISI: 000324052300017Scopus ID: 2-s2.0-84881667580OAI: oai:DiVA.org:kth-129623DiVA: diva2:653254
Note

QC 20131003

Available from: 2013-10-03 Created: 2013-10-03 Last updated: 2017-12-06Bibliographically approved

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Johnson, Jonas

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