Please use this identifier to cite or link to this item:
http://hdl.handle.net/2445/176424
Full metadata record
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Torres, Ximena | - |
dc.contributor.author | Bennasar Sans, Mª del Mar | - |
dc.contributor.author | García Otero, Laura | - |
dc.contributor.author | Martínez Portilla, Raigam J. | - |
dc.contributor.author | Valenzuela Alcaraz, Brenda I. | - |
dc.contributor.author | Crispi Brillas, Fàtima | - |
dc.contributor.author | Goncé Mellgren, Anna | - |
dc.contributor.author | Gratacós Solsona, Eduard | - |
dc.contributor.author | Figueras Retuerta, Francesc | - |
dc.contributor.author | Martínez Crespo, Josep M. (Josep Maria) | - |
dc.date.accessioned | 2021-04-19T09:52:07Z | - |
dc.date.available | 2021-04-19T09:52:07Z | - |
dc.date.issued | 2020-11-09 | - |
dc.identifier.issn | 2077-0383 | - |
dc.identifier.uri | http://hdl.handle.net/2445/176424 | - |
dc.description.abstract | Cardiovascular dysfunction has been reported in complicated monochorionic diamniotic (MCDA) pregnancies; however, little is known whether hemodynamic changes occur in uncomplicated MCDA twins. A prospective observational study was conducted including 100 uncomplicated MCDA twins matched by gestational age to 200 low-risk singletons. Echocardiography was performed at 26-30 weeks gestation and cord blood B-type natriuretic peptide (BNP) was measured at delivery. In both groups, z-scores for echocardiographic parameters were within normal ranges; however the monochorionic group had larger atrial areas (mean (standard deviation) right atria-to-heart ratio: 17.0 (2) vs. 15.9 (1); p = 0.018; left atria-to-heart ratio: 17.0 (3) vs. 15.8 (2); p < 0.001) and signs of concentric hypertrophy (right relative wall thickness: 0.66 (0.12) vs. 0.56 (0.11); p < 0.001; left relative wall thickness: 0.69 (0.14) vs. 0.58 (0.12); p < 0.001). Longitudinal function was increased in twins, leading to higher tricuspid annular plane systolic excursion (6.9 mm (0.9) vs. 5.9 mm (0.7); p < 0.001) and mitral annular plane systolic excursion (4.9 mm (0.8) vs. 4.4 mm (1.1); p < 0.001. BNP levels at birth were also higher in MCDA twins (median [interquartile range]: 20.81 pg/mL [16.69-34.01] vs. 13.14 pg/mL [9.17-19.84]; p < 0.001). Thus, uncomplicated MCDA fetuses have normal cardiac shape and function, but signs of cardiac adaptation were identified by echocardiographic and biochemical parameters, when compared with singletons. | - |
dc.format.extent | 14 p. | - |
dc.format.mimetype | application/pdf | - |
dc.language.iso | eng | - |
dc.publisher | MDPI | - |
dc.relation.isformatof | Reproducció del document publicat a: https://doi.org/10.3390/jcm9113602 | - |
dc.relation.ispartof | Journal of Clinical Medicine, 2020, vol. 9, num. 11 | - |
dc.relation.uri | https://doi.org/10.3390/jcm9113602 | - |
dc.rights | cc-by (c) Torres, Ximena et al., 2020 | - |
dc.rights.uri | http://creativecommons.org/licenses/by/3.0/es | - |
dc.source | Articles publicats en revistes (Cirurgia i Especialitats Medicoquirúrgiques) | - |
dc.subject.classification | Malalties cardiovasculars | - |
dc.subject.classification | Bessons | - |
dc.subject.classification | Ecocardiografia | - |
dc.subject.other | Cardiovascular diseases | - |
dc.subject.other | Twins | - |
dc.subject.other | Echocardiography | - |
dc.title | Uncomplicated monochorionic twins: two normal hearts sharing one placenta | - |
dc.type | info:eu-repo/semantics/article | - |
dc.type | info:eu-repo/semantics/publishedVersion | - |
dc.identifier.idgrec | 708411 | - |
dc.date.updated | 2021-04-19T09:52:07Z | - |
dc.rights.accessRights | info:eu-repo/semantics/openAccess | - |
dc.identifier.pmid | 33182282 | - |
Appears in Collections: | Articles publicats en revistes (Cirurgia i Especialitats Medicoquirúrgiques) Articles publicats en revistes (IDIBAPS: Institut d'investigacions Biomèdiques August Pi i Sunyer) Articles publicats en revistes (BCNatal Fetal Medicine Research Center) |
Files in This Item:
File | Description | Size | Format | |
---|---|---|---|---|
708411.pdf | 1.31 MB | Adobe PDF | View/Open |
This item is licensed under a Creative Commons License