THE EFFECT OF HEART-RATE ON DOPPLER FLOW VELOCITY SYSTOLIC-DIASTOLIC RATIOS IN UMBILICAL AND UTEROPLACENTAL ARTERIAL WAVE-FORMS

被引:8
作者
NEWNHAM, J [1 ]
PATTERSON, L [1 ]
JAMES, I [1 ]
REID, S [1 ]
机构
[1] UNIV WESTERN AUSTRALIA,DEPT MATH,NEDLANDS,WA 6009,AUSTRALIA
基金
英国医学研究理事会;
关键词
Doppler ultrasound; fetal; heart rate;
D O I
10.1016/0378-3782(90)90107-T
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
In an analysis of the influence of heart rate on Doppler flow velocity waveformsystolic/diastolic ratios from 1555 umbilical artery waveform studies and from 1497 uteroplacental waveform studies, a negative correlation was observed between the ratio and the corresponding heart rate. This relationship was not influenced by gestational age and was similar in pregnancies with normal outcomes when compared with all pregnancies. The magnitude of this inverse relationship is such that the effect of heart rate on systolic/diastolic ratios must be considered when Doppler flow velocity waveform analyses are used as experimental tools to assess placental vascular resistance but it does not appear to be an important factor in general clinical practice when measurements are made during fetal inactivity and when heart rates are within normal ranges. © 1990.
引用
收藏
页码:21 / 29
页数:9
相关论文
共 23 条
[1]  
BRAR HS, 1988, OBSTET GYNECOL, V72, P209
[2]  
CAMPBELL S, 1983, LANCET, V1, P675
[3]   MAXIMUM LIKELIHOOD FROM INCOMPLETE DATA VIA EM ALGORITHM [J].
DEMPSTER, AP ;
LAIRD, NM ;
RUBIN, DB .
JOURNAL OF THE ROYAL STATISTICAL SOCIETY SERIES B-METHODOLOGICAL, 1977, 39 (01) :1-38
[4]  
EDELFSEN LE, 1986, GUASS PROGRAMMING LA
[5]   FETAL UMBILICAL ARTERY FLOW VELOCITY WAVEFORMS AND PLACENTAL RESISTANCE - PATHOLOGICAL CORRELATION [J].
GILES, WB ;
TRUDINGER, BJ ;
BAIRD, PJ .
BRITISH JOURNAL OF OBSTETRICS AND GYNAECOLOGY, 1985, 92 (01) :31-38
[6]   FETAL CENTRAL BLOOD-CIRCULATION IN THE 3RD TRIMESTER OF NORMAL-PREGNANCY - A LONGITUDINAL-STUDY .2. AORTIC BLOOD VELOCITY WAVE-FORM [J].
LINGMAN, G ;
MARSAL, K .
EARLY HUMAN DEVELOPMENT, 1986, 13 (02) :151-159
[7]  
MARX GF, 1986, OBSTET GYNECOL, V68, P61
[8]  
MILLER RG, 1981, SURVIVAL ANAL, P10
[9]   THE EFFECT OF FETAL HEART-RATE ON UMBILICAL ARTERY FLOW VELOCITY WAVE-FORMS [J].
MIRES, G ;
DEMPSTER, J ;
PATEL, NB ;
CRAWFORD, JW .
BRITISH JOURNAL OF OBSTETRICS AND GYNAECOLOGY, 1987, 94 (07) :665-669
[10]   THE UMBILICAL ARTERY BLOOD-FLOW VELOCITY WAVE-FORM IN RELATION TO FETAL BREATHING MOVEMENTS, FETAL HEART-RATE AND FETAL BEHAVIORAL STATES IN NORMAL-PREGNANCY AT 37 TO 39 WEEKS [J].
MULDERS, LGM ;
MUIJSERS, GJJM ;
JONGSMA, HW ;
NIJHUIS, JG ;
HEIN, PR .
EARLY HUMAN DEVELOPMENT, 1986, 14 (3-4) :283-293