Ecocardiografía doppler en las patologías obstétricas

Authors

  • Guillermo Hernández Guillama
  • Leticia González García
  • Carlos García Guevara
  • Nancy Romero Leal

Keywords:

ecocardiografía, hipertensión, diabetes mellitas, anemia neonatal

Abstract

Se realizó una revisión bibliográfica sobre la hemodinámica feto placentaria y sus variantes fisiológicas normales, así como los distintos parámetros de la ecocardiografía Doppler y su aplicación para el diagnóstico y seguimientos de fetos con patologías asociadas como Hipertensión Arterial, Crecimiento Intrauterino Retardado, Diabetes mellitus, anemia fetal y discordancia intergemelar. Se constató la importancia de este método no invasivo en la medicina materno fetal lo que permite recomendar el adiestramiento e incorporación de esta práctica en la atención prenatal a los diferentes niveles. Para realizar este trabajo se consultaron bibliografías en la base de datos electrónica accesible en el momento del estudio, libros de textos en formato digital y conferencias impartidas en el diplomado de ecocardiografía fetal 2008 en el Cardiocentro “William Soler”.

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References

Victoria-Gómez PA. Valoración por ultrasonografía Doppler en Medicina Materno Fetal. Rev Col Obstet Ginecol 2006; 57(3): 190-200.

Nicolaides K, Rizzo G, Hecher K, Ximenes R. Methodology of Doppler assessment of the placental & fetal circulationst. Diploma in fetal medicine: Doppler in Obstetrics, Centrus 2004. Disponible en: http://www.centrus.com.br/DiplomaFMF/SeriesFMF/11-14weeks/index-11.htm Acceso:18/6/2008.

Baschat AA. The fetal circulation and essential organs – a new twist to an old tale. Ultrasound Obstet Gynecol 2006;27:349-54.

Kiserud T. Physiology of the fetal circulation. Semin Fetal Neonatal Med 2005; 10: 493-503.

Nicolaides K. Chapter 4. Diagnosis of fetal abnormalities, the 18-23 week scan. Small for gestational age. Fetal Foundation. 2004. Disponible en: http://www.centrus.com.br/DiplomaFMF/SeriesFMF/11-14weeks/chapter-04/chapter-04-final.htm Acceso: 18/6/2008.

Divon M, Ferber A. Doppler evaluation of the fetus. Clin Obstet Gynecol 2002; 45: 1015-25.

Harman CR, Baschat AA. Arterial and venous Doppler in IUGR. Clin Obstet Gynecol 2003; 46:931-46.

Pérez Ramírez M, Fernández Fernández I, Mulet Matos E. Principales aplicaciones del Doppler color transvaginal. Rev Cubana Obstet Ginecol 1997; 23(2): 75-80.

Park YW, Cho JS, Choi HM, Kim TY, Lee SH, Yu J. Clinical significance of early diastolic notch depth: uterine artery Doppler velocimetry in the third trimester. Am J Obstet Gynecol 2000; 182:1204-9.

Sanguineti M M, Cejas C, Parlato M, Saubidet G, Moreno J, Mir P. Parámetros normales en Doppler. Rev Argent Radiol 1996; 60(4):249-51.

Rizzo G, Capón A, Romanini C. Fetal echocardiography in the diagnosis of obstetric pathology. En: Allan L, Hornberger L, Sharland G. Textbook of Fetal Cardiology. New York: Lippincott; 2000.p.453-470.

Nicolaides KH. Nuchal translucency and other first-trimester sonographic markers of chromosomal abnormalities. Am J Obstet Gynecol 2004; 191:45-67

Malone FD, D`Alton M. First-trimester sonographic screening for Down syndrome. Obstet Gynecol 2003;102:1066-79.

Huggon I, DeFigueiredo D, Allan D. Tricuspid regurgitation in the diagnosis of chromosomal anomalies in the fetus at 11–14 weeks gestation. Heart 2003; 89:1071-3.

Nicolaides K, Spencer K, Avgidou K, Faiola S, Falcon O. Multicenter study of firsttrimester

screening for trisomy 21 in 75821 pregnancies: results and estimation of the potential impact of individual risk-orientated two-stage first-trimester screening. Ultrasound Obstet Gynecol 2005; 25:221-6.

Divon M, Ferber A. Doppler evaluation of the fetus. Clin Obstet Gynecol 2002; 45:1015-25.

Konje J, Taylor D, Abrams K. Normative values of Doppler velocimetry of five major fetal arteries as determined by color power angiography. Acta Obstet Gynecol Scand 2005; 84:230-7.

Sanabria Arias A M, Nodarse Rodríguez A, Carrillo Bérmudez L. Valor de la flujometría Doppler de la arteria cerebral media en la predicción y seguimiento de la anemia fetal por isoinmunización Rh. Rev Cubana Obstet Ginecol (periódica en línea). 2007; 33(2). http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0138600X2007000200005&lng=es&nrm=iso&tlng=es Acceso: 18/6/2008

Loughna P. Intra-uterine growth restriction: investigation and management. Curr Obstet

Gynaecol 2003;13:205-11.

Nicolaides K, Rizzo G, Hecher K, Ximenes R. Chap 5: Screening for placental insufficiency by uterine artery Doppler. Diploma in fetal medicine: Doppler in obstetrics. Centrus 2004. Disponible en: http://www.centrus.com.br/DiplomaFMF/SeriesFMF/ Doppler/capituloshtml/chapter_05.htm Acceso: 18/6/2008.

Carbillon L, Uzan M, Largilliere C, Perrot N, Tigaizin A, Paries J, et al. Prospective evaluation of uterine artery • ow velocity waveforms at 12-14 and 22-24 weeks of gestation in relation to pregnancy outcome and birth weight. Fetal Diagn Ther 2004; 19:381-4.

Figueras F; Eixarch E; Meler E; Palacio M; Puerto B; Coll O; Figueras J; Cararach V; Vanrell AJ. Umbilical artery Doppler and umbilical cord ph at birth in small for gestational age fetuses: valid estimate of their relationship. J Perinatal Med 2005; 33 (3):219-25.

Ferrazi E, Bozzo M, Rigano S, Bellotti M, Morabito A, Pardi G, et al. Temporal sequence of abnormal Doppler changes in the peripheral and central circulator y systems of the severely growth-restricted fetus. Ultrasound Obstet Gynecol 2002; 19:140-6.

Creasy R, Robert R. Fetal growth restriction. En: Creasy R, Resnik R. Maternal-fetal medicine principles and practice. 5 ed. Philadelphia: Saunders-Elsevier; 2004. p. 495-513.

Segata M, Mari G. Fetal anemia: new technologies. Curr Opin Obstet Gynecol 2004; 16:153-8.

Detti L, Mari G. Noninvasive diagnosis of fetal anemia. Clin Obstet Gynecol 2003; 46:923-30.

Detti L, Mari G, Akiyama M, Cosmi E, Moise KJ Jr, Stefor T, et al. Longitudinal assessment of the middle cerebral artery peak systolic velocity in healthy fetuses and in fetuses at risk for anemia. Am J Obstet Gynecol 2002; 187: 937-9.

Mari G, Zimmermann R, Moise K, Deter R. Correlation between middle cerebral artery peak systolic velocity and fetal hemoglobin after 2 previous intrauterine transfusions. Am J Obstet Gynecol 2005; 193:1117-20.

Campbell S, Doppler Ultrasound of the maternal uterine arteries: disappearance of abnormal notching, low birthweight and pregnancy outcome. Acta Obstet Gynecol Scand 2000; 16:171-8.

Gomez O, Martinez JM, Figueras F, Rio M del, Borobio V, Puerto B, et al. Uterine artery Doppler at 11-14 weeks of gestation to screen for hypertensive disorders and associated complications in an unselected population. Ultrasound Obstet Gynecol 2005; 26: 490-4.

Stepan H; Unversucht A;Wessel N; Faber R. Predictive value of maternal angiogenic factors in second trimester pregnancies with abnormal uterine perfusion: hypertension. 2007; 49(4):818-24.

Mohamed Abdelaziz M, Nodarse Rodríguez A, Pérez Penco JM, Pouymiró Beltrá T, Guzmán Parrado R, Nápoles Durruty M, et al. Valor de la flujometría Doppler de arterias uterinas para la predicción de algunas complicaciones en gestantes con hipertensión arterial crónica. Rev Cubana Obstet Ginecol (periódica en línea). 2007; 33(2). http:// scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0138600X2007000200002&lng=es&nrm=iso&tlng=es Acceso: 18/6/2008.

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Published

2009-06-10

How to Cite

1.
Hernández Guillama G, González García L, García Guevara C, Romero Leal N. Ecocardiografía doppler en las patologías obstétricas. Medimay [Internet]. 2009 Jun. 10 [cited 2024 Nov. 21];15(2):143-66. Available from: https://medimay.sld.cu/index.php/rcmh/article/view/426

Issue

Vol. 15 No. 2 (2009)

Section

REVIEW ARTICLES

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