Publications by authors named "N H M van Oostrum"

Objectives: Two-dimensional speckle tracking (2D-STE) strain analysis holds promise for assessing fetal cardiac function. Understand the learning curve before introducing 2D-STE into obstetrics is crucial. This study examined the learning curve for offline analysis of fetal left (LV) and right ventricular (RV) global longitudinal strain (GLS) using 2D-STE.

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Article Synopsis
  • - Twin pregnancies have a higher risk of complications like fetal growth restriction and twin-to-twin transfusion syndrome (TTTS), which can affect the fetal heart's hemodynamics.
  • - This paper reviews existing literature on fetal cardiac function in twin pregnancies using two-dimensional speckle tracking echocardiography (2D STE), finding significant differences in heart strain between donor and recipient twins.
  • - Although 2D STE proved feasible for studying monochorionic diamniotic (MCDA) twins, inconsistent results due to varying methodologies indicate a need for further research on its use in uncomplicated twin pregnancies.
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Introduction: The aim of this systematic review and meta-analysis was to evaluate fetal cardiac function in fetuses of mothers with diabetes compared to those of mothers without diabetes using 2D-STE.

Methods: Embase, MEDLINE, and CENTRAL were searched for observational studies on 2D-STE fetal left and right ventricular global longitudinal strain and strain rate that included singleton, non-anomalous pregnancies complicated by pregestational or gestational diabetes mellitus compared to uncomplicated pregnancies. The strain values were pooled per 4 weeks of gestation for meta-analysis using random-effects models.

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Background: Fetal two-dimensional speckle tracking echocardiography (2D-STE) is an emerging technique for assessing fetal cardiac function by measuring global longitudinal strain. Alterations in global longitudinal strain may serve as early indicator of pregnancy complications, making 2D-STE a potentially valuable tool for early detection. Early detection can facilitate timely interventions to reduce fetal and maternal morbidity and mortality.

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