First trimester nuchal translucency (NT) and ductus venosus reverse blood flow (DVRBF) are used as ultrasound markers (UM) to determine the risk of fetal aneuploidy, heart defects and subsequent maternal preeclampsia. One pathophysiological explanation for these UM, encompassing both normal and pathological outcomes, is the development of transient heart failure due to increased vascular resistance (afterload). Left ventricular isovolumic relaxation time (LV IRT) was demonstrated as sensitive index of afterload increase in the second and third trimester fetus.
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