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The myocardial tissue is the most likely structure affected by hyperglycemia. The myocardial performance index (MPI) is a pulsed wave Doppler-derived index of global myocardial function. It is defined as the sum of the isovolumetric contraction time (ICT) and isovolumetric relaxation time (IRT) divided by the ejection time (ET) The fetal right heart contributes more to the cardiac output than the left heart; therefore, it is important to assess the right ventricular function. The investigators will measure right ventricular MPI in diabetic and normal pregnancies.
Gestational diabetes mellitus (GDM) is the most common metabolic disorder in pregnancy, with an overall prevalence of 3-7 % during pregnancy. The myocardial tissue is the most likely structure affected by hyperglycemia. The myocardial performance index (MPI) is a pulsed wave Doppler-derived index of global myocardial function. It is defined as the sum of the isovolumetric contraction time (ICT) and isovolumetric relaxation time (IRT) divided by the ejection time (ET) The fetal right heart contributes more to the cardiac output than the left heart; therefore, it is important to assess the right ventricular function. The investigators will measure right ventricular MPI in diabetic and normal pregnancies.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Diabetic pregnancies | Pregnant women with pregestational or gestational diabetes mellitus |
| |
| non-diabetic pregnancies | Pregnant women without pregestational or gestational diabetes mellitus |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| myocardial performance index | Other | fetal right ventricular myocardial performance index measured with tissue doppler |
|
| Measure | Description | Time Frame |
|---|---|---|
| ultrasonographic myocardial performance index values | cardiac contractility will be measured with Doppler ultrasonography | during procedure |
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Inclusion Criteria:
Exclusion Criteria:
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18-40 years old pregestational or gestational diabetic women
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Kanuni SSRTH | Istanbul | 34303 | Turkey (Türkiye) |
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| ID | Term |
|---|---|
| D016640 | Diabetes, Gestational |
| ID | Term |
|---|---|
| D011248 | Pregnancy Complications |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
| D003920 | Diabetes Mellitus |
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| D044882 | Glucose Metabolism Disorders |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
| D004700 | Endocrine System Diseases |