A cut-off value of epicardial fat thickness for the prediction of large for gestational age foetuses

Aydın, Emine; Bulut, Ayca Nazli

doi:10.1080/01443615.2020.1732895

Cited by 9 publications

(10 citation statements)

References 22 publications

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“…Aydin et al reported that the EFT cutoff value could be used at 1.38 mm to predict LGA fetuses. They found EFT significantly higher in pregnant women with LGA 21 . In our case series, both MPI and EFT were higher in the IP group compared to the controls.…”

Section: Discussionsupporting

confidence: 47%

Fetal epicardial fat thickness in non‐severe idiopathic polyhydramnios: Its impact on fetal cardiac function and perinatal outcomes

Doğru

Akkuş

2023

J of Clinical Ultrasound

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Objective This study aimed to evaluate fetal epicardial fat thickness (EFT) along with fetal myocardial performance index (MPI) and its effects on perinatal outcomes in non‐severe idiopathic polyhydramnios (IP). Materials and Methods This prospective study included 92 participants, 32 diagnosed with non‐severe IP, and 60 healthy pregnant women. Amniotic fluid indices (AFI), umbilical and middle cerebral artery Doppler, EFT, and MPI measurements were performed for all patients. Results The fetal EFT and MPI values were statistically higher in the non‐severe IP group than in the control group (p = 0.0001, p = 0.014, respectively). The optimal fetal EFT cutoff value for predicting non‐severe IP disease was found as 1.3 mm with a specificity of 81.7% and sensitivity of 59.4%. The EFT cutoff for predicting cesarean section in non‐severe IP cases was 1.25 mm (p = 0.038). Apgar scores, neonatal intensive care unit, respiratory distress syndrome, and stillbirth rates were not different between groups. Conclusion In this study, EFT and MPI were found to be higher in non‐severe IP cases compared to controls. It was observed that the increase in MPI and EFT was associated with the increase in cesarean rates, but not with adverse fetal outcomes.

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Section: Discussionsupporting

confidence: 47%

Fetal epicardial fat thickness in non‐severe idiopathic polyhydramnios: Its impact on fetal cardiac function and perinatal outcomes

Doğru

Akkuş

2023

J of Clinical Ultrasound

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“…We've also oberved a statistically significant correlation between fetal EFT and maternal age. Most of the previous studies did not explore any significant relationship between fetal EFT and maternal age 15,17,18 . Only in the study of Akkurt et al, maternal age was found to be greater in diabetic pregnant women as in our study 6 .…”

Section: Discussionmentioning

confidence: 99%

“…Instead, we evaluated EFT of all pregnant women in the same week to ensure standardization. Another study in the literature was performed by Aydin et al in 2020 15 . They conducted a study to determine the relationship between fetal EFT and weight.…”

Section: Discussionmentioning

confidence: 99%

“…They conducted a study to determine the relationship between fetal EFT and weight. Aydin et al stated that a cut-off fetal EFT value above 1.38 mm was predictive for diagnosis of fetuses with large for gestational age with a sensitivity of 94.4% and a specificity of 97.6% 15 . All patients in that study were evaluated at 22 weeks of gestation, but diabetic pregnancies were not grouped as PGDM and GDM.…”

Section: Discussionmentioning

confidence: 99%

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Association of increased fetal epicardial fat thickness with maternal pregestational and gestational diabetes

Sever

Bayraktar

Adiyaman

et al. 2023

Preprint

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Objective: To evaluate the changes of fetal epicardial fat thickness (EFT) in pregnancies with pregestational (PGDM) and gestational diabetes mellitus (GDM) and to identify the diagnostic effectiveness of fetal EFT in differentiating PGDM and GDM from normal pregnancies. Methods: The study was conducted with pregnant women who admitted to perinatology department between November 2020 and September 2022. Patients were analyzed as 3 groups: PGDM (n=161), GDM (n=171) and control group (n=170). EFT was measured in all three groups at 29 weeks of gestation. Demographic characteristics and ultrasonographic findings were recorded and compared. Results: The mean fetal EFT was significantly higher in PGDM (1.47±0.083 mm, p<0.001) and GDM (1.40±0.082 mm, p<0.001) groups compared to control group (1.19±0.049 mm) and was also significantly higher in PGDM group than GDM group (p<0.001). Fetal EFT was significantly positively correlated with maternal age, fasting, 1 hour, 2 hour glucose values, HbA1c, fetal abdominal circumference and deepest vertical pocket of amniotic fluid (p<0.001). Fetal EFT value of 1.3 mm diagnosed PGDM patients with a sensitivity of 97.3% and a specificity of 98.2%. Fetal EFT value of 1.27 mm diagnosed GDM patients with a sensitivity of 94% and a specificity of 95%. Conclusions: Fetal EFT is greater in pregnancies with diabetes than in normal pregnancies, and also greater in PGDM than in GDM. In addition, fetal EFT is strongly correlated with maternal blood glucose levels in diabetic pregnancies.

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“…More recently fetal EFT has been proposed as a predictive marker for conditions such as gestational diabetes, macrosomia, pre‐eclampsia, and fetal growth restriction. There are evidences that fetal EFT is increased in pregnancies complicated by maternal diabetes 6,7 and large for gestational age (LGA) fetuses 8,9 . On the other hand, EFT seems to be reduced in fetuses with growth restriction, 10 and these findings could be related to a change in fetal catecholamine levels caused by the metabolic stress.…”

Section: Figurementioning

confidence: 99%

Is a fetal epicardial fat thickness a proxy of cardiac function?

Jamhour

Rizzo

2023

J of Clinical Ultrasound

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A cut-off value of epicardial fat thickness for the prediction of large for gestational age foetuses

Cited by 9 publications

References 22 publications

Fetal epicardial fat thickness in non‐severe idiopathic polyhydramnios: Its impact on fetal cardiac function and perinatal outcomes

Fetal epicardial fat thickness in non‐severe idiopathic polyhydramnios: Its impact on fetal cardiac function and perinatal outcomes

Association of increased fetal epicardial fat thickness with maternal pregestational and gestational diabetes

Is a fetal epicardial fat thickness a proxy of cardiac function?

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