{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T14:11:03Z","timestamp":1788790263428,"version":"build-2803163510"},"reference-count":45,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2019,10,8]],"date-time":"2019-10-08T00:00:00Z","timestamp":1570492800000},"content-version":"vor","delay-in-days":7,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Echocardiography"],"published-print":{"date-parts":[[2019,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>The modified myocardial performance index (Mod\u2010<jats:styled-content style=\"fixed-case\">MPI<\/jats:styled-content>) can be used to assess myocardial function. Fetal growth restriction can affect fetal myocardial function, thereby altering the Mod\u2010<jats:styled-content style=\"fixed-case\">MPI<\/jats:styled-content>. The results of previous studies on the utility of the Mod\u2010<jats:styled-content style=\"fixed-case\">MPI<\/jats:styled-content> in growth\u2010restricted fetuses are conflicting. The aim of this study was to calculate the left modified\u2010<jats:styled-content style=\"fixed-case\">MPI<\/jats:styled-content> in growth\u2010restricted fetuses and to compare the results with those of healthy fetuses.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This was a prospective cross\u2010sectional case\u2013control study. In total, 40 women with growth\u2010restricted fetuses and 40 women with fetuses of normal weight (controls) at 29\u201339 gestational weeks were enrolled in the study. An experienced obstetrician calculated the Mod\u2010<jats:styled-content style=\"fixed-case\">MPI<\/jats:styled-content> for each fetus. Women with systemic diseases or fetuses with chromosomal\/structural abnormalities were excluded from the study. The results of Mod\u2010<jats:styled-content style=\"fixed-case\">MPI<\/jats:styled-content> measurements of the two groups were compared.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The mean single deepest vertical pocket (<jats:styled-content style=\"fixed-case\">SDVP<\/jats:styled-content>) of amniotic fluid, estimated fetal weight (<jats:styled-content style=\"fixed-case\">EFW<\/jats:styled-content>), and isovolumetric relaxation time (<jats:styled-content style=\"fixed-case\">IRT<\/jats:styled-content>) was significantly lower in the fetal growth restriction (<jats:styled-content style=\"fixed-case\">FGR<\/jats:styled-content>) group as compared with these parameters in the control group (<jats:italic>P\u00a0<\/jats:italic>&lt;<jats:italic>\u00a0<\/jats:italic>.05). The uterine artery (UtA) pulsatility index (<jats:styled-content style=\"fixed-case\">PI<\/jats:styled-content>) was significantly higher in the <jats:styled-content style=\"fixed-case\">FGR<\/jats:styled-content> group as compared with that in the control group (<jats:italic>P\u00a0<\/jats:italic>&lt;<jats:italic>\u00a0<\/jats:italic>.05). There were six cases of absent end\u2010diastolic flow (<jats:styled-content style=\"fixed-case\">AED<\/jats:styled-content>) in the <jats:styled-content style=\"fixed-case\">FGR<\/jats:styled-content> group. There were no statistically significant between\u2010group differences in the Mod\u2010<jats:styled-content style=\"fixed-case\">MPI<\/jats:styled-content>, isovolumetric contraction time (<jats:styled-content style=\"fixed-case\">ICT<\/jats:styled-content>), and ejection time (<jats:styled-content style=\"fixed-case\">ET<\/jats:styled-content>) (<jats:italic>P\u00a0<\/jats:italic>&gt;<jats:italic>\u00a0<\/jats:italic>.05). There was also no statistically significant correlation between the Mod\u2010<jats:styled-content style=\"fixed-case\">MPI<\/jats:styled-content> in the fetuses with <jats:styled-content style=\"fixed-case\">AED<\/jats:styled-content> and the control group for Mod\u2010<jats:styled-content style=\"fixed-case\">MPI<\/jats:styled-content> (<jats:italic>P\u00a0<\/jats:italic>&gt;<jats:italic>\u00a0<\/jats:italic>.05).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The utility of the Mod\u2010<jats:styled-content style=\"fixed-case\">MPI<\/jats:styled-content> in <jats:styled-content style=\"fixed-case\">FGR<\/jats:styled-content> remains unclear. Future studies with larger populations are needed to determine the utility of the Mod\u2010<jats:styled-content style=\"fixed-case\">MPI<\/jats:styled-content> as a predictor of cardiac compromise in <jats:styled-content style=\"fixed-case\">FGR<\/jats:styled-content>.<\/jats:p><\/jats:sec>","DOI":"10.1111\/echo.14489","type":"journal-article","created":{"date-parts":[[2019,10,8]],"date-time":"2019-10-08T09:34:37Z","timestamp":1570527277000},"page":"1895-1900","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":17,"title":["Utility of the modified myocardial performance index in growth\u2010restricted fetuses"],"prefix":"10.1111","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4727-7982","authenticated-orcid":false,"given":"Do\u011fa Fatma","family":"\u00d6cal","sequence":"first","affiliation":[{"name":"Dr. Zekai Tahir Burak Women Health Care Education and Research Hospital Ankara 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