{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T04:50:20Z","timestamp":1747198220036,"version":"3.40.5"},"reference-count":20,"publisher":"Walter de Gruyter GmbH","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,6,27]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec id=\"j_jpm-2022-0429_abs_001\">\n                  <jats:title>Objectives<\/jats:title>\n                  <jats:p>Right atrium and left atrium of the fetal heart\u00a0play a fundamental role in fetal heart circulatory physiology.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec id=\"j_jpm-2022-0429_abs_002\">\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>Excursion of fetal atria walls and tracings of foramen ovale (FO) flap movement were analyzed by M-mode echocardiography by new FO index to determine fetal and neonatal outcome in the first week and month of life in various congenital heart defects. The study group was divided into 3 subgroups: group A: neonates stable after birth (all on I.V. prostaglandin infusion) for at least 7\u00a0days, group B: neonates unstable after birth (despite I.V. prostaglandin infusion) requiring catheterization procedure or early cardiac surgery\u00a0&lt;6th day of life and group C: fetuses with <jats:italic>in utero<\/jats:italic> demise.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec id=\"j_jpm-2022-0429_abs_003\">\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>The average values of FO index: group A\u00a0\u2013 32, group B\u00a0\u2013 20, group C\u00a0\u2013 12.Schaffe test showed statistical difference of FO index between group A and B (p=0.029) and group A and C (p=0.001), but no difference between group B and C (p=0.24) The FO index of stability was determined by ROC curve analysis. Cut-off point distinguishing between postnatal stability and postnatal instability\u00a0+\u00a0<jats:italic>in utero<\/jats:italic> demise constituted FO index=25 (specificity 82%; sensitivity 90%).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec id=\"j_jpm-2022-0429_abs_004\">\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Prenatal features of atrial M-mode echocardiography shortly before birth might be helpful to predict the short term prognosis of fetal hemodynamic stability or instability shortly after birth regardless of the type of congenital heart defects (CHD).<\/jats:p>\n               <\/jats:sec>","DOI":"10.1515\/jpm-2022-0429","type":"journal-article","created":{"date-parts":[[2022,11,28]],"date-time":"2022-11-28T06:14:46Z","timestamp":1669616086000},"page":"687-696","source":"Crossref","is-referenced-by-count":1,"title":["Functional assessment of atrial wall excursion and foramen ovale flap tracings in 3rd trimester as predictor of short-term hemodynamic stability in congenital heart defects fetuses"],"prefix":"10.1515","volume":"51","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9325-7304","authenticated-orcid":false,"given":"Oskar","family":"Sylwestrzak","sequence":"first","affiliation":[{"name":"Department of Prenatal Cardiology , Polish Mother\u2019s Memorial Hospital Research Institute in Lodz , Lodz , Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Iwona","family":"Strzelecka","sequence":"additional","affiliation":[{"name":"Department of Prenatal Cardiology , Polish Mother\u2019s Memorial Hospital Research Institute in Lodz , Lodz , Poland"},{"name":"Department of Fetal Malformations\u2019 Diagnoses & Prevention , Medical University of Lodz , Lodz , Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Norman H.","family":"Silverman","sequence":"additional","affiliation":[{"name":"Division of Pediatric Cardiology , Department of Pediatrics , Benioff Children\u2019s Hospital at the University of California San Francisc o, Lucile Packard Children\u2019s Hospital at Stanford , Stanford University Medical Center , Palo Alto , CA , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria","family":"Respondek-Liberska","sequence":"additional","affiliation":[{"name":"Department of Prenatal Cardiology , Polish Mother\u2019s Memorial Hospital Research Institute in Lodz , Lodz , Poland"},{"name":"Department of Fetal Malformations\u2019 Diagnoses & Prevention , Medical University of Lodz , Lodz , Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"374","published-online":{"date-parts":[[2022,11,28]]},"reference":[{"key":"2023060719030788352_j_jpm-2022-0429_ref_001","doi-asserted-by":"crossref","unstructured":"Schmidt, KG, Silverman, NH, Rudolph, AM. 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