Department of Radiology, Faculty of Medicine, Ahvaz Jundishapur University of Medical Sciences, Ahwaz, Iran.
Increased metabolic rate of hyperglycemia in gestational diabetes causes macrosomia, which can also affect the Fetus heart. The thickness of the walls of the heart and its function in pregnant mothers of GDM can change over the ages before treatment. Therefore, the aim of this study was to evaluate the thickness of the walls of the heart and its function in the embryos with mothers of gestational diabetes mellitus in comparison with the control group for indirect evaluation of the effects of hyperglycemia on the heart of the fetal.
Pregnant women between the ages of 28 to 32 weeks of gestational age who had anomalous scan ultrasonography between 22-22 weeks of normal who were included in the screening of a three hour glucose test for the definition of gestational gestational diabetes (GDM) compared with the control group using M –mode of ultrasound was evaluated for the thickness of the ventricles and the intra ventricular septum(IVS), as well as cardiac function.
Of 93 cases, pregnant women with diabetes mellitus and 48 subjects were selected as controls. The mean age of the subjects was 26.33 with a standard deviation of 4.88. There was a significant and direct relationship between right ventricular wall thickness(RVT), left ventricular thickness(LVT) and Intra ventricular septum(IVS), as well as right ventricular fractional shortening (P 0.05).
The thickness of the walls of the fetal heart in diabetic mothers is independent of changes in macrosomia and EFW, which can be indicative of increased metabolism and need for oxygenation in the fetus in these patients.