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Functional echocardiography in the fetus with non-cardiac disease.
[congenital toxoplasmosis]
We
describe
the
hemodynamic
changes
observed
in
fetuses
with
extra
cardiac
conditions
such
as
intrauterine
growth
restriction
,
tumors
,
twin-twin
transfusion
syndrome
,
congenital
infections
,
and
in
fetuses
of
mothers
with
diabetes
.
In
most
fetuses
with
mild
extra
cardiac
disease
,
the
alterations
in
fetal
cardiac
function
remain
subclinical
.
Cardiac
function
assessment
has
however
helped
us
to
achieve
a
better
understanding
of
the
pathophysiology
of
these
diseases
.
In
fetuses
at
the
more
severe
end
of
the
disease
spectrum
,
functional
echocardiography
may
help
in
guiding
clinical
decision-making
regarding
the
need
for
either
delivery
or
fetal
therapy
.
The
growth
-
restricted
fetus
represents
a
special
indication
for
routine
cardiac
function
assessment
,
as
in
utero
hemodynamic
changes
may
help
optimize
the
timing
of
delivery
.
Moreover
,
in
intrauterine
growth
restriction
,
the
altered
hemodynamics
causes
cardiovascular
remodeling
,
which
can
result
in
an
increased
risk
of
postnatal
cardiovascular
disease
.
Diseases
Validation
Diseases presenting
"as in utero hemodynamic changes may help optimize the timing of delivery"
symptom
congenital toxoplasmosis
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