Article
Acoustics
N. Gana, M. Sarno, N. Vieira, A. Wright, M. Charakida, K. H. Nicolaides
Summary: This study aimed to evaluate the potential value of ophthalmic artery Doppler at 11-13 weeks' gestation as a predictive marker for pre-eclampsia (PE) and compare it with other first-trimester biomarkers. The results showed that ophthalmic artery PSV ratio may be helpful in predicting the development of preterm PE. However, larger studies are still needed to validate this finding.
ULTRASOUND IN OBSTETRICS & GYNECOLOGY
(2022)
Article
Acoustics
I Sapantzoglou, A. Wright, M. Gallardo Arozena, R. Vallenas Campos, M. Charakida, K. H. Nicolaides
Summary: The study showed that the ophthalmic artery PSV ratio at 19-23 weeks' gestation could be used to predict the development of PE, especially preterm PE. Combining the PSV ratio with other biomarkers improved the accuracy of predicting PE, but larger studies are needed to validate these findings.
ULTRASOUND IN OBSTETRICS & GYNECOLOGY
(2021)
Article
Acoustics
E. Gibbone, I. Sapantzoglou, M. E. Nunez-Cerrato, A. Wright, K. H. Nicolaides, M. Charakida
Summary: This study aimed to investigate the association between the PSV ratio and maternal cardiovascular function in an unselected population at 19-23 weeks' gestation. It found weak associations between the PSV ratio and most cardiovascular indices in the total population, except for mean arterial pressure. However, in the subgroup that developed PE, a moderately strong association between the PSV ratio and left ventricular mass indexed for body surface area was noted.
ULTRASOUND IN OBSTETRICS & GYNECOLOGY
(2021)
Article
Acoustics
K. Lau, A. Wright, M. Sarno, N. A. Kametas, K. H. Nicolaides
Summary: This study compared the predictive performance of serum placental growth factor (PlGF) and soluble fms-like tyrosine kinase-1 (sFlt-1)/PlGF ratio with the competing-risks model utilizing maternal risk factors, mean arterial pressure (MAP), and ophthalmic artery peak systolic velocity (PSV) ratio for predicting pre-eclampsia (PE) delivery. The results showed that ophthalmic artery Doppler combined with maternal risk factors and blood pressure could potentially replace the measurement of PlGF and sFlt-1/PlGF ratio in predicting imminent PE.
ULTRASOUND IN OBSTETRICS & GYNECOLOGY
(2022)
Article
Obstetrics & Gynecology
Erika Bonacina, Pablo Garcia-Manau, Monica Lopez, Sara Caamina, Angels Vives, Eva Lopez-Quesada, Marta Ricart, Anna Maroto, Laura de Mingo, Elena Pintado, Laura Castillo-Ribelles, Lourdes Martin, Alicia Rodriguez-Zurita, Esperanza Garcia, Mar Pallarols, Laia Vidal-Sagnier, Mireia Teixidor, Carmen Orizales-Lago, Adela Perez-Gomez, Vanesa Ocana, Linda Puerto, Pilar Millan, Merce Alsius, Sonia Diaz, Nerea Maiz, Elena Carreras, Anna Suy, Manel Mendoza
Summary: The study aimed to assess whether aspirin treatment could be discontinued in pregnancies with a normal uterine artery pulsatility index (≤90th percentile) at 24-28 weeks. The results showed that discontinuing aspirin treatment was non-inferior to continuing aspirin treatment for preventing preterm pre-eclampsia in women with a uterine artery pulsatility index ≥90th percentile at 24-28 weeks.
BJOG-AN INTERNATIONAL JOURNAL OF OBSTETRICS AND GYNAECOLOGY
(2023)
Article
Acoustics
S. Moungmaithong, X. Wang, C. S. L. Lau, A. W. T. Tse, N. M. W. Lee, H. H. Y. Leung, L. C. Poon, D. S. Sahota
Summary: Adding GlyFn to the FMF triple test increases the screening sensitivity for both preterm and any-onset pre-eclampsia in an Asian population.
ULTRASOUND IN OBSTETRICS & GYNECOLOGY
(2023)
Article
Obstetrics & Gynecology
G. P. Guy, K. Leslie, D. Diaz Gomez, K. Forenc, E. Buck, A. Khalil, B. Thilaganathan
Summary: The study evaluates the clinical effectiveness of implementing a first-trimester combined pre-eclampsia screening program in a public healthcare setting. The results show a significant reduction in screen-positive rate, increased aspirin use, and effective identification of preterm pre-eclampsia.
BJOG-AN INTERNATIONAL JOURNAL OF OBSTETRICS AND GYNAECOLOGY
(2021)
Article
Acoustics
Z. Ansbacher-Feldman, A. Syngelaki, H. Meiri, R. Cirkin, K. H. Nicolaides, Y. Louzoun
Summary: The accuracy of predicting the risk of developing pre-eclampsia using artificial-intelligence and machine-learning methods based on maternal demographic characteristics, medical history, and biomarkers is high. Race information plays an important role in prediction accuracy.
ULTRASOUND IN OBSTETRICS & GYNECOLOGY
(2022)
Article
Obstetrics & Gynecology
Ameer Abdallah, Mohammed Khairy, Mohamed Tawfik, Safaa Mohamed, Mazen Abdel-Rasheed, Sondos Salem, Eissa Khalifa
Summary: Assessment of first-trimester 3D placental volume and power Doppler of placental vascular indices, especially when combined with uterine artery Doppler assessment, can enhance the accuracy of early detection of women at risk for developing pre-eclampsia.
INTERNATIONAL JOURNAL OF GYNECOLOGY & OBSTETRICS
(2021)
Article
Acoustics
M. Mendoza, P. Garcia-Manau, S. Arevalo, M. Aviles, B. Serrano, M. A. Sanchez-Duran, I Garcia-Ruiz, E. Bonacina, E. Carreras
Summary: This study compared the prediction of early-onset and preterm PE when serum biomarkers were assessed before vs after 11 weeks of gestation, finding similar predictive abilities in both scenarios. This suggests that a two-step approach for PE risk assessment can be used, allowing for immediate risk calculation at the time of the first-trimester scan.
ULTRASOUND IN OBSTETRICS & GYNECOLOGY
(2021)
Article
Obstetrics & Gynecology
Kypros H. Nicolaides, Argyro Syngelaki, Liona C. Poon, Daniel L. Rolnik, Min Yi Tan, Alan Wright, David Wright
Summary: This study reports on the predictive performance of the Fetal Medicine Foundation (FMF) triple test and National Institute for Health and Care Excellence (NICE) guidelines in screening for preterm birth (PTB), as well as the impact of aspirin in preventing PTB. The results show poor predictive performance of both screening methods for PTB, and aspirin did not significantly reduce the incidence of spontaneous or non-pre-eclampsia-related iatrogenic PTB.
BJOG-AN INTERNATIONAL JOURNAL OF OBSTETRICS AND GYNAECOLOGY
(2023)
Article
Public, Environmental & Occupational Health
Hyungseop Kim, In-Cheol Kim, Jin-Gon Bae, Hee-Jeong Lee, Jung-Ho Park, Jin-Eun Song
Summary: This retrospective cohort study investigated the association between soluble suppression of tumorigenicity 2 (ST2) levels and pregnancy-related complications in women with high-risk pregnancies. The results showed that ST2 levels ≥35 ng/mL were associated with an increased occurrence of peripartum heart failure and other complications.
JOURNAL OF WOMENS HEALTH
(2022)
Article
Obstetrics & Gynecology
Anna Meroni, Margaret Mascherpa, Monica Minopoli, Benjamin Lambton, Rawan Elkalaawy, Alexander Frick, Basky Thilaganathan
Summary: Routine mid-gestational uterine artery Doppler can modify the risk for preterm pre-eclampsia after first-trimester combined pre-eclampsia screening. Women at low risk in the first trimester but with high mid-gestational uterine artery Doppler resistance had a higher prevalence of preterm pre-eclampsia. This suggests that pregnancy care should not be de-escalated for women at high risk in the first trimester with low mid-gestational uterine artery Doppler resistance, and escalation of care may be justified for women at low risk but with high mid-gestational uterine artery Doppler resistance.
BJOG-AN INTERNATIONAL JOURNAL OF OBSTETRICS AND GYNAECOLOGY
(2023)
Article
Developmental Biology
Sasha Skinner, Daniel L. Rolnik, Yao Wang, Guiying Nie, Argyro Syngelaki, Kypros H. Nicolaides, Fabricio da Silva Costa
Summary: There was no significant difference in serum HtrA1 levels in women who developed PE compared to controls. Women who later developed PE had higher maternal weight and a higher frequency of chronic hypertension or a history of PE in a previous pregnancy.
Article
Obstetrics & Gynecology
Berta Serrano, Erika Bonacina, Carlota Rodo, Pablo Garcia-Manau, Maria Angeles Sanchez-Duran, Maria Pancorbo, Cristina Forcada, Maria Teresa Murcia, Ana Perestelo, Mireia Armengol-Alsina, Manel Mendoza, Elena Carreras
Summary: This study compared the predictive accuracy of the Gaussian algorithm and the FMF algorithm for early-onset pre-eclampsia (PE) and small for gestational age (SGA). The results showed that these two algorithms had similar performances for most outcomes and marker combinations. However, the Gaussian algorithm had significant differences in predicting early-onset PE in certain combinations.
INTERNATIONAL JOURNAL OF GYNECOLOGY & OBSTETRICS
(2023)
Article
Obstetrics & Gynecology
Trisha V. Vigneswaran, Salma Jabak, Argyro Syngelaki, Marietta Charakida, John M. Simpson, Kypros H. Nicolaides, Vita Zidere
Summary: The study found that the incidence of isolated right aortic arch (RAA) and double aortic arch (DAA) in fetuses undergoing routine first-trimester ultrasound examination in a local population is 2-3 times higher than that reported in postnatal studies. Additionally, the risk for these abnormalities is substantially increased in fetuses conceived by in vitro fertilization (IVF), with a significantly higher median maternal age in the group with isolated RAA or DAA.
JOURNAL OF MATERNAL-FETAL & NEONATAL MEDICINE
(2021)
Article
Cardiac & Cardiovascular Systems
Scott T. Chiesa, Marietta Charakida, Georgios Georgiopoulos, Frida Dangardt, Kaitlin H. Wade, Alicja Rapala, Devina J. Bhowruth, Helen C. Nguyen, Vivek Muthurangu, Rukshana Shroff, George Davey Smith, Debbie A. Lawlor, Naveed Sattar, Nicholas J. Timpson, Alun D. Hughes, John E. Deanfield
Summary: The study found that among young people, fat-free mass and systolic blood pressure are the only modifiable risk factors positively associated with cIMT, while fat mass is negatively associated with cIMT. Cumulative exposure to these factors during adolescence can affect changes in cIMT, and risk factor-associated differences in the radial artery mainly occur in the media layer.
JACC-CARDIOVASCULAR IMAGING
(2021)
Article
Obstetrics & Gynecology
J. Aguilera, J. Semmler, S. Anzoategui, H. Zhang, K. H. Nicolaides, M. Charakida
Summary: The study revealed that fetuses of mothers with gestational diabetes mellitus already exhibit cardiac functional and structural changes during pregnancy, which persist into infancy.
BJOG-AN INTERNATIONAL JOURNAL OF OBSTETRICS AND GYNAECOLOGY
(2021)
Article
Acoustics
L. Yovera, M. Zaharia, T. Jachymski, O. Velicu-Scraba, C. Coronel, C. de Paco Matallana, G. Georgiopoulos, K. H. Nicolaides, M. Charakida
Summary: The study showed that fetuses of mothers with gestational diabetes mellitus (GDM) have significantly reduced right ventricular function, while left ventricular global longitudinal function remains similar in GDM pregnancies compared to controls, except for reduced contractility in the left ventricular basal segment. The global sphericity index is only reduced in GDM pregnancies at 32+1 to 40+1 weeks.
ULTRASOUND IN OBSTETRICS & GYNECOLOGY
(2021)
Article
Cardiac & Cardiovascular Systems
Jorge Mariscal-Harana, Peter H. Charlton, Samuel Vennin, Jorge Aramburu, Mateusz Cezary Florkow, Arna van Engelen, Torben Schneider, Hubrecht de Bliek, Bram Ruijsink, Israel Valverde, Philipp Beerbaum, Heynric Grotenhuis, Marietta Charakida, Phil Chowienczyk, Spencer J. Sherwin, Jordi Alastruey
Summary: The study developed novel algorithms for estimating central blood pressure (cBP) from noninvasive aortic hemodynamic data and a peripheral blood pressure measurement, showing that the 1-D algorithm outperformed the O-D algorithms in the presence of aortic vascular geometry, while the three-element 0-D algorithm performed better when aortic geometry was unavailable. All cardiovascular parameters were estimated with mean percentage errors <= 8.2%, except for aortic characteristic impedance where the performance was affected.
AMERICAN JOURNAL OF PHYSIOLOGY-HEART AND CIRCULATORY PHYSIOLOGY
(2021)
Article
Cardiac & Cardiovascular Systems
David F. A. Lloyd, Milou P. M. van Poppel, Kuberan Pushparajah, Trisha V. Vigneswaran, Vita Zidere, Johannes Steinweg, Joshua F. P. van Amerom, Thomas A. Roberts, Alexander Schulz, Marietta Charakida, Owen Miller, Gurleen Sharland, Mary Rutherford, Joseph Hajnal, John M. Simpson, Reza Razavi
Summary: Novel fetal MRI techniques provide a new way to understand and accurately predict severe neonatal CoA, with reduced blood flow through the left heart associated with important configurational changes at the aortic isthmus in fetal life, predisposing to CoA when the arterial duct closes after birth.
CIRCULATION-CARDIOVASCULAR IMAGING
(2021)
Article
Genetics & Heredity
Ioana Dumitrascu-Biris, Vita Zidere, Trisha Vigneswaran, Marietta Charakida, Sujeev Mathur, Nick Kametas, John Simpson
Summary: The prenatal recognition of dilated ascending aorta is rare and primarily associated with bicuspid aortic valve (BAV) and extracardiac abnormalities. Postnatal follow-up reveals persistent ascending aortic dilatation in some babies, but overall medium-term outcomes are favorable in the absence of extracardiac abnormalities. Surveillance for aortic dilation postnatally is necessary.
PRENATAL DIAGNOSIS
(2021)
Article
Cardiac & Cardiovascular Systems
Elena Gibbone, Iulia Huluta, Alan Wright, Kypros H. Nicolaides, Marietta Charakida
Summary: This study examines the differences in cardiac function between women who develop preeclampsia (PE) and those with uncomplicated pregnancies. The findings suggest that women who develop PE have abnormalities in cardiac function long before the onset of PE. However, routine cardiac assessment at midgestation does not improve the performance of screening for PE achieved by established biomarkers.
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY
(2022)
Article
Acoustics
E. Nunez, I Huluta, M. Gallardo Arozena, A. Wright, K. H. Nicolaides, M. Charakida
Summary: This study compared maternal cardiovascular indices between twin and singleton pregnancies at mid-gestation and found that twin pregnancies have reduced systolic and diastolic function compared to singletons. However, the patterns of cardiovascular adaptation are similar between monochorionic and dichorionic pregnancies, resembling those in uncomplicated singleton pregnancy later in gestation.
ULTRASOUND IN OBSTETRICS & GYNECOLOGY
(2022)
Article
Acoustics
S. Abdel Azim, M. Sarno, A. Wright, N. Vieira, M. Charakida, K. H. Nicolaides
Summary: This study aimed to compare the ophthalmic artery peak systolic velocity (PSV) ratio in women delivering small-for-gestational-age (SGA) or growth-restricted (FGR) neonates without hypertensive disorders to those with pre-eclampsia (PE) or gestational hypertension (GH), as well as women without SGA, FGR, PE, or GH. The results showed a linear association between PSV ratio and birth-weight Z-score, suggesting a continuous physiological relationship between fetal size and cardiovascular response.
ULTRASOUND IN OBSTETRICS & GYNECOLOGY
(2022)
Article
Cardiac & Cardiovascular Systems
Scott T. Chiesa, Marietta Charakida, Georgios Georgiopoulos, Justin D. Roberts, Simon J. Stafford, Chloe Park, Juha Mykkanen, Mika Kahonen, Terho Lehtimaki, Mika Ala-Korpela, Olli Raitakari, Milla Pietiainen, Pirkko Pussinen, Vivek Muthurangu, Alun D. Hughes, Naveed Sattar, Nicholas J. Timpson, John E. Deanfield
Summary: GlycA is associated with the development of cardiovascular disease risk and predicts the risk of hypertension and metabolic syndrome. In contrast, CRP has little correlation.
JOURNAL OF THE AMERICAN HEART ASSOCIATION
(2022)
Article
Cardiac & Cardiovascular Systems
Stavros Polyviou, Marietta Charakida, Owen I. Miller, Thomas Witter Rscn, Trisha V. Vigneswaran, Vita Zidere, Thomas G. Day, David F. A. Lloyd, Gurleen K. Sharland, John M. Simpson
Summary: This study examined 89 fetuses with suspected CoA who underwent CoA repair after confirmation of the diagnosis postnatally. The study found that almost one-fifth of the patients required surgery and/or transcatheter intervention for additional left-sided cardiac lesions and/or reintervention on the aortic arch during follow-up. In addition, 20% of the affected infants had genetic and/or extracardiac abnormalities.
AMERICAN JOURNAL OF CARDIOLOGY
(2022)
Letter
Cardiac & Cardiovascular Systems
John Simpson, Marietta Charakida, Janina Semmler
JOURNAL OF THE AMERICAN SOCIETY OF ECHOCARDIOGRAPHY
(2022)
Article
Acoustics
S. Abdel Azim, A. Wright, I Sapantzoglou, K. H. Nicolaides, M. Charakida
Summary: This study aims to explore the hemodynamic and placental perfusion differences between pregnancies delivering a small-for-gestational-age (SGA) neonate without hypertensive disorders and those that develop pre-eclampsia (PE) or gestational hypertension (GH). The results showed that compared to unaffected pregnancies, pregnancies with SGA, PE, and GH had changes in PSV ratio, PSV2, MAP, and UtA-PI, and decreased PlGF. However, the magnitude of these changes was generally smaller in the SGA group compared to the PE and GH groups. Additionally, an increase in PSV1 was observed in the PE and GH groups but not in the SGA group. Overall, pathological pregnancies had greater deviations in biomarkers compared to unaffected pregnancies, especially for those delivering before 37 weeks' gestation.
ULTRASOUND IN OBSTETRICS & GYNECOLOGY
(2022)
Article
Acoustics
L. Yovera, M. Zaharia, T. Jachymski, O. Velicu-Scraba, C. Coronel, C. de Paco Matallana, G. Georgiopoulos, K. H. Nicolaides, M. Charakida
Summary: The study found that fetuses of mothers with gestational diabetes mellitus (GDM) had lower right ventricular functional indices compared to controls at different gestational weeks, while the left ventricular global longitudinal function was similar between the two groups, except for reduced contractility in the left ventricular basal segment in GDM pregnancies. Global sphericity index was also reduced in GDM pregnancies at later gestational weeks.
ULTRASOUND IN OBSTETRICS & GYNECOLOGY
(2021)