الفهرس 
MATERNAL DIABETES MELLITUSOnly 14 pages are availabe for public view
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Abstract
assessed by postnatal echocardiography (group b): 30 pregnant diabetic females with HgbA1c level more than 7% were examined with fetal echocardiography with further assessment with fetal cardiac MRI and also assessed by postnatal echocardiography
Results: Diabetes affects left ventricle (LV) diastolic function and global cardiac function but does not affect LV systolic function (p-value=0.000). Interventricular septum (IVS) thickness has significant positive correlation with LV MPI and indices of DM such as HbA1c. Diastolic dysfunction is the most affected cardiac parameter in infant of diabetic mothers (p-value=0.002). HbA1c is the most significant predictor for IVS thickness in fetuses of diabetic mothers especially with long duration of DM (p-value=0.012).
Conclusion: Fetal echocardiography in diabetic mothers is highly important, not only to diagnose structural abnormalities but also for evaluation of cardiac function of the fetuses. Also fetal cardiac MRI can be considered as a complementary imaging modality that uses no ionizing radiation, good tissue contrast, with ability of scanning the fetus in different planes whatever the fetal lie and it also provides additional information about fetal cardiac function that improve post-natal follow up and management.