Transrectal Doppler sonography of uterine blood flow in ewes during pregnancy
Autores
Renato Travassos Beltrame, Carolina Covre, Lucas Buss Littig, Amanda de Barros Martins, Celia Raquel Quirino, Aylton Bartholazzi Júnior, Ricardo Lopes Dias da Costa
Resumo
Abstract
In
sheep, there is a lack of information on the behaviour of hemodynamic
indices and parameters of blood flow velocity of the uterine artery
during pregnancy, making it impossible to determine the real meaning of
the values found and their probable relevance in normal physiological or
pathological states. The objective of the present study was to evaluate
the blood flow velocity parameters and hemodynamic indices of the
uterine artery in ewes (18) during pregnancy (33). Based on non-invasive
colour Doppler sonography, we evaluated the peak systolic velocity
(PS), end diastolic velocity (ED), time-averaged maximum and minimum
velocity in a cardiac cycle (TAMAX and TAMEAN), pulsatility index (PI),
resistance index (RI), systolic/diastolic ratio (S/D), heart rate (HR),
arterial diameter (AD) and the blood flow volume (BFV). Examinations
started on day 28 and continued at two-week intervals until parturition.
The Doppler parameters and the diameter of the uterine artery underwent
significant changes during pregnancy. In the evaluated animals, indices
related to resistance of the uterine artery, namely the impedance of
blood flow, decreased throughout the initial, middle and late stages of
gestation (PI: 1.15, 1.04, 0.97; RI: 0.61, 0.59, 0.57; S/D: 2.68, 2.52,
2.39, respectively) (p < 0.05). In contrast, the contents related to
higher uterine irrigation increased during gestation (PS, ED, TAMAX,
TAMEAN, HR, AD and BFV) (p < 0.05). No differences were found between
the means of the variables in relation to the right and left uterine
arteries and between single and multiple pregnancies in the hemodynamic
indices. The present study is the first to demonstrate changes in
uterine hemodynamics throughout pregnancy in sheep.
Fonte: Theriogenology, disponível em 27. dez. 2016.
DOI: http://dx.doi.org/10.1016/j.theriogenology.2016.12.026
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