Hideto Nakao

Hideto Nakao

Japan

Publications
  • Review Article
    N-Terminal Pro-brain Natriuretic Peptide and Cardiovascular Adaptations in Monochorionic Diamniotic Twins
    Author(s): Kazumichi Fujioka and Hideto NakaoKazumichi Fujioka and Hideto Nakao

    Monochorionic diamniotic pregnancies are associated with adverse perinatal outcomes, including neonatal death and handicaps. Additionally, postnatal circulatory collapse has been suggested to be associated with a poor perinatal outcome, but this has not been fully investigated. We have assessed postnatal cardiac adaptations of monochorionic diamniotic twins by measuring N-terminal pro-brain natriuretic peptide, a precursor of brain natriuretic peptide. We observed the following findings. First, monochorionic diamniotic twins with twin-to-twin transfusion syndrome show an increased cardiac load at birth, and they require complete intensive care for both twins for postnatal circulatory collapse, which is alleviated by fetoscopic laser photocoagulation. Second, monochorionic diamniotic twins with selective intrauterine growth restriction show mildly increased cardiac loa.. View More»
    DOI: 10.4172/2167-0897.1000124

    Abstract PDF