In the fetus the time to peak
acceleration of the pulmonary artery is shorter than that of the aorta
(1).
After birth, the ductus
arteriosus closes, and the time to peak velocity of the aorta becomes
shorter than the pulmonary artery. This occurs due to decreased pulmonary
vascular resistance and increased systemic vascular resistance after
birth.
The time to peak velocity is
directly related to the blood pressure in the pulmonary circulation (2).
REFERENCES
Machado MVL, Chita SC, Allan LD.
Acceleration time in the aorta and pulmonary artery measured by Doppler
echocardiography in the midtrimester normal fetus. Br Heart J
1987;58:15-18.
Kitabatake A, Inoue M, Asao M
et.al. Non-invasive evaluation of pulmonary hypertension by pulsed Doppler
technique. Circulation 1983;68:302-309.