Early left ventricular diastolic dysfunction in premature infants born to preeclamptic mothers
-
Merih Çetinkaya
,
Özlem Bostan
Abstract
Aim: To evaluate the cardiac function in premature infants born to preeclamptic mothers and its clinical consequences.
Methods: This was a prospective observational cohort study performed in a tertiary neonatal intensive care unit. Fifty-three premature infants born to preeclamptic mothers comprising the study group were evaluated and compared with 42 premature infants born to normotensive mothers (control group). Relationship between echocardiographic measures and neonatal morbidity were assessed as the main outcome measures.
Results: Left ventricle end-diastolic dimension (LVEDD), peak flow velocities during early diastole (peak E wave), peak flow velocities during atrial contraction (peak A wave), and peak E/A ratio were significantly lower in the study group. Within the study group, these parameters were also significantly lower in infants with respiratory problems. LVEDD was significantly smaller in preeclamptic infants with intrauterine growth retardation (IUGR).
Conclusion: Left ventricle diastolic dysfunction (LVDD) was detected in premature infants born to preeclamptic mothers in the first week after delivery. LVDD was associated with higher incidence of respiratory problems, transient tachypnea of the newborn, longer duration of oxygen requirement, and IUGR.
©2011 by Walter de Gruyter Berlin New York
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Articles in the same Issue
- Publisher's note
- Publisher's Note
- Review articles
- 3D and 4D sonography and magnetic resonance in the assessment of normal and abnormal CNS development: alternative or complementary
- Selective reduction in twins and multiple pregnancies
- Original articles – Obstetrics
- Do uterotrophic drugs increase the risk of fatal hemorrhagic brain stroke?
- Parental factors affecting the weights of the placenta and the offspring
- Trends in maternal mortality due to obstetric hemorrhage in urban and rural China, 1996–2005
- Original articles – Fetus
- Abdominal circumference ratio for the diagnosis of intertwin birth weight discordance
- Predicting survival of periviable fetuses using NICHD fetal heart rate categories
- Prospective risk of stillbirth in monochorionic-diamniotic twin gestations: a population based study
- Original articles – Newborn
- Effect of ibuprofen on bilirubin-albumin binding affinity in premature infants
- Evaluation and clinical application of changes in thyroid hormone and TSH levels in critically ill full-term newborns
- NCI classification of thrombocytopenia in extremely preterm neonates and its association with mortality and morbidity
- Epidemiology of congenital syphilis in a South Bronx population: a follow-up study
- Quantitative ultramicrotest for newborn screening of galactosemia in Cuba
- Expression of soluble Fas in the cerebrospinal fluid of preterm infants with posthemorrhagic hydrocephalus and cystic white matter damage
- Early left ventricular diastolic dysfunction in premature infants born to preeclamptic mothers
- Letter to the Editors
- Perimortem instrumental vaginal delivery
- Human sex ratio at birth and related factors
- Twins are a risk factor for developing severe hypertensive disorders in the puerperium following a normotensive pregnancy
- Congress calendar
- Congress Calendar
