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. 2017 Sep-Oct;33(5):1220-1224.
doi: 10.12669/pjms.335.12849.

Echocardiographic evaluation of cardiovascular complications after birth asphyxia in term neonates

Mohsen Shahidi  1 , Ghodratollah Evazi  2 , Abdorrahim Afkhamzadeh  3
Affiliations

Echocardiographic evaluation of cardiovascular complications after birth asphyxia in term neonates

Mohsen Shahidi et al. Pak J Med Sci. 2017 Sep-Oct.

Abstract

Objectives: After birth asphyxia, a variety of hemodynamic disorders may be noted in the neonatal intensive care unit; these require appropriate recognition and management. The present study was designed to demonstrate the prevalence of heart complications amongst asphyxiated newborns.

Methods: Through a cohort study, 29 asphyxiated term neonates were followed since birth until amelioration of pulmonary hypertension and compared with 31 well born neonates. Both groups were evaluated for their heart anatomy and hemodynamic with meticulous assessment through echocardiography. This study was conducted in Besat Medical Center since August 2010 until February 2012.

Results: Hemodynamic and anatomic disorders including myocardial dysfunction, pulmonary hypertension and patent arterial duct (PDA) were strongly associated with birth asphyxia (P< 0.05).

Conclusion: Birth asphyxia was associated with systolic and diastolic dysfunction and pulmonary hypertension which demands precise evaluation, early recognition and appropriate management.

Keywords: Birth asphyxia; Cardiovascular complications; Echocardiographic evaluation; Term neonates.

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Conflict of interest statement

Declaration of interest: There is no conflict of interest.

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