The association between patterns of early respiratory disease and diastolic dysfunction in preterm infants

被引：11
作者：
de Waal, Koert [1 ,2 ]
Crendal, Edward [1 ,3 ]
Poon, Amy Chin-Yu [2 ]
Latheef, Mariyam Shaya [2 ]
Sachawars, Elias [4 ]
MacDougall, Thomas [4 ]
Phad, Nilkant [1 ,2 ]
机构：
[1] John Hunter Childrens Hosp, Dept Neonatol, Newcastle, NSW, Australia
[2] Univ Newcastle, Newcastle, NSW, Australia
[3] John Hunter Hosp, Dept cardiol, Newcastle, NSW, Australia
[4] John Hunter Hosp, Dept radiol, Newcastle, NSW, Australia
来源：
JOURNAL OF PERINATOLOGY | 2023年 / 43卷 / 10期
关键词：
PRESERVED EJECTION FRACTION; LEFT-VENTRICULAR FUNCTION; PATENT DUCTUS-ARTERIOSUS; MECHANICAL VENTILATION; GROWTH RESTRICTION; PREMATURE-INFANTS; HEART-FAILURE; ECHOCARDIOGRAPHY; HYDROCORTISONE; PERFORMANCE;
D O I：
10.1038/s41372-023-01608-5
中图分类号：
R71 [妇产科学];
学科分类号：
100211 ;
摘要：
BackgroundThis study aims to determine the association between clinical patterns of early respiratory disease and diastolic dysfunction in preterm infants.MethodsPreterm infants <29 weeks' gestation underwent cardiac ultrasounds around day 7 and 14-21. Respiratory dysfunction patterns were classified as stable (ST), respiratory deterioration (RD) or early persistent respiratory dysfunction (EPRD) according to oxygen need. Diastolic dysfunction was diagnosed using a multi-parameter approach including left atrial strain (LAS(R)) to help differentiate between cardiac or pulmonary pathophysiology.Results98 infants (mean 27 weeks) were included. The prevalence of ST, RD and EPRD was 53%, 21% and 26% respectively. Diastolic dysfunction was more prevalent in the RD and EPRD groups with patent ductus arteriosus and significant growth restriction as risk factors. Not all infants with a PDA developed diastolic dysfunction. LAS(R) was lower in the EPDR group.ConclusionRespiratory dysfunction patterns are associated with diastolic dysfunction in preterm infants.
引用
收藏
页码：1268 / 1273
页数：6
相关论文
共 40 条
[1]   Standardization of left atrial, right ventricular, and right atrial deformation imaging using two-dimensional speckle tracking echocardiography: a consensus document of the EACVI/ASE/Industry Task Force to standardize deformation imaging [J].
Badano, Luigi P. ;
Kolias, Theodore J. ;
Muraru, Denisa ;
Abraham, Theodore P. ;
Aurigemma, Gerard ;
Edvardsen, Thor ;
D'Hooge, Jan ;
Donal, Erwan ;
Fraser, Alan G. ;
Marwick, Thomas ;
Mertens, Luc ;
Popescu, Bogdan A. ;
Sengupta, Partho P. ;
Lancellotti, Patrizio ;
Thomas, James D. ;
Voigt, Jens-Uwe .
EUROPEAN HEART JOURNAL-CARDIOVASCULAR IMAGING, 2018, 19 (06) :591-600
[2]   Left ventricular diastolic function influences right ventricular - Pulmonary vascular coupling in premature infants [J].
Bussmann, Neidin ;
EL-Khuffash, Afif ;
Breatnach, Colm R. ;
McCallion, Naomi ;
Franklin, Orla ;
Singh, Gautam K. ;
Levy, Philip T. .
EARLY HUMAN DEVELOPMENT, 2019, 128 :35-40
[3]   Early diastolic dysfunction and respiratory morbidity in premature infants: an observational study [J].
Bussmann, Neidin ;
Breatnach, Coim ;
Levy, Philip T. ;
McCallion, Naomi ;
Franklin, Orla ;
EL-Khuffash, Afif .
JOURNAL OF PERINATOLOGY, 2018, 38 (09) :1205-1211
[4]   Effects of foetal growth restriction and preterm birth on cardiac morphology and function during infancy [J].
Cohen, Emily ;
Whatley, Christie ;
Wong, Flora Y. ;
Wallace, Euan M. ;
Mockler, Joanne C. ;
Odoi, Alexsandria ;
Hollis, Samantha ;
Horne, Rosemary S. C. ;
Yiallourou, Stephanie R. .
ACTA PAEDIATRICA, 2018, 107 (03) :450-455
[5]   Intrauterine growth restriction: impact on cardiovascular development and function throughout infancy [J].
Cohen, Emily ;
Wong, Flora Y. ;
Horne, Rosemary S. C. ;
Yiallourou, Stephanie R. .
PEDIATRIC RESEARCH, 2016, 79 (06) :821-830
[6]   Left Ventricular Diastolic Dysfunction and Diastolic Heart Failure in Preterm Infants [J].
de Waal, Koert ;
Costley, Nicholas ;
Phad, Nilkant ;
Crendal, Edward .
PEDIATRIC CARDIOLOGY, 2019, 40 (08) :1709-1715
[7]   Left atrium function and deformation in very preterm infants with and without volume load [J].
de Waal, Koert ;
Phad, Nilkant ;
Boyle, Andrew .
ECHOCARDIOGRAPHY-A JOURNAL OF CARDIOVASCULAR ULTRASOUND AND ALLIED TECHNIQUES, 2018, 35 (11) :1818-1826
[8]   Cardiac remodeling in preterm infants with prolonged exposure to a patent ductus arteriosus [J].
de Waal, Koert ;
Phad, Nilkant ;
Collins, Nick ;
Boyle, Andrew .
CONGENITAL HEART DISEASE, 2017, 12 (03) :364-372
[9]   Patent ductus arteriosus: The physiology of transition [J].
Deshpande, Poorva ;
Baczynski, Michelle ;
McNamara, Patrick J. ;
Jain, Amish .
SEMINARS IN FETAL & NEONATAL MEDICINE, 2018, 23 (04) :225-231
[10]  
Doyle LW, 2021, COCHRANE DB SYST REV, DOI [10.1002/14551858.CD001145.pub5, 10.1002/14651858.CD001145.pub5]
1234