Cardiovascular dysfunction in infants with neonatal encephalopathy

被引:57
作者
Armstrong, Katey [1 ,2 ,3 ]
Franklin, Orla [2 ]
Sweetman, Deirdre [1 ,3 ]
Molloy, Eleanor J. [1 ,3 ,4 ,5 ]
机构
[1] Natl Matern Hosp, Dept Paediat, Dublin 2, Ireland
[2] Our Ladys Childrens Hosp, Dept Paediat Cardiol, Dublin, Ireland
[3] Natl Childrens Res Ctr, Dublin, Ireland
[4] Royal Coll Surgeons Ireland, Dublin 2, Ireland
[5] Univ Coll Dublin, UCD Sch Med & Med Sci, Dublin 2, Ireland
关键词
HYPOXIC-ISCHEMIC ENCEPHALOPATHY; PERSISTENT PULMONARY-HYPERTENSION; ACUTE MYOCARDIAL-INFARCTION; WHOLE-BODY HYPOTHERMIA; EMBRYONIC STEM-CELLS; CARDIAC TROPONIN-T; NATRIURETIC PEPTIDE; ELECTROCARDIOGRAPHIC CHANGES; NORMAL VALUES; PERFORMANCE;
D O I
10.1136/adc.2011.214205
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Severe perinatal asphyxia with hypoxic ischaemic encephalopathy occurs in approximately 1-2/1000 live births and is an important cause of cerebral palsy and associated neurological disabilities in children. Multiorgan dysfunction commonly occurs as part of the asphyxial episode, with cardiovascular dysfunction occurring in up to a third of infants. This narrative paper attempts to review the literature on the importance of early recognition of cardiac dysfunction using echocardiography and biomarkers such as troponin and brain type natriuretic peptide. These tools may allow accurate assessment of cardiac dysfunction and guide therapy to improve outcome.
引用
收藏
页码:372 / 375
页数:4
相关论文
共 66 条
[11]   The exercising heart at altitude [J].
Calbet, Jose A. L. ;
Robach, Paul ;
Lundby, Carsten .
CELLULAR AND MOLECULAR LIFE SCIENCES, 2009, 66 (22) :3601-3613
[12]   MILRINONE - SYSTEMIC AND PULMONARY HEMODYNAMIC-EFFECTS IN NEONATES AFTER CARDIAC-SURGERY [J].
CHANG, AC ;
ATZ, AM ;
WERNOVSKY, G ;
BURKE, RP ;
WESSEL, DL .
CRITICAL CARE MEDICINE, 1995, 23 (11) :1907-1914
[13]   Heart rate changes are insensitive for detecting postasphyxial seizures in neonates [J].
Cherian, P. J. ;
Blok, J. H. ;
Swarte, R. M. ;
Govaert, P. ;
Visser, G. H. .
NEUROLOGY, 2006, 67 (12) :2221-2223
[14]   Pathophysiologic mechanisms of persistent pulmonary hypertension of the newborn [J].
Dakshinamurti, S .
PEDIATRIC PULMONOLOGY, 2005, 39 (06) :492-503
[15]   Inhaled nitric oxide for the early treatment of persistent pulmonary hypertension of the term newborn: A randomized, double-masked, placebo-controlled, dose-response, multicenter study [J].
Davidson, D ;
Barefield, ES ;
Kattwinkel, J ;
Dudell, G ;
Damask, M ;
Straube, R ;
Rhines, J ;
Chang, CT .
PEDIATRICS, 1998, 101 (03) :325-334
[16]   Human Cord Blood Stem Cells Enhance Neonatal Right Ventricular Function in an Ovine Model of Right Ventricular Training [J].
Davies, Ben ;
Elwood, Ngaire J. ;
Li, Shan ;
Cullinane, Fiona ;
Edwards, Glenn A. ;
Newgreen, Donald F. ;
Brizard, Christian P. .
ANNALS OF THORACIC SURGERY, 2010, 89 (02) :585-593
[17]   VALUE OF MYOGLOBIN, TROPONIN-T, AND CK-MB(MASS) IN RULING OUT AN ACUTE MYOCARDIAL-INFARCTION IN THE EMERGENCY ROOM [J].
DEWINTER, RJ ;
KOSTER, RW ;
STURK, A ;
SANDERS, GT .
CIRCULATION, 1995, 92 (12) :3401-3407
[18]   Cell Therapy of Acute Myocardial Infarction: Open Questions [J].
Dimmeler, Stefanie ;
Zeiher, Andreas M. .
CARDIOLOGY, 2009, 113 (03) :155-160
[19]   Cardiac troponin T and N-terminal-pro-B type natriuretic peptide reflect myocardial function in preterm infants [J].
EL-Khuffash, A. ;
Davis, P. G. ;
Walsh, K. ;
Molloy, E. J. .
JOURNAL OF PERINATOLOGY, 2008, 28 (07) :482-486
[20]  
El-Khuffash A, 2007, ARCH DIS CHILD-FETAL, V92, P320