Improving the diagnosis of diastolic dysfunction of heart ventricles in newborns by tissue Doppler imaging

М.О. Gonchar, А.D. Boichenko

Abstract


Background. Tissue Doppler imaging allows improving diagnostic capabilities of ultrasound examination of the heart. In order to improve the diagnosis of myocardial dysfunction of heart ventricles in newborns in the neonatal period, we have performed pulsed-wave tissue Doppler imaging with determination of diastolic dysfunction types. Materials and methods. The study involved 108 healthy infants in the early neonatal period, in whom the diastolic ventricular function markers were determined by tissue Doppler imaging. Results. The study determined the types of diastolic dysfunction. Types of diastolic dysfunction (delayed relaxation, pseudo-normalization, restrictive and undetermined ones) require comparison with the symptoms of cardiovascular dysfunction, taking into account the child’s days of life and the functioning of the open arterial duct, its hemodynamic significance, and also the open foramen ovale with the subsequent decision on patient’s management. Conclusions. It is advi­sable to use all echocardiographic modes (double Doppler method) with a traditional assessment of diastolic profile of transmitral/transtricuspid flow and the movement of fibrous rings according to tissue Doppler imaging findings, which in their entirety will help to assess the degree of myocardial dysfunction.


Keywords


newborns; tissue Doppler imaging; diastolic dysfunction

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References


El-Khuffash AF, McNamara PJ. Neonatologist-performed functional echocardiography in the neonatal intensive care unit. Semin Fetal Neonatal Med. 2011;16:50-60. PMID: 20646976. doi: 10.1016/j.siny.2010.05.001.

Evans N, Gournay V, Cabanas F, et al. Point-of-care ultrasound in the neonatal intensive care unit: international perspectives. Semin Fetal Neonatal Med. 2011;16(1):61-8. PMID: 20663724. doi: 10.1016/j.siny.2010.06.005.

Roehr CC, TePas AB, Dold SK, et al. Investigating the European perspective of neonatal point-of-care echocardiography in the neonatal intensive care unit – a pilot study. Eur J Pediatr. 2013;172(7):907-11. doi: 10.1007/s00431-013-1963-1.

Jain A. Sahni M, El-Khuffash A, Khadawardi E, Sehgal A, McNamara PJ. Use of targeted neonatal echocardiography to prevent postoperative cardiorespiratory instability after patent ductus arteriosus ligation. J Pediatr. 2012 Apr;160(4):584-9. PMID: 22050874. doi: 10.1016/j.jpeds.2011.09.027.

El-Khuffash A, Herbozo C, Jain A, Lapointe A, McNamara PJ. Targeted neonatal echocardiography (TnECHO) service in a Canadian neonatal intensive care unit: a 4-year experience. J Perinatol. 2013;33:687-90. doi: 10.1038/jp.2013.42.

de Boode WP, Yogen Singh, Samir Gupta, Topun Austin, Kajsa Bohlin, Eugene Dempsey, Alan Groves, Beate Horsberg Eriksen, David van Laere, Zoltan Molnar, Eirik Nestaas, Sheryle Rogerson, Ulf Schubert, Cécile Tissot, Robin vander Lee, Bartvan Overmeire, Afif El-Khuffash. Recommendations for neonatologist performed echocardiography in Europe: Consensus Statement endorsed by European Society for Paediatric Research (ESPR) and European Society for Neonatology (ESN). Pediatric Research. 2016;80(4):465-71. doi: 10.1038/pr.2016.126.

El-Khuffash AF, Jain A, Dragulescu A, McNamara PJ, Mertens L. Acute changes in myocardial systolic function in preterm infants undergoing patent ductus arteriosus ligation: a tissue Doppler and myocardial deformation study. J Am Soc Echocardiogr. 2012;25:1058-67. PMID: 22889993. doi: 10.1016/j.echo.2012.07.016.

Sehgal A, Wong F, Menahem S. Speckle tracking derived strain in infants with severe perinatal asphyxia: a comparative case control study. Cardiovasc Ultrasound. 2013;11:34. PMID: 24229323. PMCID: PMC3766009. doi: 10.1186/1476-7120-11-34.

Sotirios Fouzas, Ageliki A. Karatza, Periklis A, et al. Neonatal cardiac dysfunction in intrauterine growth restriction. Pediatric Research. 2014;75,651-7. doi: 10.1038/pr.2014.22.

Morka A, Szydlowski L, Moric-Janiszewska E, Mazurek B, Markiewicz-Loskot G, Stec S. Left Ventricular Diastolic Dysfunction Assessed by Conventional Echocardiography and Spectral Tissue Doppler Imaging in Adolescents With Arterial Hypertension. Medicine (Baltimore). 2016 Feb;95(8): e2820. PMID: 26937911. PMCID: PMC4779008. doi: 10.1097/MD.0000000000002820.

Vasiuk YuA, editor. Rukovodstvo po funkcional'nojdiagnostike v kardiologii [Guidelines on Functional Diagnostics]. Moscow: Prakticheskaja Medicina; 2012. 162 p.

Sherif F, Appleton CP, Gillebert TC, Marino PN, Oh JK, Smiseth OA, Waggoner AD, Flachskampf FA, Pellikka PA, Evangelisa A. Recommendations for the Evaluation of Left Ventricular Diastolic Function by Echocardiography. European Journal of Echocardiography. 2009;10:165-93. PMID: 19187853. doi: 10.1016/j.echo.2008.11.023.

Sherif F, Smiseth OA, Appleton CP, Byrd BF, Hisham Dokainish, Edvardsen T, Flachskampf FA, et al. ASE/EACVI guidelines and standards. Recommendations for the Evaluation of Left Ventricular Diastolic Function by Echocardiography: An Update from the American Society of Echocardiography and the European Association of Cardiovascular Imaging. J Am Soc Echocardiogr. 2016 Apr;29(4):277-314. PMID: 27037982. doi: 10.1016/j.echo.2016.01.011.

Mori K, Nakagawa R, Nii M, Edagawa T, Takehara Y, Inoue M, Kuroda Y.Pulsed wave Doppler tissue echocardiography assessment of the long axis function of the right and left ventricles during the early neonatal period. Heart. 2004 Feb;90(2):175-80. doi: 10.1136%2Fhrt.2002.008110.

Ekici F, Atalay S, Ozcelik N, Ucar T, Yilmaz E, Tutar E. Myocardial tissue velocities in neonates. Echocardiography. 2007;24:61-7. PMID: 17214624. doi: 10.1111/j.1540-8175.2006.00351.x.

Negrine RJ, Chikermane A, Wright JG, Ewer AK. Assessment of myocardial function in neonates using tissue Doppler imaging. Arch Dis Child Fetal Neonatal Ed. 2012;97(4):F304-6. PMID: 21037287. doi: 10.1136/adc.2009.175109.

Dudnik VM, Popov VP, Yankovska LV, Zborovska OO. Using Tei-index for assessment of myocardial function in neonates by tissue Dopplerography. Mezhdunarodnyj zhurnal pediatrii, akusherstva i ginekologii. 2014;6(1):26.




DOI: https://doi.org/10.22141/2224-0551.12.4.2017.107630

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