Color Doppler ultrasound evaluation of asphyxial neonatal left ventricular function and its correlation with target organ damage

• Main Authors: Cheng-Cai Chen, Li-Zhen Li, Qi-Sheng Lu, Yan-Ling Lang
• Format: Article
• Language: English
• Published: Editorial Board of Journal of Hainan Medical University 2017-01-01
• Series: Journal of Hainan Medical University
• Subjects: Neonatal asphyxia; Color Doppler ultrasound; Myocardial injury; Brain injury
• Online Access: http://www.hnykdxxb.com/PDF/201701/39.pdf

Objective: To study the color Doppler ultrasound parameters of asphyxial neonatal left ventricular function and the correlation with target organ damage. Methods: Normal neonates, mildly asphyxial neonates and severely asphyxial neonates born in our hospital between January 2014 and December 2015 were selected as the control group (n = 46), mild asphyxia group (n = 37) and severe asphyxia group (n = 23) respectively. On the 1st day after birth, color Doppler ultrasound was used to evaluate left ventricular function, and serum was collected to determine myocardial tissue injury, brain tissue injury and brain tissue metabolism indexes. Results: Color Doppler ultrasound parameters cardiac output (CO), ejection fraction (EF) and left ventricular fraction shortening (FS) as well as serum folate and vitamin B12 content of mild asphyxia group and severe asphyxia group were significantly lower than those of control group (P＜0.05) while serum creatine kinase isoenzyme (CK-MB), troponin I (cTnI), troponin T (cTnT), S100B, neuron-specific enolase (NSE), creatine kinase BB (CK-BB), glycogen phosphorylase BB (GPBB), and homocysteine (Hcy) content were significantly higher than those of control group (P＜0.05); CO, FS and EF as well as serum folate and vitamin B12 content of severe asphyxia group were significantly lower than those of mild asphyxia group (P＜0.05) while serum CK-MB, cTnT, cTnI, S100B, NSE, CK-BB, GPBB and Hcy content were significantly higher than those of mild asphyxia group (P＜0.05). Conclusions: Color Doppler ultrasound can accurately assess asphyxial neonatal left ventricular function damage degree and is closely related to myocardial tissue injury and brain tissue injury degree.