Is myocardial performance index useful in differential diagnosis of moderate and severe hypoxic-ischaemic encephalopathy? A serial Doppler echocardiographic evaluation

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dc.contributor.authorKaraarslan, Sevim
dc.contributor.authorAlp, Hayrullah
dc.contributor.authorBaysal, Tamer
dc.contributor.authorCimen, Derya
dc.contributor.authorOrs, Rahmi
dc.contributor.authorOran, Bulent
dc.date.accessioned2024-02-23T14:16:33Z
dc.date.available2024-02-23T14:16:33Z
dc.date.issued2012
dc.departmentNEÜen_US
dc.description.abstractIntroduction: The aim of this study was to investigate the importance of myocardial performance index as an additive criterion to Sarnat criteria in differential diagnosis of newborn babies with moderate and severe hypoxic-ischaemic encephalopathy. Methods: Our study group included 50 healthy term newborn babies and 20 newborn babies with hypoxic ischaemic encephalopathy. The 20 newborn babies with hypoxic-ischaemic encephalopathy were scored using Sarnat grades. Left and right ventricular functions were determined on the first day and thereafter in the 1, 3-4, 6-7, and 11-12 months of life by M-Mode and pulsed Doppler. Results: Myocardial performance indexes of the left ventricle were significantly higher in the severe hypoxic ischaemic encephalopathy group than in the control group during the first, second, and third analyses (p = 0.01, p = 0.02, p = 0.02, respectively) and only during the first analysis (p = 0.01) in the moderate hypoxic-ischaemic encephalopathy group. In addition, the myocardial performance indexes of the right ventricle were significantly higher during the first, second, and third analyses in both severe and moderate hypoxic-ischaemic encephalopathy groups than in the control group (p = 0.01, all). Hypoxia-induced alterations last longer in the right ventricle than in the left ventricle in the moderate group, as during the second and third analyses myocardial performance index continues to be higher than the control group. Conclusion: Myocardial performance indexes for the left and right ventricles were significantly higher in both severe and moderate hypoxic-ischaemic encephalopathy groups than in the control group during the first analysis, and myocardial performance index greater than or equal to 0.5 can be used in order to distinguish moderate and severe hypoxic-ischaemic encephalopathy babies according to Sarnat grades as a discriminative additive criterion.en_US
dc.identifier.doi10.1017/S104795111200011X
dc.identifier.endpage340en_US
dc.identifier.issn1047-9511
dc.identifier.issn1467-1107
dc.identifier.issue3en_US
dc.identifier.pmid22325593en_US
dc.identifier.scopus2-s2.0-84866757515en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage335en_US
dc.identifier.urihttps://doi.org/10.1017/S104795111200011X
dc.identifier.urihttps://hdl.handle.net/20.500.12452/12710
dc.identifier.volume22en_US
dc.identifier.wosWOS:000304794300013en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherCambridge Univ Pressen_US
dc.relation.ispartofCardiology In The Youngen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectSarnat Gradesen_US
dc.subjectNewbornsen_US
dc.subjectPulsed Doppler Echocardiographyen_US
dc.subjectTei Indexen_US
dc.titleIs myocardial performance index useful in differential diagnosis of moderate and severe hypoxic-ischaemic encephalopathy? A serial Doppler echocardiographic evaluationen_US
dc.typeArticleen_US

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