Non-invasive measurements of ductus arteriosus flow directly after birth
Objective To assess ductus arteriosus (DA) blood flow directly after birth in healthy term infants after elective caesarean section. Design In healthy term newborns, echocardiography was performed at 2, 5 and 10 min after birth to monitor cardiac output and DA blood flow. Heart rate (HR) was assesse...
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| Veröffentlicht in: | Archives of disease in childhood. Fetal and neonatal edition 2014-09, Vol.99 (5), p.F408-F412 |
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| container_title | Archives of disease in childhood. Fetal and neonatal edition |
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| creator | van Vonderen, Jeroen J te Pas, Arjan B Kolster-Bijdevaate, Clara van Lith, Jan M Blom, Nico A Hooper, Stuart B Roest, Arno A W |
| description | Objective To assess ductus arteriosus (DA) blood flow directly after birth in healthy term infants after elective caesarean section. Design In healthy term newborns, echocardiography was performed at 2, 5 and 10 min after birth to monitor cardiac output and DA blood flow. Heart rate (HR) was assessed using ECG. Setting The delivery rooms of the Leiden University Medical Center. Patients 24 healthy term infants born after a caesarean section were included in this study. Results Mean (SD) HR did not change (158 (18) beats per minute (bpm), 5 min (159 (23) bpm) and 10 min (156 (19) bpm). DA diameter decreased from 5.2 (1.3) mm at 2 min to 4.6 (1.3) mm at 5 min (p=0.01) to (3.9 (1.2) mm) (p=0.01) at 10 min. Right-to-left DA shunting was unaltered (median (IQR) 95 (64–154) mL/kg/min to 90 (56–168) mL/kg/min and 80 (64–120) mL/kg/min, respectively (ns)), whereas left-to-right shunting significantly increased between 2 and 5 min (41 (31–70) mL/kg/min vs 67 (37–102) mL/kg/min (p=0.01)) and increased significantly between 2 and 10 min (93 (67–125)) mL/kg/min (p |
| doi_str_mv | 10.1136/archdischild-2014-306033 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1808615328</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>4019812451</sourcerecordid><originalsourceid>FETCH-LOGICAL-b520t-b6a2097a378e30b1a9cb9c0c53b9cca1d389befd2a7dcf40fd308eb813998d9a3</originalsourceid><addsrcrecordid>eNqNkUuLFDEQgIOsuOvqX5AGEby0VpLO6yiLusKiFz2HyovJ0I816V7Zf2-GGR94cU9VpL5KUfUR0lF4QymXb7H4XcjV7_IYegZ06DlI4PwRuaCD1O1JsLOWc2F6Zow-J09r3QMAVUo9IedsMFJSZi7I9edl7vN8hzXfxW6KWLcSpzivtVtSFza_brXDssaSl9rSNC4_upBL9Ot432Fqhc7lsu6ekccJxxqfn-Il-fbh_der6_7my8dPV-9ueicYrL2TyMAo5EpHDo6i8c548IK34JEGro2LKTBUwacBUuCgo9OUtzWCQX5JXh__vS3L9y3W1U7tEHEccY7LVi3VoCUVnOn_o0JwTqVUtKEv_0H3y1bmtoilSsMgQOgDpY-UL0utJSZ7W_KE5d5SsAcx9m8x9iDGHsW01henAZubYvjd-MtEA16dAKwex1Rw9rn-4bSCgTLVOH7k3LR_-Pif8haqwg</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1780450581</pqid></control><display><type>article</type><title>Non-invasive measurements of ductus arteriosus flow directly after birth</title><source>MEDLINE</source><source>BMJ Journals - NESLi2</source><creator>van Vonderen, Jeroen J ; te Pas, Arjan B ; Kolster-Bijdevaate, Clara ; van Lith, Jan M ; Blom, Nico A ; Hooper, Stuart B ; Roest, Arno A W</creator><creatorcontrib>van Vonderen, Jeroen J ; te Pas, Arjan B ; Kolster-Bijdevaate, Clara ; van Lith, Jan M ; Blom, Nico A ; Hooper, Stuart B ; Roest, Arno A W</creatorcontrib><description>Objective To assess ductus arteriosus (DA) blood flow directly after birth in healthy term infants after elective caesarean section. Design In healthy term newborns, echocardiography was performed at 2, 5 and 10 min after birth to monitor cardiac output and DA blood flow. Heart rate (HR) was assessed using ECG. Setting The delivery rooms of the Leiden University Medical Center. Patients 24 healthy term infants born after a caesarean section were included in this study. Results Mean (SD) HR did not change (158 (18) beats per minute (bpm), 5 min (159 (23) bpm) and 10 min (156 (19) bpm). DA diameter decreased from 5.2 (1.3) mm at 2 min to 4.6 (1.3) mm at 5 min (p=0.01) to (3.9 (1.2) mm) (p=0.01) at 10 min. Right-to-left DA shunting was unaltered (median (IQR) 95 (64–154) mL/kg/min to 90 (56–168) mL/kg/min and 80 (64–120) mL/kg/min, respectively (ns)), whereas left-to-right shunting significantly increased between 2 and 5 min (41 (31–70) mL/kg/min vs 67 (37–102) mL/kg/min (p=0.01)) and increased significantly between 2 and 10 min (93 (67–125)) mL/kg/min (p<0.001). Right-to-left/left-to-right shunting ratio decreased significantly from 2.1 (1.4–3.1) at 2 min to 1.4 (1.0–1.8) at 5 min (p<0.0001) and to 0.9 (0.6–1.1) at 10 min (p<0.0001). Conclusions DA shunting changes swiftly from predominantly right-to-left shunting to predominantly left-to-right shunting at 10 min after birth, reflecting differential changes in pulmonary and systemic vascular resistance.</description><identifier>ISSN: 1359-2998</identifier><identifier>EISSN: 1468-2052</identifier><identifier>DOI: 10.1136/archdischild-2014-306033</identifier><identifier>PMID: 24966129</identifier><language>eng</language><publisher>London: BMJ Publishing Group</publisher><subject>Babies ; Biological and medical sciences ; Cardiac Output - physiology ; Cardiology. Vascular system ; Cesarean Section ; Congenital heart diseases. Malformations of the aorta, pulmonary vessels and vena cava ; Coronary vessels ; Delivery. Postpartum. Lactation ; Ductus Arteriosus - diagnostic imaging ; Ductus Arteriosus - physiology ; Echocardiography, Doppler - methods ; Female ; Fetuses ; Flow velocity ; Gynecology. Andrology. Obstetrics ; Heart ; Heart rate ; Heart Rate - physiology ; Hemodynamics - physiology ; Humans ; Infant, Newborn - physiology ; Infants ; Lungs ; Maternal, fetal and perinatal monitoring ; Medical sciences ; Monitoring, Physiologic - methods ; Perinatal Care - methods ; Postoperative Care - methods ; Pregnancy ; Pulmonary arteries ; Pulmonary Artery - diagnostic imaging ; Pulmonary Artery - physiology ; Studies</subject><ispartof>Archives of disease in childhood. Fetal and neonatal edition, 2014-09, Vol.99 (5), p.F408-F412</ispartof><rights>Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions</rights><rights>2015 INIST-CNRS</rights><rights>Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.</rights><rights>Copyright: 2014 Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b520t-b6a2097a378e30b1a9cb9c0c53b9cca1d389befd2a7dcf40fd308eb813998d9a3</citedby><cites>FETCH-LOGICAL-b520t-b6a2097a378e30b1a9cb9c0c53b9cca1d389befd2a7dcf40fd308eb813998d9a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttp://fn.bmj.com/content/99/5/F408.full.pdf$$EPDF$$P50$$Gbmj$$H</linktopdf><linktohtml>$$Uhttp://fn.bmj.com/content/99/5/F408.full$$EHTML$$P50$$Gbmj$$H</linktohtml><link.rule.ids>114,115,314,780,784,3194,23570,27923,27924,77371,77402</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=28704127$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24966129$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>van Vonderen, Jeroen J</creatorcontrib><creatorcontrib>te Pas, Arjan B</creatorcontrib><creatorcontrib>Kolster-Bijdevaate, Clara</creatorcontrib><creatorcontrib>van Lith, Jan M</creatorcontrib><creatorcontrib>Blom, Nico A</creatorcontrib><creatorcontrib>Hooper, Stuart B</creatorcontrib><creatorcontrib>Roest, Arno A W</creatorcontrib><title>Non-invasive measurements of ductus arteriosus flow directly after birth</title><title>Archives of disease in childhood. Fetal and neonatal edition</title><addtitle>Arch Dis Child Fetal Neonatal Ed</addtitle><description>Objective To assess ductus arteriosus (DA) blood flow directly after birth in healthy term infants after elective caesarean section. Design In healthy term newborns, echocardiography was performed at 2, 5 and 10 min after birth to monitor cardiac output and DA blood flow. Heart rate (HR) was assessed using ECG. Setting The delivery rooms of the Leiden University Medical Center. Patients 24 healthy term infants born after a caesarean section were included in this study. Results Mean (SD) HR did not change (158 (18) beats per minute (bpm), 5 min (159 (23) bpm) and 10 min (156 (19) bpm). DA diameter decreased from 5.2 (1.3) mm at 2 min to 4.6 (1.3) mm at 5 min (p=0.01) to (3.9 (1.2) mm) (p=0.01) at 10 min. Right-to-left DA shunting was unaltered (median (IQR) 95 (64–154) mL/kg/min to 90 (56–168) mL/kg/min and 80 (64–120) mL/kg/min, respectively (ns)), whereas left-to-right shunting significantly increased between 2 and 5 min (41 (31–70) mL/kg/min vs 67 (37–102) mL/kg/min (p=0.01)) and increased significantly between 2 and 10 min (93 (67–125)) mL/kg/min (p<0.001). Right-to-left/left-to-right shunting ratio decreased significantly from 2.1 (1.4–3.1) at 2 min to 1.4 (1.0–1.8) at 5 min (p<0.0001) and to 0.9 (0.6–1.1) at 10 min (p<0.0001). Conclusions DA shunting changes swiftly from predominantly right-to-left shunting to predominantly left-to-right shunting at 10 min after birth, reflecting differential changes in pulmonary and systemic vascular resistance.</description><subject>Babies</subject><subject>Biological and medical sciences</subject><subject>Cardiac Output - physiology</subject><subject>Cardiology. Vascular system</subject><subject>Cesarean Section</subject><subject>Congenital heart diseases. Malformations of the aorta, pulmonary vessels and vena cava</subject><subject>Coronary vessels</subject><subject>Delivery. Postpartum. Lactation</subject><subject>Ductus Arteriosus - diagnostic imaging</subject><subject>Ductus Arteriosus - physiology</subject><subject>Echocardiography, Doppler - methods</subject><subject>Female</subject><subject>Fetuses</subject><subject>Flow velocity</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Heart</subject><subject>Heart rate</subject><subject>Heart Rate - physiology</subject><subject>Hemodynamics - physiology</subject><subject>Humans</subject><subject>Infant, Newborn - physiology</subject><subject>Infants</subject><subject>Lungs</subject><subject>Maternal, fetal and perinatal monitoring</subject><subject>Medical sciences</subject><subject>Monitoring, Physiologic - methods</subject><subject>Perinatal Care - methods</subject><subject>Postoperative Care - methods</subject><subject>Pregnancy</subject><subject>Pulmonary arteries</subject><subject>Pulmonary Artery - diagnostic imaging</subject><subject>Pulmonary Artery - physiology</subject><subject>Studies</subject><issn>1359-2998</issn><issn>1468-2052</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNqNkUuLFDEQgIOsuOvqX5AGEby0VpLO6yiLusKiFz2HyovJ0I816V7Zf2-GGR94cU9VpL5KUfUR0lF4QymXb7H4XcjV7_IYegZ06DlI4PwRuaCD1O1JsLOWc2F6Zow-J09r3QMAVUo9IedsMFJSZi7I9edl7vN8hzXfxW6KWLcSpzivtVtSFza_brXDssaSl9rSNC4_upBL9Ot432Fqhc7lsu6ekccJxxqfn-Il-fbh_der6_7my8dPV-9ueicYrL2TyMAo5EpHDo6i8c548IK34JEGro2LKTBUwacBUuCgo9OUtzWCQX5JXh__vS3L9y3W1U7tEHEccY7LVi3VoCUVnOn_o0JwTqVUtKEv_0H3y1bmtoilSsMgQOgDpY-UL0utJSZ7W_KE5d5SsAcx9m8x9iDGHsW01henAZubYvjd-MtEA16dAKwex1Rw9rn-4bSCgTLVOH7k3LR_-Pif8haqwg</recordid><startdate>20140901</startdate><enddate>20140901</enddate><creator>van Vonderen, Jeroen J</creator><creator>te Pas, Arjan B</creator><creator>Kolster-Bijdevaate, Clara</creator><creator>van Lith, Jan M</creator><creator>Blom, Nico A</creator><creator>Hooper, Stuart B</creator><creator>Roest, Arno A W</creator><general>BMJ Publishing Group</general><general>BMJ Publishing Group LTD</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><scope>7T5</scope><scope>H94</scope></search><sort><creationdate>20140901</creationdate><title>Non-invasive measurements of ductus arteriosus flow directly after birth</title><author>van Vonderen, Jeroen J ; te Pas, Arjan B ; Kolster-Bijdevaate, Clara ; van Lith, Jan M ; Blom, Nico A ; Hooper, Stuart B ; Roest, Arno A W</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b520t-b6a2097a378e30b1a9cb9c0c53b9cca1d389befd2a7dcf40fd308eb813998d9a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Babies</topic><topic>Biological and medical sciences</topic><topic>Cardiac Output - physiology</topic><topic>Cardiology. Vascular system</topic><topic>Cesarean Section</topic><topic>Congenital heart diseases. Malformations of the aorta, pulmonary vessels and vena cava</topic><topic>Coronary vessels</topic><topic>Delivery. Postpartum. Lactation</topic><topic>Ductus Arteriosus - diagnostic imaging</topic><topic>Ductus Arteriosus - physiology</topic><topic>Echocardiography, Doppler - methods</topic><topic>Female</topic><topic>Fetuses</topic><topic>Flow velocity</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>Heart</topic><topic>Heart rate</topic><topic>Heart Rate - physiology</topic><topic>Hemodynamics - physiology</topic><topic>Humans</topic><topic>Infant, Newborn - physiology</topic><topic>Infants</topic><topic>Lungs</topic><topic>Maternal, fetal and perinatal monitoring</topic><topic>Medical sciences</topic><topic>Monitoring, Physiologic - methods</topic><topic>Perinatal Care - methods</topic><topic>Postoperative Care - methods</topic><topic>Pregnancy</topic><topic>Pulmonary arteries</topic><topic>Pulmonary Artery - diagnostic imaging</topic><topic>Pulmonary Artery - physiology</topic><topic>Studies</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>van Vonderen, Jeroen J</creatorcontrib><creatorcontrib>te Pas, Arjan B</creatorcontrib><creatorcontrib>Kolster-Bijdevaate, Clara</creatorcontrib><creatorcontrib>van Lith, Jan M</creatorcontrib><creatorcontrib>Blom, Nico A</creatorcontrib><creatorcontrib>Hooper, Stuart B</creatorcontrib><creatorcontrib>Roest, Arno A W</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest One Sustainability</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>BMJ Journals</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><collection>Immunology Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><jtitle>Archives of disease in childhood. Fetal and neonatal edition</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>van Vonderen, Jeroen J</au><au>te Pas, Arjan B</au><au>Kolster-Bijdevaate, Clara</au><au>van Lith, Jan M</au><au>Blom, Nico A</au><au>Hooper, Stuart B</au><au>Roest, Arno A W</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Non-invasive measurements of ductus arteriosus flow directly after birth</atitle><jtitle>Archives of disease in childhood. Fetal and neonatal edition</jtitle><addtitle>Arch Dis Child Fetal Neonatal Ed</addtitle><date>2014-09-01</date><risdate>2014</risdate><volume>99</volume><issue>5</issue><spage>F408</spage><epage>F412</epage><pages>F408-F412</pages><issn>1359-2998</issn><eissn>1468-2052</eissn><abstract>Objective To assess ductus arteriosus (DA) blood flow directly after birth in healthy term infants after elective caesarean section. Design In healthy term newborns, echocardiography was performed at 2, 5 and 10 min after birth to monitor cardiac output and DA blood flow. Heart rate (HR) was assessed using ECG. Setting The delivery rooms of the Leiden University Medical Center. Patients 24 healthy term infants born after a caesarean section were included in this study. Results Mean (SD) HR did not change (158 (18) beats per minute (bpm), 5 min (159 (23) bpm) and 10 min (156 (19) bpm). DA diameter decreased from 5.2 (1.3) mm at 2 min to 4.6 (1.3) mm at 5 min (p=0.01) to (3.9 (1.2) mm) (p=0.01) at 10 min. Right-to-left DA shunting was unaltered (median (IQR) 95 (64–154) mL/kg/min to 90 (56–168) mL/kg/min and 80 (64–120) mL/kg/min, respectively (ns)), whereas left-to-right shunting significantly increased between 2 and 5 min (41 (31–70) mL/kg/min vs 67 (37–102) mL/kg/min (p=0.01)) and increased significantly between 2 and 10 min (93 (67–125)) mL/kg/min (p<0.001). Right-to-left/left-to-right shunting ratio decreased significantly from 2.1 (1.4–3.1) at 2 min to 1.4 (1.0–1.8) at 5 min (p<0.0001) and to 0.9 (0.6–1.1) at 10 min (p<0.0001). Conclusions DA shunting changes swiftly from predominantly right-to-left shunting to predominantly left-to-right shunting at 10 min after birth, reflecting differential changes in pulmonary and systemic vascular resistance.</abstract><cop>London</cop><pub>BMJ Publishing Group</pub><pmid>24966129</pmid><doi>10.1136/archdischild-2014-306033</doi></addata></record> |
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| subjects | Babies Biological and medical sciences Cardiac Output - physiology Cardiology. Vascular system Cesarean Section Congenital heart diseases. Malformations of the aorta, pulmonary vessels and vena cava Coronary vessels Delivery. Postpartum. Lactation Ductus Arteriosus - diagnostic imaging Ductus Arteriosus - physiology Echocardiography, Doppler - methods Female Fetuses Flow velocity Gynecology. Andrology. Obstetrics Heart Heart rate Heart Rate - physiology Hemodynamics - physiology Humans Infant, Newborn - physiology Infants Lungs Maternal, fetal and perinatal monitoring Medical sciences Monitoring, Physiologic - methods Perinatal Care - methods Postoperative Care - methods Pregnancy Pulmonary arteries Pulmonary Artery - diagnostic imaging Pulmonary Artery - physiology Studies |
| title | Non-invasive measurements of ductus arteriosus flow directly after birth |
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