Left ventricular diastolic dysfunction in preterm infants with bronchopulmonary dysplasia.

INTRODUCTION

Echocardiographic algorithm based assessment of diastolic function during neonatal period could help in early identification of left ventricular diastolic dysfunction (LVDD) in infants with bronchopulmonary dysplasia (BPD).

AIM: To screen infants with BPD at 36 weeks postmenstrual age for LVDD.

METHODS

We used conventional Doppler and myocardial deformation parameters suggested in the latest American Society of Echocardiography algorithm to evaluate LV function. Tricuspid-regurgitation velocity, LV shape, LV eccentricity and pulmonary ejection pattern were used to diagnose pulmonary hypertension (PH). The algorithm was then followed using age appropriate cut-off values to identify and grade LVDD.

RESULTS

Scans of 71 control infants and 93 infants with BPD were analysed. We noted PH in 15% infants with BPD and 7% control infants. Grade 2 LVDD was seen in 5% infants with BPD compared to 1.4% control infants.

CONCLUSION

Rate of PH and grade 2 LVDD was significantly higher in infants with moderate to severe BPD.