Echocardiographic Evaluation of Ventricular Function-For the Neonatologist and Pediatric Intensivist.

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Version: Final published version
License: CC BY 4.0
Serval ID
serval:BIB_D0AD5F1F7B41
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Echocardiographic Evaluation of Ventricular Function-For the Neonatologist and Pediatric Intensivist.
Journal
Frontiers in pediatrics
Author(s)
Tissot C., Singh Y., Sekarski N.
ISSN
2296-2360 (Print)
ISSN-L
2296-2360
Publication state
Published
Issued date
2018
Peer-reviewed
Oui
Volume
6
Pages
79
Language
english
Notes
Publication types: Journal Article ; Review
Publication Status: epublish
Abstract
In the neonatal and pediatric intensive care setting, bedside cardiac ultrasound is often used to assess ventricular dimensions and function. Depending upon the underlying disease process, it is necessary to be able to evaluate the systolic and diastolic function of left and or right ventricles. The systolic function of left ventricle is mostly assessed qualitatively on visual inspection "eye-balling" and quantitatively by measuring circumferential fraction shortening or calculating the ejection fraction by Simpson's planimetry. The assessment of left ventricular diastolic function relies essentially on the mitral valve and pulmonary venous Doppler tracings or tissue Doppler evaluation. The right ventricular particular shape and anatomical position does not permit to use the same parameters for measuring systolic function as is used for the LV. Tricuspid annular plane systolic excursion (TAPSE) and S' velocity on tissue Doppler imaging are more often used for quantitative assessment of right ventricle systolic function. Several parameters proposed to assess right ventricle systolic function such as fractional area change, 3D echocardiography, speckle tracking, and strain rate are being researched and normal values for children are being established. Diastolic function of right ventricle is evaluated by tricuspid valve and hepatic venous Doppler tracings or on tissue Doppler evaluation. The normal values for children are pretty similar to adults while normal values for the neonates, especially preterm infants, may differ significantly from adult population. The normal values for most of the parameters used to assess cardiac function in term neonates and children have now been established.

Keywords
bedside cardiac ultrasound, echocardiography, functional echocardiography, intensive care, neonatology, pediatric, point-of-care, ventricular function
Pubmed
Web of science
Open Access
Yes
Create date
26/04/2018 18:25
Last modification date
04/10/2019 9:58
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