ArticlePediatric cardiology2016
Cardiac Function After the Immediate Transitional Period in Very Preterm Infants Using Speckle Tracking Analysis.
Article in Pediatric cardiology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed, 31 citations in OpenAlex.
- Postnatal evolution of left ventricular rotational mechanics does not differ in extremely preterm infants with adverse short-term neurological outcome.Pediatric research · 2026Article
- Left ventricular diastolic dysfunction in preterm infants with bronchopulmonary dysplasia.Journal of perinatology : official journal of the California Perinatal Association · 2026Article
- Biventricular adaptation after patent ductus arteriosus ligation.Pediatric research · 2026Article
- Cardiac adaptations to patent ductus arteriosus ligation in preterm infants: a speckle-tracking study.Pediatric research · 2026Article
- Patterns of Segmental Strain of the Left Ventricle in Extremely Premature Infants.Pediatric reports · 2025Article
- Echocardiographic Reference Ranges of Non-Invasive Myocardial Work Indices in Newborns.Circulation reports · 2022Article
- Dilated hypertrophy: a distinct pattern of cardiac remodeling in preterm infants.Pediatric research · 2020Observational
- Left Ventricular Diastolic Dysfunction and Diastolic Heart Failure in Preterm Infants.Pediatric cardiology · 2019Observational
- Early diastolic dysfunction and respiratory morbidity in premature infants: an observational study.Journal of perinatology : official journal of the California Perinatal Association · 2018Observational
- Deformation imaging and rotational mechanics in neonates: a guide to image acquisition, measurement, interpretation, and reference values.Pediatric research · 2018Review
- Maturational Patterns of Systolic Ventricular Deformation Mechanics by Two-Dimensional Speckle-Tracking Echocardiography in Preterm Infants over the First Year of Age.Journal of the American Society of Echocardiography : official publication of the American Society of Echocardiography · 2017Article
- Right ventricular performance using myocardial deformation imaging in infants with bronchopulmonary dysplasia.Journal of perinatology : official journal of the California Perinatal Association · 2017Article
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe postnatal period in preterm infants involves multiple physiologic changes starting directly after birth and continuing for days or weeks. To recognize and treat compromise, it is important to measure cardiovascular function. We used a novel technique (speckle tracking echocardiography, STE) to measure cardiac function in this period.
methodsWe obtained cardiac ultrasound images at day 3, 7, 14, 21 and 28 in preterm infants <30-week gestation. Conventional measures included cardiac size, left ventricular stroke volume, atrial volume and the patent ductus arteriosus (PDA). Four chamber images were analyzed with STE, which provided parameters of left ventricular volume, longitudinal deformation and myocardial velocities.
resultsImages of 54 infants (gestational age 23-29 weeks) were analyzed. STE-derived stroke volume correlated well with conventional echocardiography-derived stroke volume, but agreement was suboptimal. Most STE parameters showed good reliability. All volume parameters and systolic and atrial velocities increased over time. Cardiac deformation and early diastolic velocity did not change. A PDA was associated with 33 % increased stroke volume at day 3 up to 98 % at day 28 with a spherically enlarged heart and increased filling pressure.
conclusionSpeckle tracking echocardiography analysis is a feasible and reliable technique that can simultaneously obtain systolic and diastolic volumes, longitudinal deformation and myocardial velocities from one ultrasound window. Preterm hearts maintain cardiac function well during the first weeks of life, even with increased preload as a consequence of a PDA.
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