Evidence map›Paper›PMID 41948700›Full record

ArticleFrontiers in pediatrics2026

Early targeted neonatal echocardiography identifies biventricular dysfunction and pulmonary hypertension associated with death or severe bronchopulmonary dysplasia in infants born before 29 weeks' gestation.

Abdulaziz Homedi, Kamal Ali, Faisal Alamer, Abdulrahman Mandurah, Mohammed Almahdi, Musab Alshareef, Saad Alshreedah, Faisal Alsehli, Tarek Mohamed, Ibrahim Ali

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Article in Frontiers in pediatrics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

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10 authors.

Abdulaziz HomediNeonatal Intensive Care Department, Women's Health Hospital, Ministry of National Guard Health Affairs, Riyadh, Saudi Arabia.
Kamal AliNeonatal Intensive Care Department, Women's Health Hospital, Ministry of National Guard Health Affairs, Riyadh, Saudi Arabia.
Faisal AlamerNeonatal Intensive Care Department, Women's Health Hospital, Ministry of National Guard Health Affairs, Riyadh, Saudi Arabia.
Abdulrahman MandurahNeonatal Intensive Care Department, Women's Health Hospital, Ministry of National Guard Health Affairs, Riyadh, Saudi Arabia.
Mohammed AlmahdiNeonatal Intensive Care Department, Women's Health Hospital, Ministry of National Guard Health Affairs, Riyadh, Saudi Arabia.
Musab AlshareefNeonatal Intensive Care Department, Women's Health Hospital, Ministry of National Guard Health Affairs, Riyadh, Saudi Arabia.
Saad AlshreedahNeonatal Intensive Care Department, Women's Health Hospital, Ministry of National Guard Health Affairs, Riyadh, Saudi Arabia.
Faisal AlsehliNeonatal Intensive Care Department, Women's Health Hospital, Ministry of National Guard Health Affairs, Riyadh, Saudi Arabia.
Tarek MohamedNeonatal Intensive Care Department, Women's Health Hospital, Ministry of National Guard Health Affairs, Riyadh, Saudi Arabia.
Ibrahim AliNeonatal Intensive Care Department, Women's Health Hospital, Ministry of National Guard Health Affairs, Riyadh, Saudi Arabia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Extremely preterm infants are at increased risk of haemodynamic instability during early postnatal transition. The contribution of early biventricular dysfunction and pulmonary hypertension to mortality and severe respiratory morbidity remains incompletely defined. Objectives: To determine whether early targeted neonatal echocardiography (TNE) markers of biventricular function and pulmonary hypertension are associated with death or severe bronchopulmonary dysplasia (BPD) in infants born before 29 weeks' gestation. Methods: We conducted a retrospective cohort study of inborn infants <29 weeks' gestation admitted to a tertiary neonatal intensive care unit between October 2023 and June 2025. All infants underwent standardized TNE within 72 h of birth. Echocardiographic indices of left and right ventricular systolic function, ductal shunt direction, and pulmonary hypertension were compared between survivors and non-survivors, and among survivors with and without severe BPD (Jensen grade 3). The primary outcome was death before 36 weeks' postmenstrual age or severe BPD. Results: Of 122 infants included, 24 (19.7%) died and 33 of 98 survivors (33.7%) developed severe BPD. Survivors demonstrated significantly better biventricular systolic performance and more favourable pulmonary haemodynamics, including higher ventricular outputs, greater tricuspid annular plane systolic excursion, higher pulmonary artery acceleration time-to-right ventricular ejection time ratios, and lower eccentricity indices (all Conclusions: In extremely preterm infants, early TNE markers of biventricular dysfunction and pulmonary hypertension were associated with death and severe respiratory morbidity. These findings suggest that early haemodynamic phenotype may have prognostic relevance and warrant further prospective investigation.

Indexed as

bronchopulmonary dysplasiaextreme prematuritypulmonary hypertensiontargeted neonatal echocardiographyventricular dysfunction

Identifiers

PMID41948700
PMCPMC13050790

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