Evaluation of cardiac function in neonates with unconjugated hyperbilirubinemia

Background: Unconjugated hyperbilirubinemia (UHB) is an important problem encountered during the neonatal period. It may lead to severe cardiac autonomic dysfunction like heart rate variability and myocardial damage. The aim of this study was to evaluate cardiac function in neonates with UHB by echo...

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Main Authors: Amar M. Taksande, Divya Pujari
Format: Article
Language:English
Published: Hygeia Press di Corridori Marinella 2022-03-01
Series:Journal of Pediatric and Neonatal Individualized Medicine
Subjects:
Online Access:https://jpnim.com/index.php/jpnim/article/view/1056
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author Amar M. Taksande
Divya Pujari
author_facet Amar M. Taksande
Divya Pujari
author_sort Amar M. Taksande
collection DOAJ
description Background: Unconjugated hyperbilirubinemia (UHB) is an important problem encountered during the neonatal period. It may lead to severe cardiac autonomic dysfunction like heart rate variability and myocardial damage. The aim of this study was to evaluate cardiac function in neonates with UHB by echocardiography.  Methods: This single-center, prospective, case-control study was conducted on 100 full-term neonates with severe UHB requiring phototherapy and 100 healthy infants as controls. Cardiac function was assessed by echocardiography, tissue Doppler imaging (TDI) and serum cardiac troponin measurements.  Results: There was an increase in heart rate, respiratory rate and blood pressure in cases compared to controls, although the difference was not statistically significant. In addition, there was no statistically significant difference in the left ventricular systolic and diastolic function on echocardiography and TDI. Cardiac troponin level was normal in all the cases.  Conclusion: This study shows that UHB did not affect the cardiac functions of the left ventricle.
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spelling doaj.art-ef496716393b4c06aa8b54cf562c09632022-12-22T00:05:29ZengHygeia Press di Corridori MarinellaJournal of Pediatric and Neonatal Individualized Medicine2281-06922022-03-01111e110103e11010310.7363/1101031075Evaluation of cardiac function in neonates with unconjugated hyperbilirubinemiaAmar M. Taksande0Divya Pujari1Department of Paediatrics, JNMC, DMIMS, Sawangi Meghe, Wardha, Maharashtra, IndiaDepartment of Paediatrics, JNMC, DMIMS, Sawangi Meghe, Wardha, Maharashtra, IndiaBackground: Unconjugated hyperbilirubinemia (UHB) is an important problem encountered during the neonatal period. It may lead to severe cardiac autonomic dysfunction like heart rate variability and myocardial damage. The aim of this study was to evaluate cardiac function in neonates with UHB by echocardiography.  Methods: This single-center, prospective, case-control study was conducted on 100 full-term neonates with severe UHB requiring phototherapy and 100 healthy infants as controls. Cardiac function was assessed by echocardiography, tissue Doppler imaging (TDI) and serum cardiac troponin measurements.  Results: There was an increase in heart rate, respiratory rate and blood pressure in cases compared to controls, although the difference was not statistically significant. In addition, there was no statistically significant difference in the left ventricular systolic and diastolic function on echocardiography and TDI. Cardiac troponin level was normal in all the cases.  Conclusion: This study shows that UHB did not affect the cardiac functions of the left ventricle.https://jpnim.com/index.php/jpnim/article/view/1056hyperbilirubinemianewborncardiac functionsechocardiography
spellingShingle Amar M. Taksande
Divya Pujari
Evaluation of cardiac function in neonates with unconjugated hyperbilirubinemia
Journal of Pediatric and Neonatal Individualized Medicine
hyperbilirubinemia
newborn
cardiac functions
echocardiography
title Evaluation of cardiac function in neonates with unconjugated hyperbilirubinemia
title_full Evaluation of cardiac function in neonates with unconjugated hyperbilirubinemia
title_fullStr Evaluation of cardiac function in neonates with unconjugated hyperbilirubinemia
title_full_unstemmed Evaluation of cardiac function in neonates with unconjugated hyperbilirubinemia
title_short Evaluation of cardiac function in neonates with unconjugated hyperbilirubinemia
title_sort evaluation of cardiac function in neonates with unconjugated hyperbilirubinemia
topic hyperbilirubinemia
newborn
cardiac functions
echocardiography
url https://jpnim.com/index.php/jpnim/article/view/1056
work_keys_str_mv AT amarmtaksande evaluationofcardiacfunctioninneonateswithunconjugatedhyperbilirubinemia
AT divyapujari evaluationofcardiacfunctioninneonateswithunconjugatedhyperbilirubinemia