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Echocardiographic Evaluation of Ventricular Function—For the Neonatologist and Pediatric Intensivist
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...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Frontiers Media S.A.
2018
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5893826/ https://www.ncbi.nlm.nih.gov/pubmed/29670871 http://dx.doi.org/10.3389/fped.2018.00079 |
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author | Tissot, Cécile Singh, Yogen Sekarski, Nicole |
author_facet | Tissot, Cécile Singh, Yogen Sekarski, Nicole |
author_sort | Tissot, Cécile |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-5893826 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-58938262018-04-18 Echocardiographic Evaluation of Ventricular Function—For the Neonatologist and Pediatric Intensivist Tissot, Cécile Singh, Yogen Sekarski, Nicole Front Pediatr Pediatrics 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. Frontiers Media S.A. 2018-04-04 /pmc/articles/PMC5893826/ /pubmed/29670871 http://dx.doi.org/10.3389/fped.2018.00079 Text en Copyright © 2018 Tissot, Singh and Sekarski. https://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Pediatrics Tissot, Cécile Singh, Yogen Sekarski, Nicole Echocardiographic Evaluation of Ventricular Function—For the Neonatologist and Pediatric Intensivist |
title | Echocardiographic Evaluation of Ventricular Function—For the Neonatologist and Pediatric Intensivist |
title_full | Echocardiographic Evaluation of Ventricular Function—For the Neonatologist and Pediatric Intensivist |
title_fullStr | Echocardiographic Evaluation of Ventricular Function—For the Neonatologist and Pediatric Intensivist |
title_full_unstemmed | Echocardiographic Evaluation of Ventricular Function—For the Neonatologist and Pediatric Intensivist |
title_short | Echocardiographic Evaluation of Ventricular Function—For the Neonatologist and Pediatric Intensivist |
title_sort | echocardiographic evaluation of ventricular function—for the neonatologist and pediatric intensivist |
topic | Pediatrics |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5893826/ https://www.ncbi.nlm.nih.gov/pubmed/29670871 http://dx.doi.org/10.3389/fped.2018.00079 |
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