FUNCTIONAL ECHOCARDIOGRAPHY IN ASSESSMENT OF THE CARDIOVASCULAR SYSTEM IN PERINATAL ASPHYXIATED TERM NEONATES WITH NON ASPHYXIATED TERM NEONATES

Type of artical: Original Research Article

Section: APGAR score hypoxic ischemic encephalopathy Perinatal asphyxia

Background & objectives: Perinatal asphyxia usually refers to the condition of impaired gas exchange during the first and second stage of labor, that if persist leads to fetal hypoxemia and hypercarbia. This study aimed to compare functional echocardiographic parameters of perinatal asphyxiated term neonates  with non asphyxiated term neonates.

Methods: This study focused on perinatal asphyxia and hypoxic ischemic encephalopathy (HIE). Perinatal asphyxia was diagnosed based on criteria from the NNPD network, with moderate cases showing slow/gasping breathing or an APGAR score of 4 to 6 at 1 minute, and severe cases showing no breathing or an APGAR score of 0-3 at 1 minute. Results: In study group LA is not significant.  Mean Ao is Not statistically significant. LA/Ao Ratio (p value = 0.01), suggestive of left atrial enlargement due to mitral regurgitation associated with birth asphyxia in neonates. LVED Measurements are not statistically significant. LVES statistically significant. EF and FS were significantly affected in the study group. LVMPI and mVCF not influenced by birth asphyxia, statistically insignificant. RVED, RVES, MAPSE and TAPSE are not influenced by birth asphyxia, statistically insignificant. Conclusion: These findings underscore the impact of perinatal asphyxia on cardiac function and highlight the importance of monitoring and intervention in affected neonates.