An observation of the immediate outcome of the asphyxiated neonates with myocardial impairment
Md. Abu Sayeed, Dilruba Ibrahim Dipti, Md. Abu Sayed Munsi, Manzoor Hussain
This was an observational prospective experimental study was conducted in Dhaka Shishu Hospital (DSH) from July 2015 to June 2017. Our aim was to Immediate Outcome of the Asphyxiated Neonates with Myocardial Impairment. A total of 75 cases were selected for the study period. The enrolled patients were grouped into HIE Stage-I, HIE Stage-II, and HIE Stage-III. For all patients in each group Level of Cardiac troponin I, ECG changes, and Echocardiographic parameters were observed and recorded. Twenty cases were found to be in HIE Stage-I, twenty-four cases in HIE stage-II and thirty-one Cases in HIE stage-III. Among the neonates with HIE Stage-I, HIE stage-II and HIE stage-III groups with respect to parameters like birth weight, sex, gestational age, crown heel length (CHL), occipital frontal circumference (OFC), maternal age, and antenatal complications. Occurrence of myocardial dysfunction in different stages of HIE. Common cardiac abnormalities seen were Pulmonary hypertension, Tricuspid regurgitation, right atrial and right ventricular dilatations, left atrial and left ventricular dilatations and myocardial dysfunctional. Twenty eight 21(28%) death in myocardial dysfunction group in comparison to non-myocardial dysfunction group only 7(9.33%). Pearson’s Correlation Coefficient (r) test was done to see whether the two methods correlate in diagnosing myocardial dysfunction.