Am J Perinatol 2019; 36(03): 303-310
DOI: 10.1055/s-0038-1667070
Original Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Reference Echocardiographic Measurements in Very Low Birth Weight Preterm Infants

C. Calado
1   Department of Pediatrics, Mercy Hospital for Women, Melbourne, Victoria, Australia
,
C. Collins
1   Department of Pediatrics, Mercy Hospital for Women, Melbourne, Victoria, Australia
,
S. Drew
1   Department of Pediatrics, Mercy Hospital for Women, Melbourne, Victoria, Australia
,
J. Holberton
1   Department of Pediatrics, Mercy Hospital for Women, Melbourne, Victoria, Australia
› Author Affiliations
Further Information

Publication History

19 March 2018

07 June 2018

Publication Date:
06 August 2018 (online)

Abstract

Background Echocardiography is an important technique in neonatal care. The heart of a premature baby is known to be different from that of a term baby, and there is a paucity of literature regarding reference cardiac measurements for this population, especially for the very low birth weight (VLBW) infants.

Objective We aimed to present reference values for echocardiography in VLBW preterm infants.

Study Design This was a retrospective observational study taking place over an 11-year period. We collected data from the reports of echocardiographic examinations performed in a population of preterm infants born with gestational age ≤ 32 weeks and birth weight (BW) ≤ 1,500 g in the first week of life.

Results Our study population included 1,244 preterm infants. We found BW to be an adequate and practical variable to use in relation to the cardiac measurements. We propose reference values for seven cardiac measurements presented in tables for each 100 g weight subgroup.

Conclusion Our study, to the best of our knowledge, has the largest sample of VLBW preterm infants and provides easy-to-use information on cardiac measurements by echocardiography for both pediatric cardiologists and neonatologists.

 
  • References

  • 1 Solinger R, Elbl F, Minhas K. Echocardiography in the normal neonate. Circulation 1973; 47 (01) 108-118
  • 2 Baylen B, Meyer RA, Korfhagen J, Benzing III G, Bubb ME, Kaplan S. Left ventricular performance in the critically ill premature infant with patent ductus arteriosus and pulmonary disease. Circulation 1977; 55 (01) 182-188
  • 3 Lange L, Fabecic-Sabadi V, Bein G. Comparative review of normal echocardiographic values from the premature infant to the adolescent [in German]. Herz 1983; 8 (02) 105-121
  • 4 Reller MD, Meyer RA, Kaplan S. Normal aortic root dimensions in premature infants. J Clin Ultrasound 1983; 11 (04) 203-205
  • 5 Walther FJ, Siassi B, King J, Wu PYK. Echocardiographic measurements in normal preterm and term neonates. Acta Paediatr Scand 1986; 75 (04) 563-568
  • 6 Tan J, Silverman NH, Hoffman JIE, Villegas M, Schmidt KG. Cardiac dimensions determined by cross-sectional echocardiography in the normal human fetus from 18 weeks to term. Am J Cardiol 1992; 70 (18) 1459-1467
  • 7 Skelton R, Gill AB, Parsons JM. Reference ranges for cardiac dimensions and blood flow velocity in preterm infants. Heart 1998; 80 (03) 281-285
  • 8 Zecca E, Romagnoli C, Vento G, De Carolis MP, De Rosa G, Tortorolo G. Left ventricle dimensions in preterm infants during the first month of life. Eur J Pediatr 2001; 160 (04) 227-230
  • 9 Abushaban L, Vel MT, Rathinasamy J, Sharma PN. Normal reference ranges for left ventricular dimensions in preterm infants. Ann Pediatr Cardiol 2014; 7 (03) 180-186
  • 10 Motz R, Schumacher M, Nürnberg J. , et al. Echocardiographic measurements of cardiac dimensions correlate better with body length than with body weight or body surface area. Pediatr Cardiol 2014; 35 (08) 1327-1336
  • 11 Recommendations for Quantification Methods during the Performance of a Pediatric Echocardiogram: A Report from the Pediatric Measurements Writing Group of the American Society of Echocardiography Pediatric and Congenital Heart Disease Council. Available at: http://asecho.org/wordpress/wp-content/uploads/2014/05/2010_Quantification-Methods-Pediatric-Echo1.pdf . Accessed June 2017
  • 12 Silverman N. Quantitative methods to enhance morphological information using M-mode Doppler and cross sectional ultrasound. In: Silverman, ed. Paediatric Echocardiography. London: Williams and Wilkins; 1993: 35-36
  • 13 Haycock GB, Schwartz GJ, Wisotsky DH. Geometric method for measuring body surface area: a height-weight formula validated in infants, children, and adults. J Pediatr 1978; 93 (01) 62-66
  • 14 Brion L, Fleischman AR, Schwartz GJ. Evaluation of four length-weight formulas for estimating body surface area in newborn infants. J Pediatr 1985; 107 (05) 801-803
  • 15 Kervancioglu P, Kervancioglu M, Tuncer MC, Hatipoglu ES. Left ventricular mass in normal children and its correlation with weight, height and body surface area. Int J Morphol 2011; 29 (03) 982-987