Echocardiographic parameters predicting spontaneous closure of ductus arteriosus in preterm infants

Minyu He; Zhengchun Yang; Tian Gan; Jing Tang; Suzhen Ran; Kun Zhang

doi:10.3389/fped.2023.1198936

Echocardiographic parameters predicting spontaneous closure of ductus arteriosus in preterm infants

Front Pediatr. 2023 Jun 15:11:1198936. doi: 10.3389/fped.2023.1198936. eCollection 2023.

Authors

Minyu He^{1

2}, Zhengchun Yang^{1

2}, Tian Gan^{1

2}, Jing Tang^{1

2}, Suzhen Ran^{1

2}, Kun Zhang^{1

2}

Affiliations

¹ Department of Ultrasound, Chongqing Health Center for Women and Children, Chongqing, China.
² Department of Ultrasound, Women and Children's Hospital of Chongqing Medical University, Chongqing, China.

Abstract

Objective: To evaluate the value of echocardiographic parameters in predicting early spontaneous closure of ductus arteriosus in premature infants.

Methods: 222 premature infants admitted to the neonatal ward of our hospital were selected, and patent ductus arteriosus was detected by echocardiography 48 h after birth. On the 7th day, whether the ductus arteriosus was closed naturally in this cohort was observed. The infants whose ductus arteriosus were not closed were identified as the PDA group (n = 109), and the other infants were included in the control group (n = 113). The echocardiographic parameters of the two groups of premature infants at 48 h after birth were single-factor statistically and Pearson correlation analyzed, and the parameters with statistically significant differences in single-factor analyzed were selected for multivariate logistic stepwise regression analysis.

Results: The ductus arteriosus shunt velocity and the pressure difference between the descending aorta and the pulmonary artery (ΔPs) in the PDA group were lower than those in the control group (P < 0.05). The pulmonary artery pressure (PASP) in the PDA group was higher than that in the control group (P < 0.05). According to the multivariate logistic stepwise regression analysis, only the maximum shunt velocity of ductus arteriosus was correlated with early spontaneous closure of ductus arteriosus in 48 h first echocardiographic parameters (P = 0.049). The receiver operating characteristic (ROC) curve indicates the optimal critical point of echocardiographic ductus arteriosus shunt velocity in premature infants 48 h after birth was 1.165 m/s.

Conclusion: Echocardiographic parameters are of great value in predicting the early spontaneous closure of ductus arteriosus in premature infants. In particular, the ductus arteriosus shunt velocity is correlated with the early spontaneous closure of ductus arteriosus.

Keywords: congenital heart disease; echocardiography; infant; patent ductus arteriosus; premature.

Grants and funding

This work was supported by Grant number 2019MSXM051 from Chongqing Medical Research Projects of China. This funding source played a key supportive role in the study.