Dasgupta Soham, Richardson Joan C, Aly Ashraf M, Jain Sunil K
Division of Pediatric Cardiology, Boston Children's Hospital, Harvard University, Boston, Massachusetts, USA.
Division of Neonatology, University of Texas Medical Branch, Galveston, TX, USA.
J Perinatol. 2022 Jan;42(1):19-30. doi: 10.1038/s41372-021-01009-6. Epub 2021 Mar 8.
Echocardiogram (echo) is a commonly used noninvasive modality for the diagnosis of bronchopulmonary dysplasia associated pulmonary hypertension (BPD-PH). Though not considered the gold standard for the diagnosis of BPD-PH, it is an extremely valuable tool in the neonatal and pediatric population, especially when cardiac catheterization is not feasible. In addition to the traditional echo parameters that are used to assess the presence of BPD-PH, much attention has been recently placed on newer bedside echo measures, the so-called functional echo parameters, to aid and assist in the diagnosis. This review article provides a brief introduction to BPD-PH, describes the pitfalls of traditional echo parameters and details the newer echo modalities currently available for the diagnosis of neonatal PH.
超声心动图(echo)是诊断支气管肺发育不良相关肺动脉高压(BPD-PH)常用的非侵入性检查方法。尽管它并非诊断BPD-PH的金标准,但在新生儿和儿科人群中是一种极其有价值的工具,尤其是在无法进行心导管检查时。除了用于评估BPD-PH存在的传统超声心动图参数外,近来人们还十分关注更新的床旁超声心动图测量方法,即所谓的功能性超声心动图参数,以辅助诊断。本文综述简要介绍了BPD-PH,描述了传统超声心动图参数的缺陷,并详细介绍了目前可用于诊断新生儿肺动脉高压的更新的超声心动图检查方法。