Summary
Using the echocardiographic technique before and after oxygen inhalation, we observed pulmonary and aortic valves of 30 normal newborns within 24 hrs after birth. Right ventricular pre-ejection period/ right ventricular ejection time ratio (RVPEP/RVET) and left ventricular pre-ejection period/left ventricular ejection time ratio (LVPEP/LVET) were measured from the pulmonary and aortic valve echocardiograms respectively, and then the R/L, i.e. (RVPEP/RVET): (LVPEP/LVET) ratio, was also calculated. According to Riggs’ and Spooner’s equations[3, 4] we calculated the pulmonary arterial diastolic pressure (PADP), the pulmonary arterial resistance (PAR) and pulmonary/systemic resistance ratio (PAR/RS). The findings obtained suggest that the echocardiographic observations on pulmonary and aortic valves, as a method for non-invasive determination of PADP, PAR and PAR/RS ratio, can be used to differentiate functional vasoconstrictive pulmonary hypertension from organic pulmonary hypertension, if the observation of RVPEP/RVET ratio is repeated after inhalation of high concentration of oxygen.
Similar content being viewed by others
References
Minoru Tahara, et al: Hemodynamic determinants of systolic pulmonary valve echogram in experimental pulmonary hypertension. Circulation part II 60(4): I-203, 1979
Meyer RA: Pediatric echocardiography, pp 286–277, Lea & Febiger, Philadelphia, 1977
Riggs T, et al: Assessment of pulmonary vascular bed by echocardiographic right ventricular systolic time intervals. Circulation 57:939, 1978
Spooner EW, et al: Estimation of pulmonary/systemic resistence ratio from echocardiographic systolic time intervals in young patients with congenital or acquired heart disease. Am J Cardiol 42: 810, 1978
Yoshiro Yoshida, et al: Echocardiographic evaluation of pulmonary hypertension by oxygen inhalation method. Tohoku J Exp Med 127:199, 1979
Rudolph AM: Pediatrics, ed 16, ppl35l-1355, Appleton-Century-Crofts, New York, 1977
Saling E: Neue Untersuchungsergebnisse über den Kreislauf des Kindes unmittelbar nach der Geburt. Arch Gynäkol 194:287, 1960
Harris P: The human pulmonary circulation, ed 2, PP134–135, 221–225, Livingstone, Edinburgh, 1977
9(1): 48, 1978
3 (3): 186, 1980
3(2): 122, 1981
Welssler AM et al: The systolic time intervals as a measure of left ventricle performance in man, in Yu PN, Goodwin JF Ed: “Progress in cardiology”, vol 1, p155, Lea & Febiger, Philadelphia, 1972
Hirschfeld S, et al: The echocardiographic assessment of pulmonary artery pressure and pulmonary vascular resistance. Circulation 52:642, 1975
Riggs T, et al: Neonatal circulatory changes: an echocardiograpic study. Pediatrics 59:338, 1977
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Taiqin, T., Shengfu, D. & Qingping, Z. Echocardiographic observation on pulmonary arterial diastolic pressure and resistance before and after oxygen inhalation in 30 newborns. Acta Academiae Medicinae Wuhan 2, 114–119 (1982). https://doi.org/10.1007/BF02908876
Issue Date:
DOI: https://doi.org/10.1007/BF02908876