Cardiovascular Problems

A question from last year's examination in neonatology ( MCQ ) : " Which congenital heart anomaly causes the highest mortality in first seven days of life?" any ideas? articles? hints where to find the correct answer?

Register in this website: https://www.5starmeded.org/forms/pda4637/ for a free webcast on PDA management (Very intersting)

Dear friends! Yesterday I had a discussion with my colleague about the late appearance of PDA. My opinion was – the reason in most cases is infection. But I couldn’t find any articles or researches about it. Could anybody help me with literature (if I am right, of course)? Thank you, Darya

Hi we recieve frequently newborns of diabetic mother for respireatory distress of various causes. Echographic assessing shows frequently signs of hypertrophic myocardiopathy with a variable alteration of the Left ventricular function. I would like to ask about prescription of Propanolol in this patients (Indication, acess, posology, therapeutic period and contre-indications). Thanks Khaldi ammar Children's Hospital of Tunis PICU

Hi I ask for actual practice in managing circulatory failure in term and near term newborn. It's very intersting for us because there is not clear protocols like infants or children or aults. The two situations where i need to have your opinion are: 1 - a term neonate with severe respiratory failure and neonatal infection. echocardiography shows PPHN. 2 - a term neonate without severe respiratory distress but with intractable septic shock. thanks

Hi all Have anyone heard about using Milrinone for PDA closure in preterm neonates? If so, waht's your policy? Thanks:rolleyes:

Hello! We have term baby with congenital supraventricular tachycardia(no WPW). SVT attacks were associated with poor perfusion and difficult to convert with adenosine. Cardioversion was innefective either. After reversion with amiodarone sinus rhytm was of 80bpm with second degree AV block for about 3 days. Could anybody share the practice of treating SVTs in newborn babies(protocols or internet links), drugs of choice for preventing attacks(our pediatric cardiologist recommends propafenone) etc. Thank you.

Hello Stefan and all the members! I have a question about therapy of PDA. In Russia we have neither ibuprofen nor indomethacin, as official registered medication, up till now. That is why we can’t use them commonly. Generally, if we see the hemodynamicaly significant PDA, after some conservative cure, we close it surgically. I am interested how early we must operate? As example, the patient (1000 g, GA - 28W) was on the NCPAP after birth, than he was intubated. On the 2nd day diameter of the duct was 3,5 mm, La/Ao=1,6; on the 3d day(on HFOV) – diameter- 3,0 mm, LA/Ao=1,8. Should we wait for any age, more suitable for operation, not the first days of life? What is your…

I want to know about the different approaches toward chylothorax. treatments, failures, successes.surgical and pharmacological approaches.

hi all it is the 1st thread for me we have an intereting cae in our unit 14 d old pt (1400 gm) with vsd, asd, ad pda he tolerate full oral feedig now already on lasix and capoten stable general condition, normally thrivig despite of tachycardia what about idomethacin for pda closure now? any one has experience? waiting for reply