{"id":1425,"date":"2025-03-20T13:51:34","date_gmt":"2025-03-20T11:51:34","guid":{"rendered":"https:\/\/pediatria-spisanie.eu\/2025\/03\/20\/persistirasht-arterialen-kanal-pri-nedonoseni\/"},"modified":"2025-05-16T12:22:28","modified_gmt":"2025-05-16T09:22:28","slug":"persistirasht-arterialen-kanal-pri-nedonoseni","status":"publish","type":"post","link":"https:\/\/pediatria-spisanie.eu\/en\/2025\/03\/20\/persistirasht-arterialen-kanal-pri-nedonoseni\/","title":{"rendered":"Patent Ductus Arteriosus in Preterm Neonates-Echocardiographic Assessment for Neonatologists"},"content":{"rendered":"\n\n\t\t<div class=\"icon-box featured-box icon-box-left text-left is-small\"  >\n\t\t\t\t\t<div class=\"icon-box-img\" style=\"width: 20px\">\n\t\t\t\t<div class=\"icon\">\n\t\t\t\t\t<div class=\"icon-inner\" >\n\t\t\t\t\t\t<img decoding=\"async\" width=\"48\" height=\"48\" src=\"https:\/\/pediatria-spisanie.eu\/wp-content\/uploads\/2024\/12\/icons8-user-48.png\" class=\"attachment-medium size-medium\" alt=\"\" \/>\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t\t<div class=\"icon-box-text last-reset\">\n\t\t\t\t\t\t\t\t\t\n<h3> T. Aleksandrova1, P. Radulova1, D. Pechilkov2, L. Vakrilova1, B. Slancheva1 <\/h3>\n<p> 1 Neonatology Clinic, Univesity Obsterics and Gynecology Hospital, \u201cMaichin dom\u201d, Sofia\n2  Pediatric Cardiology Clinic, National Heart Hospital, Sofia\n <\/br>\n<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t\n<div class=\"is-divider divider clearfix\" ><\/div>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Abstract<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Echocardiography is considered the \u201egold standard\u201c for diagnosing patent ductus arteriosus (PDA) in neonates. Echocardiography not only confirms or rules out congenital heart defects (CHD), but also provides essential data regarding its hemodynamic effect on pulmonary and systemic circulation.<br>The aim of this article is to highlight the role of echocardiography in assessing the hemodynamic significance of PDA. Emphasis is placed on echocardiographic parameters that may assist neonatologists&nbsp; in determining optimal therapeutic strategies for preterm infants with PDA.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong><em>Key words: <\/em><\/strong><em>patent ductus arteriosus (PDA), echocardiography, haemodynamic significance, preterm infant<\/em><\/p>\n\n\n<div class=\"is-divider divider clearfix\" ><\/div>\n\n\n\t\t<div class=\"wp-block-woocommerce-memberships-member-content\">\n\t\t\t\t\t<div class=\"woocommerce\">\n\t\t\t<div class=\"woocommerce-info wc-memberships-restriction-message wc-memberships-message wc-memberships-content-restricted-message\">\n\t\t\t\tTo access this content, you must purchase <span class=\"wc-memberships-products-grant-access\"><a href=\"https:\/\/pediatria-spisanie.eu\/en\/produkt\/godishen-abonament\/\">\u0413\u043e\u0434\u0438\u0448\u0435\u043d \u0430\u0431\u043e\u043d\u0430\u043c\u0435\u043d\u0442<\/a><\/span>.\t\t    <\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\n\n\n<h2 class=\"wp-block-heading\"><strong>Bibliography<\/strong><\/h2>\n\n\n\n<ol class=\"wp-block-list\">\n<li>1. \u0420\u0430\u0434\u0443\u043b\u043e\u0432\u0430 \u041f, \u0414\u0438\u043c\u0438\u0442\u0440\u043e\u0432\u0430 \u0412, \u0421\u043b\u044a\u043d\u0447\u0435\u0432\u0430 \u0411. \u0414\u0438\u0430\u0433\u043d\u043e\u0441\u0442\u0438\u0447\u043d\u0438 \u0438 \u0442\u0435\u0440\u0430\u043f\u0435\u0432\u0442\u0438\u0447\u043d\u0438 \u0432\u044a\u0437\u043c\u043e\u0436\u043d\u043e\u0441\u0442\u0438 \u043f\u0440\u0438 \u043f\u0440\u0438\u043b\u0430\u0433\u0430\u043d\u0435 \u043d\u0430 \u0443\u043b\u0442\u0440\u0430\u0437\u0432\u0443\u043a \u043f\u0440\u0438 \u043b\u0435\u0433\u043b\u043e\u0442\u043e \u043d\u0430 \u0431\u043e\u043b\u043d\u0438\u044f \u0432 \u043d\u0435\u043e\u043d\u0430\u0442\u043e\u043b\u043e\u0433\u0438\u0447\u043d\u043e \u0438\u043d\u0442\u0435\u043d\u0437\u0438\u0432\u043d\u043e \u043e\u0442\u0434\u0435\u043b\u0435\u043d\u0438\u0435. \u041f\u0435\u0434\u0438\u0430\u0442\u0440\u0438\u044f 2021 (1):16-21.<\/li>\n\n\n\n<li>2. \u0412\u0435\u043b\u0438\u0447\u043a\u043e\u0432\u0430 \u0414. \u0415\u0445\u043e\u043a\u0430\u0440\u0434\u0438\u043e\u0433\u0440\u0430\u0444\u0438\u044f \u0432 \u0434\u0435\u0442\u0441\u043a\u0430\u0442\u0430 \u0432\u044a\u0437\u0440\u0430\u0441\u0442. \u041c\u0435\u0434\u0438\u0446\u0438\u043d\u0430 \u0438 \u0444\u0438\u0437\u043a\u0443\u043b\u0442\u0443\u0440\u0430. \u0421\u043e\u0444\u0438\u044f. 1992; 76-78.<\/li>\n\n\n\n<li>3. Benitz WE. Treatment of persistent ductus arteriosus in preterm infant: time to accept the null hypothesis? J Perinatol. 2010; 30 (4):241-252.<\/li>\n\n\n\n<li>4. Gleason C, Devaskar S. et al. Avery&#8217;s Diseases of the Newborn, 9<sup>th <\/sup>Edition; United States of America; Elsevier 2011; 751-761.<\/li>\n\n\n\n<li>5. Gillam-Krakauer M, Mahajan K. Patient Ductus Arteriosus. Stat Pearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan.<\/li>\n\n\n\n<li>6. Singh Y, Fraisse Al, Erdeve Om, Atasay B. Echocardiographic Diagnosis and Hemodynamic Evaluation of Patent Ductus Arteriosus in Extremely Low Gestational Age Newborn (ELGAN). Front Pediat. 2020 Nov. 19:8:573627.doi:10.3389\/fped.2020.573627<\/li>\n\n\n\n<li>7. Kluckow M, Evans N. Early echocardiographic prediction of symptomatic patent ductus arteriosus in preterm infants undergoing mechanical ventilation. J Pediatr.1995;127:774\u2013779.<\/li>\n\n\n\n<li>8. Polat TB, Celik IH, Erdeve O. Early predictive echocardiographic features of hemodynamically significant patent ductus arteriosus. Pediatr Intr.&nbsp;2016 Jul; 58(7):589-94.doi: 10.1111\/ped.12915.<\/li>\n\n\n\n<li>9. Siassi B, Noori S, Acherman R. Practical Neonatal Echocardiography. United States of America. McGraw-Hill Education 2019; 161-176.<\/li>\n\n\n\n<li>10. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/?term=Abushaban+L&amp;cauthor_id=25298692\">Abushaban<\/a> L,&nbsp;<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/?term=Vel+MT&amp;cauthor_id=25298692\">Thinakar MV<\/a><sup>&nbsp;<\/sup>, Rathinasamy&nbsp; <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/?term=Rathinasamy+J&amp;cauthor_id=25298692\">J et al<\/a>. Normal reference ranges for left ventricular dimension in preterm infants. Ann Pediatr Cardiol.2014 Sep; 7(3):180-6. doi:10.4103\/0974-2069.140832.<\/li>\n\n\n\n<li>11. Singh Y, Chan B, Noori S, Ramanathan R. Narrative Review on Echocardiographic Evaluation of Patent Ductus Arteriosus in Preterm Infants. Journal of Cardiovascular Development and Disease. 2024; 11(7):199. <a href=\"https:\/\/doi.org\/10.3390\/jcdd11070199\">doi.org\/10.3390\/jcdd11070199<\/a><\/li>\n\n\n\n<li>12. MacLaren, HeuchanAM. Patent Ductus Arteriosus: medical treatment and indications for surgical closure, NHSGGC Pediatrics for Health Professionals. 2017 May.<\/li>\n<\/ol>\n\n\n<div class=\"is-divider divider clearfix\" ><\/div>\n\n\n\n<p class=\"wp-block-paragraph\"><strong><strong><em>Address for correspondence:<\/em><\/strong><\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><em>Neonatology Clinic, Univesity Obsterics and<\/em><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><em>Gynecology Hospital, \u201cMaichin dom\u201d &#8211; Sofia<\/em><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><em>2, \u201cZdrave\u201d, Str.\u2002<\/em><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><em>1463, Sofia, Bulgaria<\/em>\u00a0<\/p>\n","protected":false},"excerpt":{"rendered":"<p>T. Aleksandrova1, P. Radulova1, D. Pechilkov2, L. Vakrilova1, B. Slancheva1 |<br \/>\n1 Neonatology Clinic, Univesity Obsterics and Gynecology Hospital, \u201cMaichin dom\u201d, Sofia |<br \/>\n2  Pediatric Cardiology Clinic, National Heart Hospital, Sofia<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_pediatria_doi":"","footnotes":""},"categories":[1301,1319],"tags":[1375,1376,1321,1377,1323,1378,1379,1325,1326,1327,1380,1329,1381],"class_list":["post-1425","post","type-post","status-publish","format-standard","hentry","category-articles","category-issue-1-2025","tag-echocardiography-en","tag-haemodynamic-significance-en","tag-patent-ductus-arteriosus-pda-en","tag-preterm-infant-en","tag-d-pechilkov2-en","tag-ehokardiografiya-en","tag-l-vakrilova1-en","tag-nedonoseno-novorodeno-en","tag-p-radulova1-en","tag-persistirasth-arterialen-kanal-pak-en","tag-persistirasth-arterialen-kanal-pri-nedonoseni-novorodeni-ehokardiografska-diagnostika-za-neonatolozi-en","tag-t-aleksandrova1-en","tag-hemodinamichna-znachimost-en"],"_links":{"self":[{"href":"https:\/\/pediatria-spisanie.eu\/en\/wp-json\/wp\/v2\/posts\/1425","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/pediatria-spisanie.eu\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/pediatria-spisanie.eu\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/pediatria-spisanie.eu\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/pediatria-spisanie.eu\/en\/wp-json\/wp\/v2\/comments?post=1425"}],"version-history":[{"count":2,"href":"https:\/\/pediatria-spisanie.eu\/en\/wp-json\/wp\/v2\/posts\/1425\/revisions"}],"predecessor-version":[{"id":1441,"href":"https:\/\/pediatria-spisanie.eu\/en\/wp-json\/wp\/v2\/posts\/1425\/revisions\/1441"}],"wp:attachment":[{"href":"https:\/\/pediatria-spisanie.eu\/en\/wp-json\/wp\/v2\/media?parent=1425"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/pediatria-spisanie.eu\/en\/wp-json\/wp\/v2\/categories?post=1425"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/pediatria-spisanie.eu\/en\/wp-json\/wp\/v2\/tags?post=1425"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}