Archives of Disease in Childhood, Vol 64, 1374-1378, Copyright © 1989 by Archives of Disease in Childhood.

PAPERS

Left ventricular output during postnatal circulatory adaptation in healthy infants born at full term

P Winberg, M Jansson, L Marions and BP Lundell
Department of Paediatrics, Karolinska Institute, Sachs' Children's Hospital, Stockholm, Sweden.

Left ventricular output was measured non-invasively at predefined time intervals from less than 15 minutes to 72 hours after birth in 16 infants who had been born at full term. The blood flow velocity in the ascending aorta was measured by a range gated Doppler technique and multiplied by the cross sectional diameter measured by cross sectional and M mode echocardiography. Left ventricular output remained high in the first two hours, 235-243 ml/min/kg, despite a 10% decrease in heart rate. The fall in heart rate was compensated for by a 15% increase in stroke volume. Between 2 and 24 hours there was a significant fall in mean (SD) left ventricular output to 187 (35) ml/min/kg caused mainly by a reduction in stroke volume. The fall in left ventricle output after two hours may reflect an adaptation to the decreased demand on the left ventricle as the ductus constricts.

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