Myocardial dysfunction in newborns with severe birth asphyxia

Authors

  • Shivangi Kachhwaha Postgraduate Resident, Department of Paediatrics, Mahatma Gandhi Memorial Medical College and Maharaja Yashwantrao Hospital, Indore, Madhya Pradesh, India https://orcid.org/0000-0002-9290-3172
  • Anjali Bharani Associate Professor, Department of Paediatrics, Mahatma Gandhi Memorial Medical College and Maharaja Yashwantrao Hospital, Indore, Madhya Pradesh, India https://orcid.org/0000-0002-8071-1368
  • Dharmanshu Chaube Assistant Professor, Department of Paediatrics, Mahatma Gandhi Memorial Medical College and Maharaja Yashwantrao Hospital, Indore, Madhya Pradesh, India https://orcid.org/0000-0001-5386-2358
  • Nirbhay Mehta Professor, Department of Paediatrics, Mahatma Gandhi Memorial Medical College and Maharaja Yashwantrao Hospital, Indore, Madhya Pradesh, India https://orcid.org/0000-0003-4824-4680
  • Puneet Goyal Associate Professor, Department of Medicine, Mahatma Gandhi Memorial Medical College and Maharaja Yashwantrao Hospital, Indore, Madhya Pradesh, India https://orcid.org/0000-0001-8734-3804

DOI:

https://doi.org/10.3126/ajms.v14i9.52647

Keywords:

Hypoxic-ischemic encephalopathy; Cardiac dysfunction; Isoenzyme CPK-MB

Abstract

Background: Severe birth asphyxia is one of the leading causes of mortality and morbidity in developing countries like India. Severe birth asphyxia can result in transient myocardial ischemia, myocardial dysfunction, and cardiac failure.

Aims and Objectives: The current study was undertaken for a better understanding of myocardial dysfunction with the help of serum levels of CPKMB and their correlation with mortality.

Materials and Methods: It was a prospective observational study. We studied 150 newborns with severe birth asphyxia admitted to be SNCU of Maharaja Yashwantrao Hospital Indore from August 2021 to July 2022 after clearance from the Institutional Ethics Committee and informed parental consent.

Results: A total of 150 newborns with severe birth asphyxia were enrolled. Nearly 75% were males, and 25% were females. Most of the mothers (80%) were multigravidas. Antenatal complications were present in 85.33% of cases. Amniotic fluid was meconium stained in 73.33%, and fetal distress was present in 72.70%. CPKMB was deranged in 93%, and the ejection fraction was reduced in 53%. Out of the total 150 cases, 72 died, with levels of CPKMB elevated in 70 cases and ejection fraction reduced in 62 cases.

Conclusion: We conclude that serum CPKMB levels rise early before ejection fraction is reduced and can help us identify myocardial dysfunction early. There is a statistically significant association between CPKMB, ejection fraction, and mortality in babies with severe birth asphyxia. Cardiac-specific enzyme CPKMB helps in the early recognition of myocardial dysfunction, and there is significant correlation with neonatal mortality.

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Published

2023-09-01

How to Cite

Shivangi Kachhwaha, Anjali Bharani, Dharmanshu Chaube, Nirbhay Mehta, & Puneet Goyal. (2023). Myocardial dysfunction in newborns with severe birth asphyxia. Asian Journal of Medical Sciences, 14(9), 213–216. https://doi.org/10.3126/ajms.v14i9.52647

Issue

Vol. 14 No. 9 (2023)

Section

Original Articles

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Copyright (c) 2023 Asian Journal of Medical Sciences

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