Neonates with sepsis and cardiovascular dysfunction | ||
| Benha Medical Journal | ||
| Articles in Press, Accepted Manuscript, Available Online from 20 November 2025 PDF (581.56 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/bmfj.2025.415316.2623 | ||
| Authors | ||
| Walaa A. EL. Khayat* 1; Mustafa A. Mustafa2; Eman G. Abdel Rahman3; Omaima M. Abdel Haie4; Eman k. Goda5 | ||
| 1Msc. Pediatric, faculty of medicine Benha University | ||
| 2Professor of Pediatrics Faculty of Medicine - Benha University | ||
| 3Assistant Professor of pediatrics Faculty of Medicine - Benha University | ||
| 4Professor of pediatrics Faculty of Medicine- Benha University | ||
| 5Lecturer of pediatrics Faculty of Medicine- Benha University | ||
| Abstract | ||
| Background: Neonatal sepsis (NS) is a common cause of morbidity and mortality in newborns. Cardiovascular dysfunction (CVD), including biventricular impairment, altered vascular tone, and elevated pulmonary arterial pressure (PAP), is a frequent complication. Aim: To evaluate CVD in neonates with NS admitted to the NICU at Benha University Hospital. Subjects and Methods: This prospective observational research included neonates with NS in the NICU between July 2024 and December 2024, alongside an age- and sex-matched control group. All participants underwent functional echocardiography (f-Echo) for cardiac assessment. Results: In both NS and control groups, 50% were male. Birth weight ranged from 2.2–3.5 kg (mean 2.9 ± 0.3 kg). Thrombocytopenia was observed in 63.3% of NS cases, leukocytosis in 16.7%, and 36.7% exhibited significant neutrophil shift. Echocardiography demonstrated notable CVD in NS patients, which improved significantly following sepsis resolution. Conclusion: NS is associated with marked CVD, detectable and monitorable via f-Echo, highlighting the importance of cardiac evaluation in septic neonates. | ||
| Keywords | ||
| Neonatal sepsis; Targeted neonatal echocardiography; Myocardial dysfunction; inflammatory response syndrome | ||
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