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Developmental changes in cerebral and visceral blood flow velocity in healthy neonates and infants
Pilvi Ilves1, Mare Lintrop, Inga Talvik
1Radiology Service, Tartu University Hospital, Tartu, Estonia. pilvi.ilves@kliinikum.ee
Insights
Blood flow velocity (BFV) in infant cerebral and visceral arteries significantly increases throughout the first few months of life. Blood pressure influences visceral BFV in the first day, but not cerebral BFV.
Area of Science:
- Neonatal physiology
- Pediatric vascular assessment
Background:
- Understanding normal circulatory development in infants is crucial for identifying potential health issues.
- Doppler blood flow velocity (BFV) measurements provide key insights into vascular function.
Purpose of the Study:
- To evaluate changes in Doppler blood flow velocity (BFV) in cerebral and visceral arteries during infancy.
Main Methods:
- BFV was measured in 37 healthy term neonates.
- Investigated arteries included anterior cerebral artery (ACA), middle cerebral artery (MCA), basilar artery, internal carotid artery (ICA), celiac artery (CA), superior mesenteric artery (SMA), and renal artery (RA).
Main Results:
- BFV increased significantly in cerebral arteries, SMA, and CA within the first 24 hours of life.
- By 21-59 days, mean BFV doubled in all investigated arteries compared to the first 12 hours.
- A positive correlation between blood pressure (BP) and BFV was observed in the renal artery (RA) and SMA during the first day.
Conclusions:
- Cerebral and visceral BFV normally increase significantly throughout infancy.
- Visceral BFV is influenced by BP changes in the early neonatal period.
Objective:
The purpose of this study was to evaluate the changes in Doppler blood flow velocity (BFV) in cerebral and visceral arteries during infancy.
Methods:
The BFV was measured in 37 healthy term neonates in the anterior cerebral artery (ACA), middle cerebral artery (MCA), basilar artery, internal carotid artery (ICA), celiac artery (CA), superior mesenteric artery (SMA), and renal artery (RA).
Results:
The mean BFV increased and the resistive index decreased (P < .05) in all cerebral arteries, SMA, and CA by the age of 12 to 23.9 hours and in the RA by the age of 24 to 35.9 hours compared with 2 to 11.9 hours. A further significant increase (P < .05) of the mean BFV occurred in all arteries except the ICA and CA by the age of 72 to 120 hours compared with 12 to 23.9 hours. By the age of 21 to 59 days, the mean BVF doubled in all investigated arteries compared with 2 to 11.9 hours, with a further significant increase (P < .05) by the age of 150 to 240 days in cerebral and renal arteries. There was no correlation between the mean blood pressure (BP) and mean BFV in the ACA and MCA. However, there was a positive correlation (r > or = 0.5; P < .05) between the BP and BFV in the RA and SMA at the age of 12 to 23.9 hours.
Conclusions:
A significant increase in the cerebral and visceral BFV occurs normally throughout infancy, with the visceral BFV affected by BP changes during the first day of life.
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