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Pulmonary hypertension in the fetus, the newborn, and the child
Clinics in Perinatology
|March 1, 1987
Insights
Pulmonary hypertension, a condition of high pulmonary vascular resistance, is common in infants and children. This review details its diagnosis and management specifically in the fetus.
Area of Science:
- Pediatric Cardiology
- Neonatology
- Fetal Medicine
Background:
- Pulmonary hypertension (PH) is defined by elevated pulmonary vascular resistance.
- While well-documented in pediatric populations, PH in the fetus is less understood.
- This condition significantly impacts neonatal outcomes.
Purpose of the Study:
- To review the current understanding of pulmonary hypertension in neonates and children.
- To summarize diagnostic approaches for fetal pulmonary hypertension.
- To outline management strategies for fetal pulmonary hypertension.
Main Methods:
- Literature review of pediatric and fetal pulmonary hypertension.
- Analysis of diagnostic criteria and imaging techniques for fetal PH.
- Synthesis of current treatment protocols for neonatal and fetal PH.
Main Results:
- Pulmonary hypertension is a recognized syndrome in infants and children.
- Diagnostic methods for fetal PH are being established.
- Management strategies aim to improve fetal and neonatal outcomes.
Conclusions:
- Pulmonary hypertension requires specific diagnostic and management considerations in the fetal period.
- Further research is needed to fully elucidate fetal PH.
- Early identification and intervention are crucial for affected neonates.
Abstract:
Pulmonary hypertension is a syndrome characterized by high pulmonary vascular resistance. It is a well described entity in newborn infants and children but almost unknown in the fetus. Therefore, this article focuses mainly on the former and then summarize how we diagnose and manage the problem in the fetus.