Table 2.
Part A | Part B | ||||
---|---|---|---|---|---|
Normotension | Hypotension | Hypotension | |||
No Hypotension (n=27) |
Hypotension (all types) (n=18) |
Volume- boluses alone (n=8) |
Catecholamine- responsive (n=6) |
Catecholamine- resistant (n=4) |
|
LVO (ml/kg/min) | 240±58 | 216±79§ | 201±40 | 224±132 | 235±38 |
LVO <150 ml/kg/min (%) | 8 | 17 | 13 | 33 | 0 |
Shortening Fraction ≤25% (%) | 15 | 50* | 63 | 33 | 50 |
MPI | 0.42±0.12 | 0.47±0.21 | 0.47±0.12 | 0.41±0.23 | 0.58±0.30 |
MPI >2z (%) | 11 | 33§ | 25 | 33 | 50 |
LVEDD (cm/kg) | 1.32±0.37 | 1.36±0.31 | 1.42±0.28 | 1.29±0.41 | 1.33±0.25 |
LA/Ao | 1.51±0.34 | 1.44±0.53 | 1.54±0.49 | 1.32±0.33 | 1.39±1.02 |
SVR (mm Hg/L/kg/min) | 167±74 | 187±99 | 202±78 | 216±132 | 110±44** |
Heart Rate (beats/min) | 155±13 | 162±19 | 153±14 | 160±24 | 180±5** |
Stroke Volume (ml/kg) | 1.56±0.42 | 1.34±0.46 | 1.33±0.33 | 1.36±0.72 | 1.31±0.24 |
VCFc (Circ/sec) | 1.24±0.30 | 1.25±0.36 | 1.18±0.39 | 1.33±0.22 | 1.25±0.51 |
Wall Stress (g/cm2) | 31±19 | 29±19 | 41±23 | 20±5 | 17±7§§ |
Cortisol (ng/ml) median (interquartile range) | 24 (10–54) | 42 (10–84) | 60 (22–100) | 51 (33–367) | 8 (2–12)** |
Definitions: Hypotension (all types), all hypotension groups combined (i.e., infants who received volume-resuscitation/boluses alone, catecholamine-responsive infants, and catecholamine-resistant infants).
LVO, left ventricular output; MPI, left ventricular myocardial performance index; MPI >2z, MPI greater than 2 standard deviations above the normative mean; LVEDD, left ventricular end-diastolic diameter; LA/Ao, ratio of left atrium to aortic root dimension; SVR, systemic vascular resistance; VCFc, velocity of circumferential fiber shortening (corrected for heart rate);
Values represent mean ± standard deviation or percent (%);
p-value <0.05,
<0.15: For comparisons between infants with No Hypotension and infants with Hypotension (all types)
p-value <0.05,
<0.15: For comparisons between infants with Catecholamine-resistant hypotension and infants with milder types of Hypotension (Volume-resuscitation/boluses-alone and Catecholamine-responsive infants)