Table 3.
Patient | Cardiac Anatomy | Respiratory Comorbidities | Age at Diazoxide Initiation (d) | Age at Echo With PH (d) | Diazoxide dose at PH Diagnosis, mg/kg/d | Echo Criteria for PH | Time from Diazoxide to Echo With PH, d | Age at Diazoxide Discontinuation, d | Age at Repeat Echo, d | PH Resolved |
---|---|---|---|---|---|---|---|---|---|---|
Patients with PH on echo after diazoxide initiation | ||||||||||
1 | Normal | Respiratory failure | 6 | 23 | 16 | RVPE > 1/2 systemic (by TRJV), flattened ventricular septum | 17 | 23 | 71 | Yes |
2 | Large PDA | Respiratory failure, prematurity (26 wk), severe IUGR | Unknown | 65 | 15 | RVPE > 1/2 systemic (by PDA), flattened ventricular septum | Unknown | 62 | 100 | Yes |
3 | Large PDA | Respiratory failure, prematurity (27 wk) | 54 | 83 | 6.25 | Flattened ventricular septum | 29 | 83 | 88 | Yes |
4 | ALCAPA | 4 | 6 | 11.5 | RVPE > 1/2 systemic (by TRJV), flattened ventricular septum | 2 | 7 | NA | Unknown | |
5 | Conoventricular VSD | Respiratory failure, prematurity (30 wk) | 19 | 336 | 15 | flattened ventricular septum | 317 | Unknown | 392 | Unknown |
6 | PDA after ligation | Prematurity (30 wk) | 142 | 145 | 10 | RVPE > 1/2 systemic (by PDA) | 3 | 1607 | NA | Unknown |
7 | PDA after ligation | Prematurity (28 wk) | Unknown | 246 | 10 | flattened ventricular septum | unknown | 168 | NA | Unknown |
Patients with PH on echo before diazoxide initiation | ||||||||||
8 | RCM | Respiratory failure, prematurity (27 wk) | 44 | 6 | Flattened ventricular septum | −38 | 65 | 128 | No | |
9 | Normal | Meconium aspiration, respiratory failure | 6 | 1 | –a | −5 | 239 | NA | Unknown | |
10 | CAVC, small PDA | Respiratory failure, influenza A, chylothorax | 142 | 0 | Flattened ventricular septum | −142 | 150 | 296 | No | |
11 | Large PDA | Respiratory failure | 8 | 5 | Suprasystemic RVPE (by TRJV) | −3 | 11 | 36 | Yes | |
12 | Conoventricular VSD, PDA, RLPV/LLPV stenosis, PAPVC– LUPV to innominate vein, isthmus hypoplasiab | 24 | 8 | Flattened ventricular septum | −16 | 37 | 187 | Yes | ||
13 | Small PDA | Respiratory failure | 1 | 1 | –a | 0 | 31 | 31 | No | |
14 | Pulmonary valve stenosis | OSAc | 12 | 4 | Flattened ventricular septum | −8 | 794 | NA | Unknown |
Abbreviations: ALCAPA, anomalous left coronary artery from the pulmonary artery; CAVC, complete atrioventricular canal; echo, echocardiography; IUGR, intrauterine growth restriction; LLPV, left lower pulmonary vein; LUPV, left upper pulmonary vein; NA, not available; OSA, obstructive sleep apnea; PAPVC, partial anomalous pulmonary venous connection; PDA, patent ductus arteriosus; RCM, restrictive cardiomyopathy; RLPV, right lower pulmonary vein; RVPE, right ventricular pressure estimate; TRJV, tricuspid regurgitant jet velocity; VSD, ventricular septal defect.
Echocardiography performed at outside institution and images unavailable for review.
Trisomy 21.
Beckwith-Wiedemann syndrome.