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040 _aEG-GiCUC
_beng
_cEG-GiCUC
041 0 _aeng
049 _aDeposite
097 _aPh.D
099 _aCai01.11.28.Ph.D.2019.Ma.A
100 0 _aMarwa Mohamed Yahia Qwema
245 1 0 _aAssessment of myocardial functions and biological markers in newborns with hypoxic-ischemic encephalopathy /
_cMarwa Mohamed Yahia Qwema ; Supervised Iman Ahmed Ehsan Abdelmeguid , Abdelrahmman Ahmed Abdelrazek , Olfat Gameil Shaker
246 1 5 _aتقييم وظائف عضلة القلب و الدلالات البيولوجية فى الاطفال حديثى الولادة المصابين بتلف فى الدماغ الناجم عن نقص الاكسجين الاقفارى و نقص تروية الدماغ
260 _aCairo :
_bMarwa Mohamed Yahia Qwema ,
_c2019
300 _a135 P. :
_bcharts , facsimiles ;
_c25cm
502 _aThesis (Ph.D.) - Cairo University - Faculty of Medicine - Department of Pediatrics
520 _aIntroduction: Neonatal hypoxic ischemic encephalopathy is a major cause of chronic disability in childhood. Myocardial functions are affected by hypoxia. Signs of myocardial dysfunction depend on the severity of the injury. Objectives: the current study is designed to assess myocardial performance of full- term newborns with hypoxic- ischemic encephalopathy using echocardiography and cardiac troponin I and find out the relationship with HIE stages and also to analyze the association of the disease and its clinical stages with nitric oxide synthase(NOS) gene polymorphism. Material and methods: Thirty asphyxiated full-term newborns were consecutively enrolled in this study and another cross-matched twenty normal newborns as control group. All subjects were subjected to echocardiographic assessment of myocardial functions, measurement of serum cTnI and and DNA extraction from whole blood. Results: The systolic and diastolic functions were significantly impaired in the studied patients in comparison with controls(p<0.001). There was significant impairment in systolic functions in stage III HIE cases as regards FS%, EF%, TAPSE and MAPSE(p<0.001, p<0.001, p=0.007 and p=0.003 respectively). Also, there was significant impairment in diastolic function in stage III HIE cases as regard deceleration time(p=0.002)
530 _aIssued also as CD
653 4 _aEchocardiography
653 4 _aHypoxic-ischemic encephalopathy
653 4 _aMyocardial function
700 0 _aAbdelrahmman Ahmed Abdelrazek ,
_eSupervisor
700 0 _aIman Ahmed Ehsan Abdelmeguid ,
_eSupervisor
700 0 _aOlfat Gameil Shaker ,
_eSupervisor
856 _uhttp://172.23.153.220/th.pdf
905 _aNazla
_eRevisor
905 _aShimaa
_eCataloger
942 _2ddc
_cTH
999 _c73989
_d73989