Research Article
Volume 9 Issue 8 - 2020
Echocardiography of the Right Ventricle in Infancy: Do Early Feeding Practices Make a Difference?
Eman G Amer1, Mohamed S Darwish2, Dina S Mahfouz3 and Azza M Abul Fadl4*
1Lecturer of Pediatrics, Benha Faculty of Medicine, Egypt
2Lecturer of Cardiovascular System, Benha Faculty of Medicine, Egypt
3Resident of Pediatrics, Benha Faculty of Medicine, Egypt
4Professor of Pediatrics, Benha Faculty of Medicine, Egypt
*Corresponding Author: Azza M Abul Fadl, Professor of Pediatrics, Benha Faculty of Medicine, Egypt.
Received: June 13, 2020; Published: July 31, 2020




Abstract

Background: The role of various feeding practices during infancy on the development of the cardiac structures, particularly the right side of the heart is not clearly defined.

Aim: To compare structures and functions of right side of the heart in exclusively breastfed and formula fed babies in the first year of life.

Methods: A cross-sectional study was conducted for 76 healthy infants age 6 to 24 months of life of whom 38 were exclusively breastfed (EBF) and 38 were formula fed (FF) in the first six months of life. The right ventricular functions and dimensions of the chamber were assessed by echocardiography. The measurements included % fractional shortening (%FS), right ventricular velocity time integral (RV-VTI), cardiac output (CO) and tricuspid annular plane systolic excursion (TAPSE), e prime and s prime.

Results: Mean values of %FAC for right side was significantly higher in EBF infants in (51.33, ± SD = 5.20) than in FF infants (49.22 ± 3.75) at P < 0.05. There was a significant increase in mean RV VTI values in EBF infants (17.2 ± 2.73) than FF infants (15.9 ± 1.94) P < 0.01. We noticed significant increase (COP) in EBF infants (5.81 ± 1.01) than FF infants (5.26 ± 1.18). TAPSE was significantly higher in EBF infants (1.56 ± 0.18) than FF infants (1.46 ± 0.20) at P < 0.05. There was no significant difference was identified between male and female infants in both groups.

Conclusion: The findings suggest that early feeding patterns in infancy may influence functions and structures of right side of the heart in infancy. Exclusive breastfeeding supports higher performance and may explain their exhibit higher resilience to cardiac insults later in life.

Keywords: Echocardiography; Right Ventricle; Breastfeeding; Formula Feeding; Cardiac Function; Infancy

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Citation: Azza M Abul Fadl., et al. “Echocardiography of the Right Ventricle in Infancy: Do Early Feeding Practices Make a Difference?”. EC Paediatrics 9.8 (2020): 29-37.

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