Diastolic alterations in infants exposed to intrauterine cocaine: A follow-up study by color kinesis

Sudhir Ken Mehta*, Dennis M. Super, David Connuck, H. Lester Kirchner, Ann Salvator, Lynn Singer, Linda Goetz Fradley, James D. Thomas, Jing Ping Sun

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

2 Scopus citations

Abstract

Background: During the first 48 hours of life, newborn infants exposed to cocaine in utero have left ventricular diastolic segmental abnormalities. It is unknown whether these abnormalities are transient because of short-term effects or persist in older infants, possibly reflecting a teratogenic effect of cocaine. Methods: This study prospectively evaluated global and segmental systolic and diastolic cardiac parameters by color kinesis. The patients were 2-, to 6-month-old infants who were exposed to cocaine in utero (N = 56). Their data were compared with normal control patients with no intrauterine drug exposure (N = 60) and newborns exposed to drugs other than cocaine (N = 72). Results: At the age of 2 to 6 months, there was no significant difference in the measured color kinesis parameters among the cocaine-exposed and the 2 control groups (infants prenatally exposed to other drugs and no drugs). Infants exposed to heavy cocaine prenatally, as compared with the noncocaine-exposed group, had a significant (P = .007) increase in septal fractional area change during left ventricular filling. Conclusions: At 2 to 6 months of age, infants have recovered from initial left ventricular diastolic segmental alterations seen in the first 48 hours of life except for the septal wall in the heavily cocaineexposed group.

Original languageEnglish (US)
Pages (from-to)1361-1366
Number of pages6
JournalJournal of the American Society of Echocardiography
Volume15
Issue number11
DOIs
StatePublished - Nov 1 2002

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

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