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Erschienen in: Pediatric Cardiology 1/2007

01.02.2007

Usefulness of Indomethacin for Patent Ductus Arteriosus in Full-Term Infants

verfasst von: Takeshi Takami, Hitoshi Yoda, Tadashi Kawakami, Hideshi Yamamura, Toshio Nakanishi, Makoto Nakazawa, Yukito Takei, Tasuku Miyajima, Akinori Hoshika

Erschienen in: Pediatric Cardiology | Ausgabe 1/2007

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Abstract

The aim of this retrospective study was to evaluate the effectiveness of indomethacin therapy for patent ductus arteriosus (PDA) in full-term infants. The patients were 41 full-term infants with a PDA birth weight (BW) ≥2500 g and a gestational age (GA) ≥37 weeks. The echocardiographic evaluation and medical management of PDA in these infants was similar to that for PDA in low-birth-weight infants. Indomethacin (0.2–0.25 mg/kg/dose) was given intravenously at 12–24-hour intervals within 23 days of birth. Of the 41 infants, 12 showed complete closure, and 13 showed improvement of clinical symptoms. These 25 infants were classified as the responder group (61%). The other 16 infants, who did not show improvement in clinical symptoms, were classified as the nonresponder group. Statistical analysis revealed no difference between the two groups regarding GA, BW, Apgar score at 1 minute, minimum diameter of the DA before treatment, the average age at the initiation of treatment, and DA flow pattern. No severe adverse reactions were observed in any infant. Indomethacin therapy appears to be an effective medical treatment option for PDA in full-term symptomatic infants prior to considering surgical treatment.
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Metadaten
Titel
Usefulness of Indomethacin for Patent Ductus Arteriosus in Full-Term Infants
verfasst von
Takeshi Takami
Hitoshi Yoda
Tadashi Kawakami
Hideshi Yamamura
Toshio Nakanishi
Makoto Nakazawa
Yukito Takei
Tasuku Miyajima
Akinori Hoshika
Publikationsdatum
01.02.2007
Erschienen in
Pediatric Cardiology / Ausgabe 1/2007
Print ISSN: 0172-0643
Elektronische ISSN: 1432-1971
DOI
https://doi.org/10.1007/s00246-006-1426-9

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