Circulating Intercellular Adhesion Molecule as a Novel Marker of Pulmonary Hypertension in Newborn
摘要
Background
IntercellularAQ1 adhesion molecules (ICAMs) are released from the endothelium in response toshear stress. Their role in persistent pulmonary hypertension (PPHN) remains un-investigated.
MethodologySixty neonates (30 PPHN, 30 controls) underwent serum ICAM testing and echocardiography.
ResultsRight and left ventricular function was depressed in PPHN cases. Tricuspid annular plane systolicexcursion was reduced (Cases 8±1 vs. Controls 11±3.5). ICAM was elevated in cases (332±96 vs. 208 ±36).
ConclusionICAM is a sensitive PPHN marker. Elevated ICAM may result from endothelial damage or contribute toPPHN pathogenesis. Further studies are needed to confirm these results and explore this relationship.