Application of peripheral perfusion index in the screening of congenital heart disease in neonates
10.3760/cma.j.issn.1673-4912.2022.11.010
- VernacularTitle:外周灌注指数在新生儿先天性心脏病筛查中的应用
- Author:
Wei HUA
1
;
Guoying HUANG
;
Xiaojing HU
Author Information
1. 复旦大学附属儿科医院，上海 201102
- Keywords:
Peripheral perfusion index;
Neonate;
Congenital heart disease;
Screening;
False negative
- From:
Chinese Pediatric Emergency Medicine
2022;29(11):901-906
- CountryChina
- Language:Chinese
-
Abstract:
Congenital heart disease (CHD) is the most common congenital malformations, and critical CHD is one of the main causes of neonatal death and poor prognosis.Early screening and detection of congenital heart disease in newborns is helpful to early intervention and improve prognosis.At present, pulse oximetry alone, pulse oximetry combined with physical examination or pulse oximetry combined with cardiac murmur auscultation in early postnatal screening can detect most of critical CHD, but there are still some false negative results.Peripheral perfusion index (PPI) may have a certain value in finding left ventricular obstructive CHD that can not be found in the current screening methods.Therefore, this review summarized the technical principle and influence factors of PPI, its feasibility and effectiveness in neonatal CHD screening, and the possible threshold of screening, in order to provide a certain basis for PPI screening of neonatal CHD in the future.
