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Early postnatal metabolic profile in neonates with critical CHDs

Published online by Cambridge University Press:  04 October 2022

Osman Guvenc*
Affiliation:
Pediatric Cardiology, Acibadem Universitesi Tip Fakultesi, Istanbul, Turkey
Serdar Beken
Affiliation:
Neonatology, Acibadem Universitesi Tip Fakultesi, Istanbul, Turkey
Saygin Abali
Affiliation:
Pediatric Endocrinology, Acibadem Universitesi Tip Fakultesi, Istanbul, Turkey
Neslihan Yildirim Saral
Affiliation:
Biochemistry, Acibadem Universitesi Tip Fakultesi, Istanbul, Turkey
Gizem Yalcin
Affiliation:
Pediatrics, Acibadem Universitesi Tip Fakultesi, Istanbul, Turkey
Eda Albayrak
Affiliation:
Pediatrics, Acibadem Universitesi Tip Fakultesi, Istanbul, Turkey
Burcu Bulum
Affiliation:
Pediatric Nephrology, Acibadem Universitesi Tip Fakultesi, Istanbul, Turkey
Ozlem Demirelce
Affiliation:
Biochemistry, Acibadem Universitesi Tip Fakultesi, Istanbul, Turkey
Serdar Basgoze
Affiliation:
Cardiovascular Surgery, Acibadem Universitesi Tip Fakultesi, Istanbul, Turkey
Ender Odemis
Affiliation:
Pediatric Cardiology, Koc Universitesi Hastanesi, Istanbul, Turkey
Ersin Erek
Affiliation:
Cardiovascular Surgery, Acibadem Universitesi Tip Fakultesi, Istanbul, Turkey
Mustafa Serteser
Affiliation:
Biochemistry, Acibadem Universitesi Tip Fakultesi, Istanbul, Turkey
Ayse Korkmaz Toygar
Affiliation:
Neonatology, Acibadem Universitesi Tip Fakultesi, Istanbul, Turkey
*
Author for correspondence: Osman Guvenc, Pediatric Cardiology, Acibadem Universitesi Tip Fakultesi, Istanbul, Turkey. E-mail: osmanguvenc1977@gmail.com

Abstract

Background:

Cyanotic CHD is a life-threatening condition that presents with low oxygen saturation in the newborn period. Hypoxemia might cause alterations in the metabolic pathways. In the present study, we aimed to evaluate the early postnatal amino acid and carnitine/acylcarnitine profiles of newborn infants with cyanotic CHD.

Methods:

A single centre case-control study was conducted. Twenty-seven patients with cyanotic CHD and 54 healthy newborn controls were enrolled. As part of the neonatal screening programme, results of amino acid and carnitine/acylcarnitine were recorded and compared between groups.

Results:

Twenty-seven neonates with cyanotic CHD and 54 healthy newborns as controls were enrolled in the study. Cyanotic CHD neonates had higher levels of alanine, phenylalanine, leucine/isoleucine, citrulline, ornithine, C5, C5-OH; but lower levels of C3, C10, C12, C14, C14:1, C16, C16.1, C18, C5-DC, C6-DC, C16-OH, C16:1-OH when compared with the healthy controls.

Conclusion:

This study showed that there are differences between patients with cyanotic CHD and healthy controls in terms of postnatal amino acid and carnitine/acylcarnitine profiles.

Type
Original Article
Copyright
© The Author(s), 2022. Published by Cambridge University Press

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