Department of Pediatrics, Loyola University Medical Center, 2160S 1st Avenue, Maywood, Illinois 60153, USA
Dr. Jonathan K Muraskas is a Pediatrics MD. Neonatology, Obstetrics and Gynecology, Maternal/Fetal Medicine Professor Co-Medical Director, Neonatal ICU in The Loyola Medicine Children's Hospital is located on a secured portion of the fourth floor of Loyola University Medical Center in Chicago, United States.
Research Article
Newborn Liver Functions as an Adjunct Biomarker in Timing Fetal Neurologic Injury
Author(s): Jonathan K Muraskas*, Pele Dina, Bianca Di Chiaro, Brendan M Martin, Sachin C Amin and John C Morrison
Background: We hypothesized that in the presence of an intrapartum hypoxic ischemic insult, redistribution of cardiac output away from the hepatic circulation will result in unique patterns of hepatic dysfunction dependent on the degree and duration of the hypoxic ischemic insult. We evaluated the rise and clearance of Aspartate Aminotransferase (AST) and Alanine Aminotransferase (ALT) in term newborns with three common patterns of hypoxic ischemic encephalopathy as an adjunct biomarker in timing of fetal neurologic injury.
Methods: We identified 230 term newborns with image proven hypoxic ischemic encephalopathy with profound neurologic impairment over a 30 year period from multiple institutions. Eighty four had liver transaminases in the first 72 hours of life to evaluate patterns of rise and clearance.
Results: .. View more»