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This study aimed to evaluate the effect of melatonin on the left ventricular function in neonates with persistent pulmonary hypertension
Persistent pulmonary hypertension of the newborn (PPHN) is a potentially deadly disorder in which the circulation of the fetus is unable to adjust to the extrauterine environment. Persistently high pulmonary pressures may cause right-to-left shunting, hypoxia, and right ventricular failure.
Melatonin, a neurohormone produced by the pineal gland, offers an exceptional defense against reactive oxygen species (ROS). Infants are unable to synthesize melatonin during their first few weeks of life, which may exacerbate oxidative stress in hypoxic conditions. Additionally, Melatonin's antioxidative capabilities have been shown in neonatal pulmonary and respiratory disorders.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group I | Experimental | Neonates were given Melatonin. |
|
| Group II | Placebo Comparator | Neonates received placebo. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Melatonin | Drug | Neonates were given Melatonin. |
| |
| Placebo |
| Measure | Description | Time Frame |
|---|---|---|
| Left ventricle global longitudinal strain | Left ventricle global longitudinal strain (LV-GLS) was recorded. | Immediately after medication (Up to 1 hour) |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Tanta University | Tanta | El-Gharbia | 31527 | Egypt |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 41954764 | Derived | Nofal SM, El-Mashad AM, Elmesiry AM, Abouelenain AM, Awny MM. Melatonin effects on the left ventricular function in neonates with persistent pulmonary hypertension. Eur J Pediatr. 2026 Apr 9;185(5):247. doi: 10.1007/s00431-026-06864-z. |
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The data will be available upon a reasonable request from the corresponding author after the end of study for one year.
After the end of study for one year.
The data will be available upon a reasonable request from the corresponding author.
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| ID | Term |
|---|---|
| D008550 | Melatonin |
| ID | Term |
|---|---|
| D014363 | Tryptamines |
| D007211 | Indoles |
| D006574 | Heterocyclic Compounds, 2-Ring |
| D000072471 | Heterocyclic Compounds, Fused-Ring |
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| Other |
Neonates received placebo. |
|
| D006571 | Heterocyclic Compounds |
| D006728 | Hormones |
| D006730 | Hormones, Hormone Substitutes, and Hormone Antagonists |