Dr Yogen Singh is a consultant in Neonatology and Paediatric Cardiology at Cambridge University Hospitals NHS Foundation Trust in the UK - Consultant Neonatologist and with Expertise in Paediatric Cardiology. He is an Associate Lecturer at the School of Clinical Medicine University of Cambridge and also holds an Honorary Consultant position at Great Ormond Street Hospital London. He has special interest in neonatal and paediatric hemodynamics, point of care echocardiography and advanced functional echocardiography imaging. He is passionate about point-of-care-ultrasound (POCUS) / functional echocardiography training for the neonatal and paediatric intensivists so that it can be widely used while making clinical making decisions in emergency situations. He is Chair for ESPNIC Cardiovascular Dynamics (hemodynamics) section and co-chair hair for ESPNIC POCUS working group. He is a member of the steering committee for the European Neonatologist Performed Echocardiography (NPE) working group, who has published European NPE guidelines and 8 reference articles in neonatal cardiology & Hemodynamics. He is the lead author for the “Expert Consensus Statement on Neonatologist Performed Echocardiography (NPE): Training and Accreditation in the UK”. He is an educational, academic and research lead at the Paediatrician with Expertise in Cardiology Special Interest Group (PECSIG) executive committee and also a lead for the accreditation and training at NICHe (Neonatologist with Interest in Cardiology and Hemodynamics) group UK. Yogen is a course director at ‘Cambridge Paediatric and Neonatal Echocardiography Course’ and co-organiser for TINEC (Training in Neonatal Echocardiography & Intensive Care) course in Lausanne (Switzerland). He is well known speaker and regularly invited at major scientific conferences. He has facilitated more than 30 functional echocardiography workshops / courses in the UK, Europe, USA and beyond, and published widely in this field ( https://www.researchgate.net/profile/Yogen_Singh ).

Author Of 7 Presentations

INTRODUCTION TO COURSE, PRESENTATION OF PARTICIPANTS AND FACULTY

Room
Mozart Hall 2
Date
18.06.2019
Session Time
08:00 - 10:30
Duration
10 Minutes

CARDIAC POCUS AND FUNCTIONAL ECHOCARDIOGRAPHY IN NICU

Room
Mozart Hall 2
Date
18.06.2019
Session Time
08:00 - 10:30
Duration
40 Minutes

INTRODUCTION TO COURSE, PRESENTATION OF PARTICIPANTS AND FACULTY

Room
Doppler Hall
Date
18.06.2019
Session Time
08:30 - 10:30
Duration
10 Minutes

USE OF POINT OF CARE ULTRASOUND (POCUS) AT THE BEDSIDE

Room
Doppler Hall
Date
18.06.2019
Session Time
11:00 - 12:30
Duration
30 Minutes

LONG TERM OUTCOMES IN INFANTS DIAGNOSED WITH CHRONIC PULMONARY HYPERTENSION: 10-YEAR RETROSPECTIVE STUDY FROM A SINGLE CENTRE 

Room
Mozart Hall 1
Date
19.06.2019
Session Time
13:40 - 15:10
Duration
7 Minutes

Abstract

Background

Chronic pulmonary hypertension (PH) has been reported to be associated with high morbidity and mortality.

Objectives

1. To understand the pathophysiology of chronic PH in infancy.

2. To study the long-term outcomes in infants diagnosed with PH during infancy.

Methods

A single centre retrospective observational study involving all infants admitted to NICU between 1/1/07 to 1/8/18 and diagnosed with pulmonary hypertension. Data was collected from electronic patient records. Infants with persistent pulmonary hypertension of the newborn were excluded.

Results

A total of 34 infants were diagnosed with PH during this period. The most common association was bronchopulmonary dysplasia (BPD) in 53% cases; details of pathophysiology are summarised in figure 1.

figure 1 - pathophysiology of pulmonary hypertension.jpg

28 infants (82%) received sildenafil, a pulmonary vasodilator, for treatment of PH in this cohort. It was effective (PH resolved or improved) in 57% cases (table 1).

Table 1: Response to sildenafil treatment
Response Total no. patients Non-BPD associated PH BPD associated PH
Resolved 8 (28.5%) 6 (43%) 2 (14%)
Improved 8 (28.5%) 3 (21.5%) 5 (36%)
Stable 3 (11%) 2 (14%) 1 (7%)
No response 9 (32%) 3 (21.5%) 6 (43%)

Overall mortality was 56% (19/34). The long-term outcomes were poorer in PH associated to BPD, with 67% mortality in the BPD group, compared to 44% in the non-BPD group.

Conclusion

Pulmonary hypertension was most commonly associated with BPD when diagnosed during infancy, and in these cases, the risk of mortality is even higher. There is an urgent need of a screening programme for early detection of PH in infants with BPD and study of their outcomes prospectively.

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IN CONGENITAL CARDIAC DEFECTS

Room
Mozart Hall 1
Date
20.06.2019
Session Time
08:00 - 09:00
Duration
20 Minutes

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PULMONARY HYPERTENSION: WHAT'S NEW?

Room
Papageno Hall
Date
20.06.2019
Session Time
17:10 - 18:10
Duration
20 Minutes

Presenter of 6 Presentations

INTRODUCTION TO COURSE, PRESENTATION OF PARTICIPANTS AND FACULTY

Room
Mozart Hall 2
Date
18.06.2019
Session Time
08:00 - 10:30
Duration
10 Minutes

CARDIAC POCUS AND FUNCTIONAL ECHOCARDIOGRAPHY IN NICU

Room
Mozart Hall 2
Date
18.06.2019
Session Time
08:00 - 10:30
Duration
40 Minutes

INTRODUCTION TO COURSE, PRESENTATION OF PARTICIPANTS AND FACULTY

Room
Doppler Hall
Date
18.06.2019
Session Time
08:30 - 10:30
Duration
10 Minutes

USE OF POINT OF CARE ULTRASOUND (POCUS) AT THE BEDSIDE

Room
Doppler Hall
Date
18.06.2019
Session Time
11:00 - 12:30
Duration
30 Minutes

IN CONGENITAL CARDIAC DEFECTS

Room
Mozart Hall 1
Date
20.06.2019
Session Time
08:00 - 09:00
Duration
20 Minutes

Presentation files

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PULMONARY HYPERTENSION: WHAT'S NEW?

Room
Papageno Hall
Date
20.06.2019
Session Time
17:10 - 18:10
Duration
20 Minutes

Moderator of 3 Sessions

SHORT SCIENTIFIC SESSION
Room
Papageno Hall
Date
19.06.2019
Session Time
11:10 - 12:10
EDUCATION SYMPOSIUM
Room
Mozart Hall 1
Date
20.06.2019
Session Time
08:00 - 09:00

Session Webcast

LONG SCIENTIFIC SESSION
Room
Doppler Hall
Date
20.06.2019
Session Time
09:10 - 10:40