The Preterm Heart and Elevated Blood Pressure

Autor: Mohamed, A, Marciniak, M, Williamson, W, Huckstep, O, Lapidaire, W, McCance, A, Neubauer, S, Leeson, C, Lewandowski, AJ
Jazyk: angličtina
Rok vydání: 2021
Popis: Importance: Preterm-born individuals have higher blood pressure with an increased risk of hypertension by young adulthood, as well as potentially adverse cardiac remodeling, even when normotensive. To what extent blood pressure elevation impacts left ventricular (LV) structure and function in adults born preterm is currently unknown. Objective: To investigate whether changes observed in LV structure and function in pretermborn adults make them more susceptible to cardiac remodeling in relation to blood pressure elevation. Design, Setting, and Participants: This cross-sectional cohort study included 468 adults aged 18 to 40 years. Of these, 200 were born preterm ( Main Outcomes and Measures: CMR measures of LV structure and function in response to systolic blood pressure elevation. Results: Normotensive and hypertensive preterm-born adults had higher LV mass index, reduced LV function, and smaller LV volumes compared to both term-born normotensive and hypertensive individuals (P Conclusions: Preterm-born adults have a unique LV structure and function that worsens with systolic blood pressure elevation. Additional primary prevention strategies specifically targeting cardiovascular risk reduction in this population may be warranted.
Databáze: OpenAIRE