Assessment of Vascular Indices by Abdominal Aortic Ultrasonography in Preterm Neonates with Bronchopulmonary Dysplasia
Preterm infants with bronchopulmonary dysplasia (BPD) frequently encounter systemic hypertension, yet the underlying cause remains elusive. Given the absence of prior investigations concerning the correlation between systemic hypertension and aortic thickness, we undertook this study to assess and j...
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| Veröffentlicht in: | Pediatric cardiology 2024-12, Vol.45 (8), p.1816-1822 |
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| creator | Ghaderian, Mehdi Barekatain, Behzad Sabri, Mohammad Reza Hovsepian, Silva Ahmadi, Alireza Dehghan, Bahar Mahdavi, Chehreh Ramezani Nezhad, Davood Arezoo, Mostafa |
| description | Preterm infants with bronchopulmonary dysplasia (BPD) frequently encounter systemic hypertension, yet the underlying cause remains elusive. Given the absence of prior investigations concerning the correlation between systemic hypertension and aortic thickness, we undertook this study to assess and juxtapose diverse vascular indices amidst preterm neonates with BPD, preterm neonates lacking BPD, and healthy neonates, utilizing abdominal aorta ultrasonography. This cross-sectional study encompassed 20 preterm neonates, 20 preterm neonates with BPD, and 20 healthy neonates, meticulously matched for sex and postnatal age. Comprehensive demographic, anthropometric, and clinical evaluation data were documented. The neonates underwent abdominal aortic ultrasonography for comparative evaluation of aortic wall thickness and vasomotor function across the three groups. The study revealed that neonates with BPD exhibited a notably higher average systolic blood pressure than preterm and term neonates (
P
0.05
). The mean (SD) aortic intima-media thickness (aIMT) for preterm neonates with BPD, preterm neonates, and term neonates were 814 (193.59) μm, 497.50 (172.19) μm, and 574.00 (113.20) μm, correspondingly (
P
|
| doi_str_mv | 10.1007/s00246-023-03295-7 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2863767198</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2863767198</sourcerecordid><originalsourceid>FETCH-LOGICAL-c347t-dd6e23bd177917a2a3df4389da391654af3c76df2829c1c7453cbe8109bbf0783</originalsourceid><addsrcrecordid>eNp9kE1P3DAQhq0KVJalf4AD8pFLYGxn4_i4hX4gIeih26vl2M5uUGKnnqTV_nsMCz32NNLM874aPYScM7hiAPIaAXhZFcBFAYKrVSE_kAUrBS-YkuyILIBJXkBVihNyivgEADXUq4_kRMhKQT4syJ81okccfJhobOkvg3buTaJ3wXXWI232dN24OHTB9HQd09RZuumnZDCGuE1m3O1pF-iP5CefBvrgYzBTzv3tph39nGKwuzjO_ZDXaU9v9zj2BjtzRo5b06P_9DaXZPP1y8-b78X947e7m_V9YUUpp8K5ynPROCalYtJwI1xbilo5IxSrVqVphZWVa3nNlWVWlithG18zUE3TgqzFklweescUf88eJz10aH3fm-DjjJrXVXYhmXpB-QG1KSIm3-oxdUP-WjPQL771wbfOvvWrby1z6OKtf24G7_5F3gVnQBwAzKew9Uk_xTllmfi_2mdsrI1u</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2863767198</pqid></control><display><type>article</type><title>Assessment of Vascular Indices by Abdominal Aortic Ultrasonography in Preterm Neonates with Bronchopulmonary Dysplasia</title><source>MEDLINE</source><source>Springer Nature - Complete Springer Journals</source><creator>Ghaderian, Mehdi ; Barekatain, Behzad ; Sabri, Mohammad Reza ; Hovsepian, Silva ; Ahmadi, Alireza ; Dehghan, Bahar ; Mahdavi, Chehreh ; Ramezani Nezhad, Davood ; Arezoo, Mostafa</creator><creatorcontrib>Ghaderian, Mehdi ; Barekatain, Behzad ; Sabri, Mohammad Reza ; Hovsepian, Silva ; Ahmadi, Alireza ; Dehghan, Bahar ; Mahdavi, Chehreh ; Ramezani Nezhad, Davood ; Arezoo, Mostafa</creatorcontrib><description>Preterm infants with bronchopulmonary dysplasia (BPD) frequently encounter systemic hypertension, yet the underlying cause remains elusive. Given the absence of prior investigations concerning the correlation between systemic hypertension and aortic thickness, we undertook this study to assess and juxtapose diverse vascular indices amidst preterm neonates with BPD, preterm neonates lacking BPD, and healthy neonates, utilizing abdominal aorta ultrasonography. This cross-sectional study encompassed 20 preterm neonates, 20 preterm neonates with BPD, and 20 healthy neonates, meticulously matched for sex and postnatal age. Comprehensive demographic, anthropometric, and clinical evaluation data were documented. The neonates underwent abdominal aortic ultrasonography for comparative evaluation of aortic wall thickness and vasomotor function across the three groups. The study revealed that neonates with BPD exhibited a notably higher average systolic blood pressure than preterm and term neonates (
P
<
0.05
). Conversely, echocardiographic parameters such as input impedance, and arterial wall stiffness index displayed no substantial variance among the three groups (
P
>
0.05
). The mean (SD) aortic intima-media thickness (aIMT) for preterm neonates with BPD, preterm neonates, and term neonates were 814 (193.59) μm, 497.50 (172.19) μm, and 574.00 (113.20) μm, correspondingly (
P
<
0.05
). Furthermore, the mean (SD) pulsatile diameter for preterm neonates with BPD, preterm neonates, and term neonates were 1.52 (0.81) mm, 0.91 (0.55) mm, and 1.34 (0.51) mm, respectively (
P
<
0.05
). Following adjustment for birth weight, sex, and gestational age at birth, the study identified a noteworthy correlation between aIMT and BPD. The investigation concluded that the mean aortic intima-media thickness (aIMT) was significantly elevated in preterm neonates with BPD, signifying a potential early indicator of atherosclerosis and predisposition to future heightened blood pressure and cardiovascular ailments. Consequently, the study postulates that aIMT could be a consistent and well-tolerated marker for identifying BPD patients at risk of developing these health complications.</description><identifier>ISSN: 0172-0643</identifier><identifier>ISSN: 1432-1971</identifier><identifier>EISSN: 1432-1971</identifier><identifier>DOI: 10.1007/s00246-023-03295-7</identifier><identifier>PMID: 37690064</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Aorta, Abdominal - diagnostic imaging ; Aorta, Abdominal - physiopathology ; Blood Pressure - physiology ; Bronchopulmonary Dysplasia - diagnostic imaging ; Bronchopulmonary Dysplasia - physiopathology ; Cardiac Surgery ; Cardiology ; Case-Control Studies ; Cross-Sectional Studies ; Echocardiography - methods ; Female ; Gestational Age ; Humans ; Infant, Newborn ; Infant, Premature ; Male ; Medicine ; Medicine & Public Health ; Ultrasonography ; Vascular Stiffness - physiology ; Vascular Surgery</subject><ispartof>Pediatric cardiology, 2024-12, Vol.45 (8), p.1816-1822</ispartof><rights>The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2023. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><rights>2023. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c347t-dd6e23bd177917a2a3df4389da391654af3c76df2829c1c7453cbe8109bbf0783</citedby><cites>FETCH-LOGICAL-c347t-dd6e23bd177917a2a3df4389da391654af3c76df2829c1c7453cbe8109bbf0783</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00246-023-03295-7$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00246-023-03295-7$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27903,27904,41467,42536,51298</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37690064$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ghaderian, Mehdi</creatorcontrib><creatorcontrib>Barekatain, Behzad</creatorcontrib><creatorcontrib>Sabri, Mohammad Reza</creatorcontrib><creatorcontrib>Hovsepian, Silva</creatorcontrib><creatorcontrib>Ahmadi, Alireza</creatorcontrib><creatorcontrib>Dehghan, Bahar</creatorcontrib><creatorcontrib>Mahdavi, Chehreh</creatorcontrib><creatorcontrib>Ramezani Nezhad, Davood</creatorcontrib><creatorcontrib>Arezoo, Mostafa</creatorcontrib><title>Assessment of Vascular Indices by Abdominal Aortic Ultrasonography in Preterm Neonates with Bronchopulmonary Dysplasia</title><title>Pediatric cardiology</title><addtitle>Pediatr Cardiol</addtitle><addtitle>Pediatr Cardiol</addtitle><description>Preterm infants with bronchopulmonary dysplasia (BPD) frequently encounter systemic hypertension, yet the underlying cause remains elusive. Given the absence of prior investigations concerning the correlation between systemic hypertension and aortic thickness, we undertook this study to assess and juxtapose diverse vascular indices amidst preterm neonates with BPD, preterm neonates lacking BPD, and healthy neonates, utilizing abdominal aorta ultrasonography. This cross-sectional study encompassed 20 preterm neonates, 20 preterm neonates with BPD, and 20 healthy neonates, meticulously matched for sex and postnatal age. Comprehensive demographic, anthropometric, and clinical evaluation data were documented. The neonates underwent abdominal aortic ultrasonography for comparative evaluation of aortic wall thickness and vasomotor function across the three groups. The study revealed that neonates with BPD exhibited a notably higher average systolic blood pressure than preterm and term neonates (
P
<
0.05
). Conversely, echocardiographic parameters such as input impedance, and arterial wall stiffness index displayed no substantial variance among the three groups (
P
>
0.05
). The mean (SD) aortic intima-media thickness (aIMT) for preterm neonates with BPD, preterm neonates, and term neonates were 814 (193.59) μm, 497.50 (172.19) μm, and 574.00 (113.20) μm, correspondingly (
P
<
0.05
). Furthermore, the mean (SD) pulsatile diameter for preterm neonates with BPD, preterm neonates, and term neonates were 1.52 (0.81) mm, 0.91 (0.55) mm, and 1.34 (0.51) mm, respectively (
P
<
0.05
). Following adjustment for birth weight, sex, and gestational age at birth, the study identified a noteworthy correlation between aIMT and BPD. The investigation concluded that the mean aortic intima-media thickness (aIMT) was significantly elevated in preterm neonates with BPD, signifying a potential early indicator of atherosclerosis and predisposition to future heightened blood pressure and cardiovascular ailments. Consequently, the study postulates that aIMT could be a consistent and well-tolerated marker for identifying BPD patients at risk of developing these health complications.</description><subject>Aorta, Abdominal - diagnostic imaging</subject><subject>Aorta, Abdominal - physiopathology</subject><subject>Blood Pressure - physiology</subject><subject>Bronchopulmonary Dysplasia - diagnostic imaging</subject><subject>Bronchopulmonary Dysplasia - physiopathology</subject><subject>Cardiac Surgery</subject><subject>Cardiology</subject><subject>Case-Control Studies</subject><subject>Cross-Sectional Studies</subject><subject>Echocardiography - methods</subject><subject>Female</subject><subject>Gestational Age</subject><subject>Humans</subject><subject>Infant, Newborn</subject><subject>Infant, Premature</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Ultrasonography</subject><subject>Vascular Stiffness - physiology</subject><subject>Vascular Surgery</subject><issn>0172-0643</issn><issn>1432-1971</issn><issn>1432-1971</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kE1P3DAQhq0KVJalf4AD8pFLYGxn4_i4hX4gIeih26vl2M5uUGKnnqTV_nsMCz32NNLM874aPYScM7hiAPIaAXhZFcBFAYKrVSE_kAUrBS-YkuyILIBJXkBVihNyivgEADXUq4_kRMhKQT4syJ81okccfJhobOkvg3buTaJ3wXXWI232dN24OHTB9HQd09RZuumnZDCGuE1m3O1pF-iP5CefBvrgYzBTzv3tph39nGKwuzjO_ZDXaU9v9zj2BjtzRo5b06P_9DaXZPP1y8-b78X947e7m_V9YUUpp8K5ynPROCalYtJwI1xbilo5IxSrVqVphZWVa3nNlWVWlithG18zUE3TgqzFklweescUf88eJz10aH3fm-DjjJrXVXYhmXpB-QG1KSIm3-oxdUP-WjPQL771wbfOvvWrby1z6OKtf24G7_5F3gVnQBwAzKew9Uk_xTllmfi_2mdsrI1u</recordid><startdate>20241201</startdate><enddate>20241201</enddate><creator>Ghaderian, Mehdi</creator><creator>Barekatain, Behzad</creator><creator>Sabri, Mohammad Reza</creator><creator>Hovsepian, Silva</creator><creator>Ahmadi, Alireza</creator><creator>Dehghan, Bahar</creator><creator>Mahdavi, Chehreh</creator><creator>Ramezani Nezhad, Davood</creator><creator>Arezoo, Mostafa</creator><general>Springer US</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20241201</creationdate><title>Assessment of Vascular Indices by Abdominal Aortic Ultrasonography in Preterm Neonates with Bronchopulmonary Dysplasia</title><author>Ghaderian, Mehdi ; Barekatain, Behzad ; Sabri, Mohammad Reza ; Hovsepian, Silva ; Ahmadi, Alireza ; Dehghan, Bahar ; Mahdavi, Chehreh ; Ramezani Nezhad, Davood ; Arezoo, Mostafa</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c347t-dd6e23bd177917a2a3df4389da391654af3c76df2829c1c7453cbe8109bbf0783</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Aorta, Abdominal - diagnostic imaging</topic><topic>Aorta, Abdominal - physiopathology</topic><topic>Blood Pressure - physiology</topic><topic>Bronchopulmonary Dysplasia - diagnostic imaging</topic><topic>Bronchopulmonary Dysplasia - physiopathology</topic><topic>Cardiac Surgery</topic><topic>Cardiology</topic><topic>Case-Control Studies</topic><topic>Cross-Sectional Studies</topic><topic>Echocardiography - methods</topic><topic>Female</topic><topic>Gestational Age</topic><topic>Humans</topic><topic>Infant, Newborn</topic><topic>Infant, Premature</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Ultrasonography</topic><topic>Vascular Stiffness - physiology</topic><topic>Vascular Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ghaderian, Mehdi</creatorcontrib><creatorcontrib>Barekatain, Behzad</creatorcontrib><creatorcontrib>Sabri, Mohammad Reza</creatorcontrib><creatorcontrib>Hovsepian, Silva</creatorcontrib><creatorcontrib>Ahmadi, Alireza</creatorcontrib><creatorcontrib>Dehghan, Bahar</creatorcontrib><creatorcontrib>Mahdavi, Chehreh</creatorcontrib><creatorcontrib>Ramezani Nezhad, Davood</creatorcontrib><creatorcontrib>Arezoo, Mostafa</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Pediatric cardiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ghaderian, Mehdi</au><au>Barekatain, Behzad</au><au>Sabri, Mohammad Reza</au><au>Hovsepian, Silva</au><au>Ahmadi, Alireza</au><au>Dehghan, Bahar</au><au>Mahdavi, Chehreh</au><au>Ramezani Nezhad, Davood</au><au>Arezoo, Mostafa</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Assessment of Vascular Indices by Abdominal Aortic Ultrasonography in Preterm Neonates with Bronchopulmonary Dysplasia</atitle><jtitle>Pediatric cardiology</jtitle><stitle>Pediatr Cardiol</stitle><addtitle>Pediatr Cardiol</addtitle><date>2024-12-01</date><risdate>2024</risdate><volume>45</volume><issue>8</issue><spage>1816</spage><epage>1822</epage><pages>1816-1822</pages><issn>0172-0643</issn><issn>1432-1971</issn><eissn>1432-1971</eissn><abstract>Preterm infants with bronchopulmonary dysplasia (BPD) frequently encounter systemic hypertension, yet the underlying cause remains elusive. Given the absence of prior investigations concerning the correlation between systemic hypertension and aortic thickness, we undertook this study to assess and juxtapose diverse vascular indices amidst preterm neonates with BPD, preterm neonates lacking BPD, and healthy neonates, utilizing abdominal aorta ultrasonography. This cross-sectional study encompassed 20 preterm neonates, 20 preterm neonates with BPD, and 20 healthy neonates, meticulously matched for sex and postnatal age. Comprehensive demographic, anthropometric, and clinical evaluation data were documented. The neonates underwent abdominal aortic ultrasonography for comparative evaluation of aortic wall thickness and vasomotor function across the three groups. The study revealed that neonates with BPD exhibited a notably higher average systolic blood pressure than preterm and term neonates (
P
<
0.05
). Conversely, echocardiographic parameters such as input impedance, and arterial wall stiffness index displayed no substantial variance among the three groups (
P
>
0.05
). The mean (SD) aortic intima-media thickness (aIMT) for preterm neonates with BPD, preterm neonates, and term neonates were 814 (193.59) μm, 497.50 (172.19) μm, and 574.00 (113.20) μm, correspondingly (
P
<
0.05
). Furthermore, the mean (SD) pulsatile diameter for preterm neonates with BPD, preterm neonates, and term neonates were 1.52 (0.81) mm, 0.91 (0.55) mm, and 1.34 (0.51) mm, respectively (
P
<
0.05
). Following adjustment for birth weight, sex, and gestational age at birth, the study identified a noteworthy correlation between aIMT and BPD. The investigation concluded that the mean aortic intima-media thickness (aIMT) was significantly elevated in preterm neonates with BPD, signifying a potential early indicator of atherosclerosis and predisposition to future heightened blood pressure and cardiovascular ailments. Consequently, the study postulates that aIMT could be a consistent and well-tolerated marker for identifying BPD patients at risk of developing these health complications.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>37690064</pmid><doi>10.1007/s00246-023-03295-7</doi><tpages>7</tpages></addata></record> |
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| subjects | Aorta, Abdominal - diagnostic imaging Aorta, Abdominal - physiopathology Blood Pressure - physiology Bronchopulmonary Dysplasia - diagnostic imaging Bronchopulmonary Dysplasia - physiopathology Cardiac Surgery Cardiology Case-Control Studies Cross-Sectional Studies Echocardiography - methods Female Gestational Age Humans Infant, Newborn Infant, Premature Male Medicine Medicine & Public Health Ultrasonography Vascular Stiffness - physiology Vascular Surgery |
| title | Assessment of Vascular Indices by Abdominal Aortic Ultrasonography in Preterm Neonates with Bronchopulmonary Dysplasia |
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