Left Ventricle Structure and Function in Young Adults Born Very Preterm and Association with Neonatal Characteristics

Preterm birth increases risk of cardiovascular disease and early death. A body of evidence suggests left ventricle (LV) echocardiographic alterations in children and adults born preterm. We aimed to determine if neonatal characteristics were associated with alterations in LV structure and function i...

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Veröffentlicht in:Journal of clinical medicine 2021-04, Vol.10 (8), p.1760
Hauptverfasser: Flahault, Adrien, Altit, Gabriel, Sonea, Aurélie, Gervais, Anne-Sophie, Mian, Muhammad Oneeb Rehman, Wu, Rong, Desbrousses, Eva, Mai, Ly, Cloutier, Anik, Simoneau, Jessica, Lapointe, Anie, Villeneuve, Andréanne, Garceau, Patrick, White, Michel, Bigras, Jean-Luc, Luu, Thuy Mai, Nuyt, Anne Monique
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container_end_page
container_issue 8
container_start_page 1760
container_title Journal of clinical medicine
container_volume 10
creator Flahault, Adrien
Altit, Gabriel
Sonea, Aurélie
Gervais, Anne-Sophie
Mian, Muhammad Oneeb Rehman
Wu, Rong
Desbrousses, Eva
Mai, Ly
Cloutier, Anik
Simoneau, Jessica
Lapointe, Anie
Villeneuve, Andréanne
Garceau, Patrick
White, Michel
Bigras, Jean-Luc
Luu, Thuy Mai
Nuyt, Anne Monique
description Preterm birth increases risk of cardiovascular disease and early death. A body of evidence suggests left ventricle (LV) echocardiographic alterations in children and adults born preterm. We aimed to determine if neonatal characteristics were associated with alterations in LV structure and function in preterm adults. We evaluated a cohort of 86 young adults born preterm below 30 weeks of gestation, and 85 full-term controls. We determined LV dimensions and function using tissue Doppler imaging, conventional and speckle tracking echocardiography (STE). Adults born preterm had smaller LV dimensions, but these differences did not remain after adjustment for body surface area (BSA), which was smaller in the preterm group. Stroke volume and cardiac output were reduced even after adjustment for BSA. We found a smaller e' wave in the preterm group, but other markers of systolic and diastolic function did not differ. Use of antenatal steroids may be associated with a further reduced cardiac output in those born preterm. Adults born preterm show alterations in markers of LV dimensions and function. Identification of these markers may represent opportunities for early prevention of cardiovascular events in this at-risk population.
doi_str_mv 10.3390/jcm10081760
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source PubMed Central Open Access; MDPI - Multidisciplinary Digital Publishing Institute; EZB-FREE-00999 freely available EZB journals; PubMed Central
subjects Birth weight
Cardiomyocytes
Cardiovascular disease
Clinical medicine
Ejection fraction
Gestational age
Heart rate
Hospitals
Lung diseases
Preeclampsia
Premature birth
Standard deviation
Steroids
Values
Young adults
title Left Ventricle Structure and Function in Young Adults Born Very Preterm and Association with Neonatal Characteristics
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