Document Detail


Abnormal circulatory stress responses of preterm graduates.
MedLine Citation:
PMID:  17314692     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Preterm birth and chronic lung disease may increase the risk of hypertension and cardiovascular disease in infancy and adolescence. Here we looked for evidence of early circulatory dysfunction associated with these perinatal complications. We compared infants born at term (n = 12) with those born preterm with an uncomplicated neonatal course (n = 12) or diagnosed with bronchopulmonary dysplasia (BPD) (n = 10). We measured blood pressure (BP) (Finometer), and heart rate (HR) responses to 4 min of breathing 4% CO2 during quiet sleep. Hypercapnia accelerated HR and increased BP of term infants. Preterm infants either (i) had an exaggerated pressor but little or no HR response to CO2 (healthy or mild-moderate BPD) or (ii) had a diminished pressor response and accompanying decrease in HR (severe BPD). Short-term reflex cardiovascular control was consequently altered by premature birth, with potentially more serious aberrations associated with severe BPD. Most anomalies had not resolved by the time infants born preterm reached term age; some may be early signs of emerging long-term cardiovascular dysfunction.
Authors:
Gary Cohen; Hugo Lagercrantz; Miriam Katz-Salamon
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Pediatric research     Volume:  61     ISSN:  0031-3998     ISO Abbreviation:  Pediatr. Res.     Publication Date:  2007 Mar 
Date Detail:
Created Date:  2007-02-22     Completed Date:  2007-04-11     Revised Date:  2008-11-21    
Medline Journal Info:
Nlm Unique ID:  0100714     Medline TA:  Pediatr Res     Country:  United States    
Other Details:
Languages:  eng     Pagination:  329-34     Citation Subset:  IM    
Affiliation:
Department of Women and Child Health, Neonatal Unit, Karolinska Institute, S-171 76 Stockholm, Sweden.
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MeSH Terms
Descriptor/Qualifier:
Age Factors
Blood Pressure
Bronchopulmonary Dysplasia / complications,  physiopathology
Cardiovascular System / physiopathology*
Female
Heart Rate
Humans
Hypercapnia / physiopathology
Infant
Infant, Newborn
Infant, Premature
Male
Stress, Physiological / complications,  physiopathology*

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