Long term cardiovascular consequences of chronic lung disease of prematurity.

Abstract:

:Pulmonary arterial (PA) hypertension in preterm infant is an important consequence of chronic lung disease of prematurity (CLD) arising mainly due to impaired alveolar development and dysregulated angiogenesis of the pulmonary circulation. Although PA pressure and resistance in these children normalise by school age, their pulmonary vasculature remains hyper-reactive to hypoxia until early childhood. Furthermore, there is evidence that systemic blood pressure in preterm born children with or without CLD is mildly increased at school age and in young adulthood when compared to term-born children. Arterial stiffness may be increased in CLD survivors due to increased smooth muscle tone of the pre-resistance and resistance vessels rather than the loss of elasticity in the large arteries. This review explores the long term effects of CLD on the pulmonary and systemic circulations along with their clinical correlates and therapeutic approaches.

journal_name

Paediatr Respir Rev

authors

Poon CY,Edwards MO,Kotecha S

doi

10.1016/j.prrv.2012.08.003

subject

Has Abstract

pub_date

2013-12-01 00:00:00

pages

242-9

issue

4

eissn

1526-0542

issn

1526-0550

pii

S1526-0542(12)00066-8

journal_volume

14

pub_type

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