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The effects of preterm birth and its antecedents on the cardiovascular system

Acta obstetricia et gynecologica Scandinavica, 2016-06, Vol.95 (6), p.652-663 [Peer Reviewed Journal]

2016 Nordic Federation of Societies of Obstetrics and Gynecology ;2016 Nordic Federation of Societies of Obstetrics and Gynecology. ;Acta Obstetricia et Gynecologica Scandinavica © 2016 Nordic Federation of Societies of Obstetrics and Gynecology ;ISSN: 0001-6349 ;EISSN: 1600-0412 ;DOI: 10.1111/aogs.12880 ;PMID: 26918772 ;CODEN: AOGSAE

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  • Title:
    The effects of preterm birth and its antecedents on the cardiovascular system
  • Author: Bensley, Jonathan G. ; De Matteo, Robert ; Harding, Richard ; Black, Mary J.
  • Subjects: Adrenal Cortex Hormones ; Animals ; antenatal corticosteroids ; blood vessels ; Cardiovascular System ; Chorioamnionitis ; developmental programming ; Fetal Growth Retardation ; Health risk assessment ; heart ; Humans ; Infant, Newborn ; intra-uterine growth restriction ; Premature Birth ; Preterm birth ; Sheep, Domestic
  • Is Part Of: Acta obstetricia et gynecologica Scandinavica, 2016-06, Vol.95 (6), p.652-663
  • Description: Introduction Preterm birth occurs in approximately 10% of all births worldwide. It prematurely exposes the developing cardiovascular system to the hemodynamic transition that occurs at birth and to the subsequent functional demands of life ex utero. This review describes the current knowledge of the effects of preterm birth, and some of its common antecedents (chorioamnionitis, intra‐uterine growth restriction, and maternal antenatal corticosteroid administration), on the structure of the myocardium. Material and methods A thorough literature search was conducted for articles relating to how preterm birth, and its antecedents, affect development of the heart. Given that sheep are an excellent model for the studies of cardiac development, this review has focused on experimental studies in sheep as well as clinical findings. Results Our review of the literature demonstrates that individuals born preterm are at an increased risk of cardiovascular disease later in life, including increased mean arterial pressure, abnormally shaped and sub‐optimally performing hearts and changes in the vasculature. The review highlights how antenatal corticosteroids, intra‐uterine growth restriction, and exposure to chorioamnionitis also have the potential to impact cardiac growth in the preterm newborn. Conclusions Preterm birth and its common antecedents (antenatal corticosteroids, intra‐uterine growth restriction, and chorioamnionitis) have the potential to adversely impact cardiac structure immediately following birth and in later life.
  • Publisher: United States: Blackwell Publishing Ltd
  • Language: English;French;German
  • Identifier: ISSN: 0001-6349
    EISSN: 1600-0412
    DOI: 10.1111/aogs.12880
    PMID: 26918772
    CODEN: AOGSAE
  • Source: Journals@Ovid Open Access Journal Collection Rolling
    MEDLINE
    Alma/SFX Local Collection
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