Cardiovascular Consequences of Bronchopulmonary Dysplasia in Prematurely Born Preschool Children

被引:22
|
作者
Koroglu, Ozge Altun [1 ]
Yalaz, Mehmet [1 ]
Levent, Erturk [2 ]
Akisu, Mete [1 ]
Kultursay, Nilgun [1 ]
机构
[1] Ege Univ, Fac Med, Div Neonatol, Izmir, Turkey
[2] Ege Univ, Fac Med, Dept Pediat, Div Pediat Cardiol, TR-35100 Bornova, Turkey
关键词
Bronchopulmonary dysplasia; Corticosteroids; Echocardiography; Myocardial tissue Doppler; MYOCARDIAL PERFORMANCE INDEX; TISSUE DOPPLER; ECHOCARDIOGRAPHIC ASSESSMENT; PRETERM INFANTS; DISEASE; HYPERTENSION;
D O I
10.1159/000354542
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Background: A limited number of studies have reported various short-term cardiovascular changes in bronchopulmonary dysplasia (BPD) patients in the postsurfactant era. Little is known about the course of these changes in children with BPD. Objectives: It was the aim of this study to investigate cardiovascular consequences of BPD at preschool ages and to find out possible risk factors related to cardiovascular sequelae. Methods: Prematurely born children with (n = 21) and without BPD (n = 20) were evaluated with conventional and myocardial tissue Doppler echocardiography at the age of 2-4 years. Results: BPD patients had a decreased pulmonary artery acceleration time and higher left and right ventricular myocardial performance indexes, consistent with higher pulmonary pressures and impaired biventricular systolic and diastolic functions at preschool ages. Low birth weight, disease severity and postnatal cumulative steroid dose were related to these changes. Conclusion: Negative effects of BPD on global cardiac performances of both ventricles and pulmonary arterial pressure persist up to preschool ages. (C) 2013 S. Karger AG, Basel
引用
收藏
页码:283 / 289
页数:7
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