Cardiovascular Morbidities in Adults Born Preterm: Getting to the Heart of the Matter!
Advances in perinatal and neonatal care have led to improved survival of preterm infants into adulthood. However, the shift in focus to long-term health in adults born preterm requires a clear understanding of the impact of prematurity on developing organ systems and the development of adult-oriente...
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Format: | Article |
Language: | English |
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MDPI AG
2022-11-01
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Series: | Children |
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Online Access: | https://www.mdpi.com/2227-9067/9/12/1843 |
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author | Vasantha H. S. Kumar |
author_facet | Vasantha H. S. Kumar |
author_sort | Vasantha H. S. Kumar |
collection | DOAJ |
description | Advances in perinatal and neonatal care have led to improved survival of preterm infants into adulthood. However, the shift in focus to long-term health in adults born preterm requires a clear understanding of the impact of prematurity on developing organ systems and the development of adult-oriented disease. A less well-recognized area of risk for surviving preterm infants is their cardiometabolic health. Epidemiologic evidence has linked preterm birth to the development of systemic hypertension, type 2 diabetes, metabolic syndrome, heart failure, and ischemic heart disease. Of more significant concern is that the risk of cardiometabolic disorders is higher in adults born preterm compared to full-term infants. The interconnected nature of the cardio-pulmonary system means worsening morbidity and mortality in adults born preterm. Addressing the problems of adults born preterm holistically would help promote cardiovascular health, wellness, and quality of life over their lifetime. Recognizing that adults born preterm are a unique subset of the population is a challenge in the current healthcare environment. Addressing issues relevant to adults born preterm in the clinically and research domain, using technology to characterize cardiopulmonary physiology and exercise tolerance, developing screening tools for early diagnosis and treatment, and robust follow-up of these infants with access to longitudinal data would improve both the quality and longevity of life in adults born preterm. |
first_indexed | 2024-03-09T17:11:28Z |
format | Article |
id | doaj.art-6d9ff354f822428d89fa1b5de548f23a |
institution | Directory Open Access Journal |
issn | 2227-9067 |
language | English |
last_indexed | 2024-03-09T17:11:28Z |
publishDate | 2022-11-01 |
publisher | MDPI AG |
record_format | Article |
series | Children |
spelling | doaj.art-6d9ff354f822428d89fa1b5de548f23a2023-11-24T14:00:41ZengMDPI AGChildren2227-90672022-11-01912184310.3390/children9121843Cardiovascular Morbidities in Adults Born Preterm: Getting to the Heart of the Matter!Vasantha H. S. Kumar0Division of Neonatology, Department of Pediatrics, John R Oishei Children’s Hospital, University at Buffalo, 1001 5th Floor Main Street, Buffalo, NY 14203, USAAdvances in perinatal and neonatal care have led to improved survival of preterm infants into adulthood. However, the shift in focus to long-term health in adults born preterm requires a clear understanding of the impact of prematurity on developing organ systems and the development of adult-oriented disease. A less well-recognized area of risk for surviving preterm infants is their cardiometabolic health. Epidemiologic evidence has linked preterm birth to the development of systemic hypertension, type 2 diabetes, metabolic syndrome, heart failure, and ischemic heart disease. Of more significant concern is that the risk of cardiometabolic disorders is higher in adults born preterm compared to full-term infants. The interconnected nature of the cardio-pulmonary system means worsening morbidity and mortality in adults born preterm. Addressing the problems of adults born preterm holistically would help promote cardiovascular health, wellness, and quality of life over their lifetime. Recognizing that adults born preterm are a unique subset of the population is a challenge in the current healthcare environment. Addressing issues relevant to adults born preterm in the clinically and research domain, using technology to characterize cardiopulmonary physiology and exercise tolerance, developing screening tools for early diagnosis and treatment, and robust follow-up of these infants with access to longitudinal data would improve both the quality and longevity of life in adults born preterm.https://www.mdpi.com/2227-9067/9/12/1843adults born pretermhypertensionmetabolic syndromeheart failurediabetesischemic heart disease |
spellingShingle | Vasantha H. S. Kumar Cardiovascular Morbidities in Adults Born Preterm: Getting to the Heart of the Matter! Children adults born preterm hypertension metabolic syndrome heart failure diabetes ischemic heart disease |
title | Cardiovascular Morbidities in Adults Born Preterm: Getting to the Heart of the Matter! |
title_full | Cardiovascular Morbidities in Adults Born Preterm: Getting to the Heart of the Matter! |
title_fullStr | Cardiovascular Morbidities in Adults Born Preterm: Getting to the Heart of the Matter! |
title_full_unstemmed | Cardiovascular Morbidities in Adults Born Preterm: Getting to the Heart of the Matter! |
title_short | Cardiovascular Morbidities in Adults Born Preterm: Getting to the Heart of the Matter! |
title_sort | cardiovascular morbidities in adults born preterm getting to the heart of the matter |
topic | adults born preterm hypertension metabolic syndrome heart failure diabetes ischemic heart disease |
url | https://www.mdpi.com/2227-9067/9/12/1843 |
work_keys_str_mv | AT vasanthahskumar cardiovascularmorbiditiesinadultsbornpretermgettingtotheheartofthematter |