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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Main Author: Vasantha H. S. Kumar
Format: Article
Language:English
Published: MDPI AG 2022-11-01
Series:Children
Subjects:
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
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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.
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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