Preeclampsia, prematurity and cardiovascular health in adult life

Investigations into how perinatal growth and intrauterine environment may 'programme' risk of later cardiovascular disease have been ongoing for over two decades. One of the more recent outcomes of these studies is the observation that certain pregnancy-related conditions, such as preterm...

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Main Authors: Lewandowski, A, Leeson, C
Format: Journal article
Language:English
Published: Elsevier 2014
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author Lewandowski, A
Leeson, C
author_facet Lewandowski, A
Leeson, C
author_sort Lewandowski, A
collection OXFORD
description Investigations into how perinatal growth and intrauterine environment may 'programme' risk of later cardiovascular disease have been ongoing for over two decades. One of the more recent outcomes of these studies is the observation that certain pregnancy-related conditions, such as preterm birth, have an unusually large impact on the long-term cardiovascular health of the offspring. In the present paper, we review the current literature of how preterm birth affects the long-term cardiovascular structure and function of the offspring, considering three major areas of investigation: firstly, outlining the long-term cardiovascular phenotypic changes in preterm-born individuals; secondly, investigating factors related to preterm birth that may be modifying cardiovascular phenotype, such as preeclampsia, perinatal interventions, and physiological disturbances; and thirdly, the expected clinical relevance of these cardiovascular changes. This review discusses the importance of continued research focused on the mechanistic understanding of these cardiovascular alterations in order to develop specific primary prevention strategies.
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spelling oxford-uuid:4377a787-8bdf-440f-9405-9f90978c2ecc2022-03-26T14:55:30ZPreeclampsia, prematurity and cardiovascular health in adult lifeJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:4377a787-8bdf-440f-9405-9f90978c2eccEnglishSymplectic Elements at OxfordElsevier2014Lewandowski, ALeeson, CInvestigations into how perinatal growth and intrauterine environment may 'programme' risk of later cardiovascular disease have been ongoing for over two decades. One of the more recent outcomes of these studies is the observation that certain pregnancy-related conditions, such as preterm birth, have an unusually large impact on the long-term cardiovascular health of the offspring. In the present paper, we review the current literature of how preterm birth affects the long-term cardiovascular structure and function of the offspring, considering three major areas of investigation: firstly, outlining the long-term cardiovascular phenotypic changes in preterm-born individuals; secondly, investigating factors related to preterm birth that may be modifying cardiovascular phenotype, such as preeclampsia, perinatal interventions, and physiological disturbances; and thirdly, the expected clinical relevance of these cardiovascular changes. This review discusses the importance of continued research focused on the mechanistic understanding of these cardiovascular alterations in order to develop specific primary prevention strategies.
spellingShingle Lewandowski, A
Leeson, C
Preeclampsia, prematurity and cardiovascular health in adult life
title Preeclampsia, prematurity and cardiovascular health in adult life
title_full Preeclampsia, prematurity and cardiovascular health in adult life
title_fullStr Preeclampsia, prematurity and cardiovascular health in adult life
title_full_unstemmed Preeclampsia, prematurity and cardiovascular health in adult life
title_short Preeclampsia, prematurity and cardiovascular health in adult life
title_sort preeclampsia prematurity and cardiovascular health in adult life
work_keys_str_mv AT lewandowskia preeclampsiaprematurityandcardiovascularhealthinadultlife
AT leesonc preeclampsiaprematurityandcardiovascularhealthinadultlife