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首页> 外文期刊>American Journal of Obstetrics and Gynecology >A fetal cardiovascular score to predict infant hypertension and arterial remodeling in intrauterine growth restriction
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A fetal cardiovascular score to predict infant hypertension and arterial remodeling in intrauterine growth restriction

机译:胎儿心血管评分可预测宫内生长受限的婴儿高血压和动脉重构

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摘要

Intrauterine growth restricted (IUGR) fetuses experience cardiovascular remodeling that persists into infancy and has been related to cardiovascular outcomes in adulthood. Hypertension in infancy has been demonstrated to be a strong risk factor for later cardiovascular disease. Close monitoring together with dietary interventions have shown to improve cardiovascular health in hypertensive children; however, not all IUGR infants show increased blood pressure. We evaluated the potential of fetal echocardiography for predicting hypertension and arterial remodeling in 6-month-old IUGR infants. STUDY DESIGN: One hundred consecutive IUGR and 100 control fetuses were observed into infancy. Fetal assessment included perinatal Doppler imaging, cardiac morphometry, ejection fraction, cardiac output, isovolumic relaxation time (IVRT), tricuspid annular-plane systolic excursion (TAPSE), and tissue Doppler imaging. Infant hypertension and arterial remodeling were defined as mean blood pressure of >95th percentile together with aortic intima-media thickness of >75th percentile at 6 months of age. Odds ratio were obtained for fetal parameters that were associated with infant outcomes.
机译:宫内生长受限(IUGR)胎儿经历了心血管重塑,这种重塑一直持续到婴儿期,并且与成年后的心血管结局有关。婴儿期的高血压已被证明是以后心血管疾病的重要危险因素。密切监测和饮食干预已显示可改善高血压儿童的心血管健康。但是,并非所有IUGR婴儿都显示血压升高。我们评估了胎儿超声心动图预测6个月大IUGR婴儿高血压和动脉重构的潜力。研究设计:观察到连续100例IUGR和100例对照胎儿进入婴儿期。胎儿评估包括围产期多普勒成像,心脏形态测定,射血分数,心输出量,等容舒张时间(IVRT),三尖瓣环平面收缩期偏移(TAPSE)和组织多普勒成像。婴儿高血压和动脉重塑定义为6个月大时的平均血压> 95%,主动脉内膜中层厚度> 75%。获得与婴儿结局相关的胎儿参数的几率。

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