Effects of environmental exposures on the cardiovascular system: prenatal period through adolescence

Suzanne M Mone1, Matthew W Gillman, Tracie L Miller

  • 1Division of Pediatric Cardiology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.

Pediatrics
|April 3, 2004
PubMed

Insights

Environmental exposures before and after birth, including drugs and nutritional deficiencies, can cause pediatric and adult cardiovascular anomalies. These exposures impact heart structure, function, and long-term cardiovascular health.

Area of Science:

  • Cardiovascular Science
  • Developmental Biology
  • Environmental Health

Background:

  • Prenatal and postnatal exposures to various agents can induce cardiovascular anomalies.
  • Nutritional deficiencies during the perinatal period are linked to heart defects.
  • Different developmental stages present unique risks for cardiovascular health.

Purpose of the Study:

  • To review the impact of environmental exposures on cardiovascular development and disease.
  • To highlight critical windows of vulnerability from embryonic to adolescent periods.
  • To discuss the long-term cardiovascular consequences of early-life exposures.

Main Methods:

  • Literature review of studies on environmental exposures and cardiovascular anomalies.
  • Analysis of risks associated with different developmental periods (embryonic, fetal, neonatal, childhood, adolescence).
  • Inclusion of disease models to illustrate potential impacts where direct evidence is limited.

Main Results:

  • Congenital malformations are most vulnerable during the embryonic period.
  • Fetal exposures can lead to lifelong coronary heart disease risks.
  • Childhood exposures (chemotherapy, radiation, drugs) increase risks for ventricular dysfunction and other cardiovascular issues.

Conclusions:

  • Early-life environmental exposures significantly influence cardiovascular development and health outcomes.
  • Understanding critical exposure windows is crucial for preventing cardiovascular anomalies.
  • Long-term cardiovascular risks are associated with exposures throughout prenatal and postnatal development.

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