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[Hypertension in early school aged children born prematurely with extremely low birth weight]

Maja Koziarz, Dorota Drozdz, Tomasz Drozdz

    Przeglad Lekarski
    |April 5, 2014
    PubMed

    Insights

    Extremely low birth weight (ELBW) infants are at higher risk for developing arterial hypertension (HT) later in childhood. This condition is more prevalent in prematurely born girls, necessitating regular blood pressure monitoring.

    Area of Science:

    • Pediatrics
    • Cardiology
    • Neonatology

    Context:

    • Extremely low birth weight (ELBW) infants face significant health risks.
    • Arterial hypertension (HT) is a potential long-term complication in this vulnerable population.

    Purpose:

    • To investigate the predisposition of ELBW infants to arterial hypertension (HT).
    • To assess HT development in a 7-year follow-up of ELBW children.

    Summary:

    • A cohort of 57 ELBW infants (mean gestational age 27.4 weeks) was compared to 36 full-term controls.
    • Ambulatory Blood Pressure Measurement (ABPM) revealed significantly higher rates of HT (based on mean arterial pressure and BP load) in ELBW children.
    • Preterm infants exhibited higher systolic and diastolic BP loads, heart rate, and were shorter than controls. Girls born with ELBW had higher BP and MAP than boys.

    Impact:

    • ELBW infants are predisposed to developing arterial hypertension later in life.
    • Prematurely born girls show a higher incidence of HT.
    • Early diagnosis and management of HT in ELBW children can mitigate risks of multi-organ complications.
    Abstract

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