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Updated: Sep 3, 2025

Measuring the Carotid to Femoral Pulse Wave Velocity Cf-PWV to Evaluate Arterial Stiffness
Published on: May 3, 2018
Arterial stiffness and nocturnal hypertension in preterm children and adolescents
Athanasia Chainoglou1, Kosmas Sarafidis2, Katerina Chrysaidou1
11st Department of Pediatrics, School of Medicine, Faculty of Health Sciences Aristotle University of Thessaloniki, Hippokratio Hospital, Thessaloniki, Greece.
Insights
Children born preterm face higher risks for nocturnal hypertension and arterial stiffness. Early detection of high blood pressure and obesity prevention are crucial for long-term cardiovascular health in these individuals.
Area of Science:
- Pediatric Cardiology
- Vascular Biology
- Public Health
Background:
- Preterm birth is linked to chronic diseases like hypertension in later life.
- Understanding early cardiovascular changes in preterm individuals is vital.
Purpose of the Study:
- To investigate the association of preterm birth with blood pressure and arterial stiffness in children and adolescents.
Main Methods:
- A prospective case-control study involving 52 preterm and 26 full-term children.
- Ambulatory blood pressure monitoring (ABPM) and carotid-femoral pulse wave velocity (PWV) assessment were performed.
Main Results:
- Preterm children showed higher nocturnal systolic blood pressure (SBP) z scores.
- Arterial stiffness (PWV z score) was significantly higher in preterm individuals.
- Nocturnal hypertension was prevalent in 78% of ex-preterm children with ambulatory hypertension.
Conclusions:
- Preterm birth is associated with elevated nocturnal blood pressure and increased arterial stiffness during childhood and adolescence.
- Early hypertension detection and obesity prevention are recommended to mitigate future cardiovascular risks in preterm individuals.
Background And Objectives:
Preterm birth has been associated with increased risk for developing hypertension and other chronic diseases during childhood and adulthood. The aim of the current prospective case-control study was to investigate the associations of preterm birth with ambulatory blood pressure (BP) levels and arterial stiffness during childhood and adolescence.
Methods:
The study population included 52 children and adolescents born preterm and 26 healthy children born full term with similar age. The participants underwent ambulatory BP monitoring (ABPM) and assessment of carotid-femoral pulse wave velocity (PWV).
Results:
Preterm children presented higher night SBP z score values compared to controls, but did not differ in other ABPM parameters, office peripheral and central SBPs. Nocturnal hypertension was found in 78% (7/9) of ex-preterm children with ambulatory BP hypertension. Preterm birth was an independent predictor of PWV z score adjusted for heart rate. Estimated marginal means for PWV z score adjusted for age, sex, presence of kidney disease at birth, office BPs, night BPs, central SBP, and BMI z scores were significantly higher in preterm individuals compared to controls (0.703, 95% confidence interval [CI] 0.431-0.975 versus -0.19, 95% CI -0.574-0.536, respectively, P = 0.027). Preterm children who were overweight presented the highest values of night SBP and PWV z score.
Conclusion:
Preterm birth is associated with higher nocturnal BP and increased arterial stiffness in childhood and adolescence. Increased awareness for detection of hypertension and prevention of obesity in childhood could prevent future adverse cardiovascular outcomes in preterm individuals.
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