Bronchopulmonary dysplasia - associated pulmonary hypertension: An updated review

Ahmed El-Saie1, Nidhy P Varghese2, Melissa K Webb3

  • 1Section of Neonatology, Department of Pediatrics, Children's Mercy Hospital, Kansas City, MO, USA.

Seminars in Perinatology
|October 2, 2023
PubMed

Insights

Bronchopulmonary dysplasia (BPD) with pulmonary hypertension (PH) is a severe complication of prematurity. This review summarizes recent advances in preventing and managing BPD-PH to improve infant outcomes.

Area of Science:

  • Neonatology
  • Pediatric Pulmonology
  • Cardiology

Background:

  • Bronchopulmonary dysplasia (BPD) is the primary chronic lung disease in premature infants, with increasing incidence due to improved neonatal survival.
  • Pulmonary hypertension (PH) is a severe complication of BPD, affecting nearly one-third of infants with moderate to severe BPD.
  • Current treatments for BPD-PH show suboptimal responses, highlighting the need for novel management strategies.

Approach:

  • This review synthesizes current knowledge on the pathogenesis and pathophysiology of BPD-PH.
  • It details diagnostic approaches for identifying BPD-PH in affected infants.
  • The review summarizes existing and emerging treatment strategies for BPD-PH.

Key Points:

  • Advances in neonatal care increase survival but maintain high BPD incidence.
  • Pulmonary hypertension significantly elevates morbidity and mortality in BPD infants.
  • Effective prevention and management of BPD-PH require updated understanding and novel interventions.

Conclusions:

  • A comprehensive understanding of BPD-PH pathogenesis, diagnosis, and treatment is crucial.
  • Developing new therapeutic strategies is essential to improve outcomes for infants with BPD-PH.
  • Multidisciplinary collaboration is key to advancing the care of preterm infants with BPD-PH.

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