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Published on: August 25, 2014
Blood pressure in children exposed prenatally to cocaine
R Needlman1, D A Frank, H Cabral
1Department of Pediatrics, Case Western Reserve University School of Medicine, Cleveland, OH, USA.
Insights
Prenatal cocaine exposure may affect autonomic nervous system function and lead to hypertension. However, this study found no significant difference in blood pressure between cocaine-exposed and non-exposed young children.
Area of Science:
- Pediatric Health
- Neuroscience
- Cardiovascular Research
Background:
- Prenatal exposure to substances like cocaine is a concern for child development.
- Autonomic nervous system (ANS) dysfunction and hypertension are potential consequences.
Purpose of the Study:
- To investigate the association between prenatal cocaine exposure and blood pressure in young children.
- To determine if cocaine exposure alters autonomic nervous system function impacting blood pressure.
Main Methods:
- Blood pressure was measured using oscillometry in children aged 8-26 months.
- A convenience sample included cocaine-exposed (n=32) and non-exposed (n=23) children.
- Examiners were blinded to the exposure status of the children.
Main Results:
- No statistically significant difference was observed in systolic blood pressure between the cocaine-exposed and non-exposed groups.
- Systolic blood pressure means were 102.3 +/- 9.9 mmHg for exposed and 119.1 +/- 19.4 mmHg for non-exposed children.
Conclusions:
- Prenatal cocaine exposure does not appear to be associated with elevated blood pressure in early childhood.
- Further research may be needed to explore other potential long-term effects on autonomic nervous system function.
Abstract:
Prenatal exposure to cocaine may alter autonomic nervous system function resulting in hypertension. Blood pressure was measured oscillometrically in a convenience sample of cocaine-exposed (n = 32) and nonexposed (n = 23) children, aged 8 to 26 months, by examiners unaware of exposure status. The exposed and nonexposed groups did not differ in systolic pressure (mean +/- SD 102.3 +/- 9.9 mmHg vs 119.1 +/- 19.4). Prenatal exposure to cocaine does not appear to be associated with elevated blood pressure in young children.
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Physiological Factors:
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Monitoring Both Arms:
Monitoring BP in both arms during the initial assessment is advisable, as the systolic value may differ by five to ten mm Hg between arms. For subsequent BP assessments, use the arm with the higher reading.
Hypertension and Regulation of Blood Pressure
Measurement of Blood Pressure

