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患有孕前的母亲的幼儿的肺和全身血管功能障碍
Pierre-Yves Jayet1, Stefano F Rimoldi, Thomas Stuber
1Department of Internal Medicine and Botnar Center for Extreme Medicine, University Hospital, Lausanne, Switzerland.
Circulation
|July 21, 2010
概括
在子宫中暴露于孕前会导致儿童的持续循环缺陷,增加肺高血压和早期心血管疾病的风险. 高海拔的研究揭示了这些持续的血管问题.
科学领域:
- 心血管科学 心血管科学
- 围产儿医学 围产儿医学
- 环境健康 环境健康
背景情况:
- 宫内不良事件可能导致成人心血管疾病.
- 孕前释放可能影响胎儿循环的胎盘因素.
- 高海拔低氧可能会显示出产前引起的血管缺陷.
研究的目的:
- 调查孕前是否会导致后代的持续循环缺陷.
- 评估高海拔地区居民的肺动脉压力和臂动脉功能.
- 探索产前,血管功能障碍和氧化应激之间的联系.
主要方法:
- 评估肺动脉压力和流量介导扩张在3600m前缩和正常怀孕的后代.
- 在48名孕前子的后代和90名对照人群之间比较了血管参数.
- 测量了血中的硫甲酸反应物质,以评估氧化应激.
主要成果:
- 孕产前母亲的后代的肺动脉压高了30% (32.1mmHg与25.3mmHg相比).
- 在暴露于孕前的后代中,流媒体扩张率降低了约30% (6.3%与8.3%相比).
- 增加的氧化应激标志物在孕前的后代中被发现.
结论:
- 孕前会导致后代的持续性全身和肺循环缺陷.
- 这些缺陷使儿童易患过度缺氧性肺高血压.
- 孕前可能会导致晚年早发的心血管疾病.
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