University of Cagliari, Cagliari, Italy.
Eur J Prev Cardiol. 2013 Apr;20(2):357-67. doi: 10.1177/2047487312437058. Epub 2012 Jan 19.
Although the survival rate for preterm subjects has improved considerably, due to the progress in the field of perinatal medicine, preterm birth is frequently the cause underlying a series of notorious complications: morphological, neurological, ophthalmological, and renal alterations. In addition, it has recently been demonstrated how low gestational age and reduced foetal growth contribute towards an increased cardiovascular risk in preterm neonates. In fact, cardiovascular mortality is higher among former preterm adults than those born at term. This condition is referred to as cardiovascular perinatal programming. In the light of the above, an early, constant, and prolonged cardiological followup programme should be implemented in former preterm individuals. The aim of this paper was to perform a comprehensive literature review about two new emerging conditions predisposing to an increased cardiovascular risk: prematurity and low weight at birth.
尽管由于围产医学领域的进步,早产儿的存活率有了显著提高,但早产常常是一系列严重并发症的根源:形态学、神经学、眼科学和肾脏改变。此外,最近已经证明,低胎龄和胎儿生长受限如何导致早产儿的心血管风险增加。事实上,心血管疾病死亡率在以前的早产儿中高于足月出生的婴儿。这种情况被称为围产期心血管编程。鉴于上述情况,应在前早产儿中实施早期、持续和长期的心脏病学随访计划。本文的目的是对两种新出现的增加心血管风险的情况(早产和低出生体重)进行全面的文献回顾。