Division of Pediatric Cardiology and Intensive Care, University Hospital, LMU Munich, Munich, Germany.
Division of Gynecological Endocrinology and Reproductive Medicine, Department of Obstetrics and Gynecology, University Hospital, LMU Munich, Munich, Germany.
Pediatr Cardiol. 2024 Aug;45(6):1242-1250. doi: 10.1007/s00246-022-03050-4. Epub 2022 Nov 18.
An increasing number of children are conceived by assisted reproductive technologies (ART). Several studies indicated vascular alterations in ART children. However, limited data is available within the adult ART population. Therefore, this study investigated the overall vascular health of young ART adults in comparison to spontaneously conceived peers. In total, 16 ART subjects and 22 spontaneously conceived peers (22.06 ± 2.21 years vs. 22.00 ± 2.14 years, p = 0.194) were enrolled for the assessment of endothelial function, brachial blood pressure, central blood pressure, pulse wave velocity, carotid intima-media thickness, and blood lipids. No significant differences in vascular function were detected between the in vitro fertilization subgroup (n = 9), the intracytoplasmic sperm injection subgroup (n = 7) and spontaneously conceived peers. This pilot study suggests an unimpaired vascular function in young ART adults. In the future, multi-centric studies with a greater sample size are required to confirm the results of the current study and enable precise cardiovascular risk stratification of the adult ART population.
越来越多的儿童通过辅助生殖技术(ART)受孕。一些研究表明,ART 儿童存在血管改变。然而,ART 成年人群中的相关数据有限。因此,本研究旨在调查与自然受孕同龄人相比,年轻的 ART 成年人群的整体血管健康状况。共有 16 名 ART 受试者和 22 名自然受孕的同龄人(22.06±2.21 岁比 22.00±2.14 岁,p=0.194)被纳入评估内皮功能、肱动脉血压、中心动脉压、脉搏波速度、颈动脉内膜中层厚度和血脂。体外受精亚组(n=9)、胞浆内精子注射亚组(n=7)与自然受孕的同龄人之间的血管功能无显著差异。这项初步研究表明,年轻的 ART 成年人群的血管功能未受损。未来,需要进行更大样本量的多中心研究来证实本研究的结果,并能够对成年 ART 人群进行精确的心血管风险分层。