Hypertension Clinical Trial
Official title:
Young Adult Cardiovascular Health sTudy
The purpose of this study is to understand more about why young people who were born prematurely may have increased risk of high blood pressure and lower cardiovascular exercise capacity.
Young adults with a history of preterm birth are identified as having a unique risk profile
for developing hypertension and having reduced exercise capacity. Globally, there are 15
million annual preterm births. In Europe, incidence is 6-15% of all births, with up to 6
million adults in the United Kingdom having a preterm birth history. Understanding the
associations between early life exposures and this early cardiovascular risk is extremely
important to be able to target primary prevention strategies.
As yet there are no clear explanations for the reduced exercise capacity and elevated risk of
hypertension reported in preterm born young adults. Magnetic resonance imaging studies of
young adult born premature demonstrated altered heart shape, with increased left ventricular
mass, reduced cavity sizes and reduced stroke volumes. The changes in cardiac size identified
from these studies is similar to those seen in other disease groups and has been equated to
greater than 50% increased risk of cardiovascular clinical events in these groups. These
structural changes may account for the reduced exercise capacity observed in preterm born
young adults
This study aims to understand the physiological determinants of limited exercise capacity and
associated cardiovascular risk profile of adult preterm born populations.
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