Pulmonary vascular disease & thromboembolism

Differences in Pulmonary Artery Stiffness Measured by CMR in Preterm-Born Young Adults With and Without Bronchopulmonary Dysplasia

Circ Cardiovasc ImagingPublished cardiovascular magnetic resonance study

Authors' conclusion

Preterm-born young adults with BPD show increased PA stiffness as measured by PWV compared with preterm-born young adults without BPD and at-term-born young adults; RAC was decreased in both preterm-born groups compared with at-term controls. This noninvasive method of measuring PA stiffness might be a valuable tool to identify individuals at risk for early signs of PA hypertension in this population.

Study context

Population
Very preterm-born young adults with and without bronchopulmonary dysplasia (BPD), compared with at-term-born young adultsPulse wave velocity (PWV) and relative area change (RAC) measurements could be performed in 57 of 60
Participants
60 adults
Comparison
Pulmonary arterial (PA) stiffness (RAC and PWV) in preterm-born young adults with and without BPD compared with at-term-born young adults
  • Preterm-born young adults with BPDn = Twenty
  • Preterm-born young adults without BPDn = 20
  • At-term-born young adultsn = 20
Outcome
PWV

Main finding

As reported in the abstract

Preterm-born young adults with BPD vs preterm-born young adults without BPD: P = 0.04 · preterm-born young adults with BPD vs at-term-born young adults: P = 0.04

Further findings

Median

OutcomePreterm-born young adults with BPDPreterm-born young adults without BPDAt-term-born young adultsP value
RACPreterm-born young adults with BPD vs at-term-born young adults · RAC decreased with BPD62% (IQR 56–82)78% (IQR 67–93)101% (IQR 87–122)P < 0.01
RACPreterm-born young adults without BPD vs at-term-born young adults · RAC decreased without BPDP < 0.01

Feasibility of PWV and RAC measurements

Measurements could be performed
57 of 60

Original publication

Differences in Pulmonary Artery Stiffness Measured by CMR in Preterm-Born Young Adults With and Without Bronchopulmonary Dysplasia. Circ Cardiovasc Imaging. Published 13 March 2025. doi:10.1161/circimaging.124.017791

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