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This publication is protected and can be accessed only from certain IPs.

Title: Hypertension in prematurely born children and children born on time

Abstract:

The dissertation presents the results of two prospective clinical trials analyzing the impact of prematurity on the blood pressure profile in children. The first study analyzes the blood pressure profile in a cohort of former preterms at 7 and then at 11 years. Assessment at 7th year indicated more frequent occurrence of hypertension (HT), no normal nocturnal pressure drop, and an increased heart rate in the group of premature children. The evaluation at 11th year indicated the possibility of decreasing blood pressure in prematurely born children to a level that does not threaten organ damage. Unfortunately, the elevated heart rate maintained in this group of children, regardless of the treatment used. In the next stage, a single cases meta-analysis was carried out in cooperation with researchers from the University of Leuven. Cardiovascular and renal parameter collected at 11th year of life in both centers were combined into a common database, which allowed to confirm the previously collected results on a larger group and to analyze the function of kidneys in former preterms more accurately. The second study was a detailed analysis of the pressure profile and kidney function in even younger children. The aim was to understand the sequence of events leading to the development of HT in this group of patients. We have shown that children born prematurely at their expected deliver ; y date have elevated level of tubular damage markers, higher heart rate and lower total body water. This may predispose premature children to develop HT and worsen their kidney function later in life.

Place of publishing:

Kraków

Level of degree:

2 - studia doktoranckie

Degree discipline:

pediatria ; choroby układu krążenia

Degree grantor:

Rada Dyscypliny Nauki medyczne

Promoter:

Kwinta, Przemko

Date issued:

2022

Identifier:

oai:dl.cm-uj.krakow.pl:4953

Call number:

ZB-136084

Language:

pol; eng

Access rights:

tylko w bibliotece

Object collections:

Last modified:

May 23, 2024

In our library since:

Mar 1, 2023

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All available object's versions:

http://dl.cm-uj.krakow.pl:8080/publication/4954

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ZB-136084 May 23, 2024
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