Exercise-induced irregular right heart flow dynamics in adolescents and young adults born preterm

Preterm birth has been linked to an elevated risk of heart failure and cardiopulmonary disease later in life. With improved neonatal care and survival, most infants born preterm are now reaching adulthood. In this study, we used 4D flow cardiovascular magnetic resonance (CMR) coupled with an exercis...

Full description

Saved in:
Bibliographic Details
Published inJournal of cardiovascular magnetic resonance Vol. 23; no. 1; pp. 116 - 11
Main Authors Macdonald, Jacob A., Roberts, Grant S., Corrado, Philip A., Beshish, Arij G., Haraldsdottir, Kristin, Barton, Gregory P., Goss, Kara N., Eldridge, Marlowe W., Francois, Christopher J., Wieben, Oliver
Format Journal Article
LanguageEnglish
Published England BioMed Central Ltd 21.10.2021
BioMed Central
Elsevier
Subjects
Online AccessGet full text
ISSN1097-6647
1532-429X
1532-429X
DOI10.1186/s12968-021-00816-2

Cover

Loading…
Abstract Preterm birth has been linked to an elevated risk of heart failure and cardiopulmonary disease later in life. With improved neonatal care and survival, most infants born preterm are now reaching adulthood. In this study, we used 4D flow cardiovascular magnetic resonance (CMR) coupled with an exercise challenge to assess the impact of preterm birth on right heart flow dynamics in otherwise healthy adolescents and young adults who were born preterm. Eleven young adults and 17 adolescents born preterm (< 32 weeks of gestation and < 1500 g birth weight) were compared to 11 young adult and 18 adolescent age-matched controls born at term. Stroke volume, cardiac output, and flow in the main pulmonary artery were quantified with 4D flow CMR. Kinetic energy and vorticity were measured in the right ventricle. All parameters were measured at rest and during exercise at a power corresponding to 70% VO for each subject. Multivariate linear regression was used to perform age-adjusted term-preterm comparisons. With exercise, stroke volume increased 10 ± 21% in term controls and decreased 4 ± 18% in preterm born subjects (p = 0.007). This resulted in significantly reduced capacity to increase cardiac output in response to exercise stress for the preterm group (58 ± 26% increase in controls, 36 ± 27% increase in preterm, p = 0.004). Elevated kinetic energy (KE  = 71 ± 22 nJ, KE  = 87 ± 38 nJ, p = 0.03) and vorticity (ω  = 79 ± 16 s , ω  = 94 ± 32 s , p = 0.01) during diastole in the right ventricle (RV) suggested altered RV flow dynamics in the preterm subjects. Streamline visualizations showed altered structure to the diastolic filling vortices in those born preterm. For the participants examined here, preterm birth appeared to result in altered right-heart flow dynamics as early as adolescence, especially during diastole. Future studies should evaluate whether the altered dynamics identified here evolves into cardiopulmonary disease later in life. Trial registration None.
AbstractList Background Preterm birth has been linked to an elevated risk of heart failure and cardiopulmonary disease later in life. With improved neonatal care and survival, most infants born preterm are now reaching adulthood. In this study, we used 4D flow cardiovascular magnetic resonance (CMR) coupled with an exercise challenge to assess the impact of preterm birth on right heart flow dynamics in otherwise healthy adolescents and young adults who were born preterm. Methods Eleven young adults and 17 adolescents born preterm (< 32 weeks of gestation and < 1500 g birth weight) were compared to 11 young adult and 18 adolescent age-matched controls born at term. Stroke volume, cardiac output, and flow in the main pulmonary artery were quantified with 4D flow CMR. Kinetic energy and vorticity were measured in the right ventricle. All parameters were measured at rest and during exercise at a power corresponding to 70% VO.sub.2max for each subject. Multivariate linear regression was used to perform age-adjusted term-preterm comparisons. Results With exercise, stroke volume increased 10 [+ or -] 21% in term controls and decreased 4 [+ or -] 18% in preterm born subjects (p = 0.007). This resulted in significantly reduced capacity to increase cardiac output in response to exercise stress for the preterm group (58 [+ or -] 26% increase in controls, 36 [+ or -] 27% increase in preterm, p = 0.004). Elevated kinetic energy (KE.sub.term = 71 [+ or -] 22 nJ, KE.sub.preterm = 87 [+ or -] 38 nJ, p = 0.03) and vorticity ([omega].sub.term = 79 [+ or -] 16 s.sup.-1, [omega].sub.preterm = 94 [+ or -] 32 s.sup.-1, p = 0.01) during diastole in the right ventricle (RV) suggested altered RV flow dynamics in the preterm subjects. Streamline visualizations showed altered structure to the diastolic filling vortices in those born preterm. Conclusions For the participants examined here, preterm birth appeared to result in altered right-heart flow dynamics as early as adolescence, especially during diastole. Future studies should evaluate whether the altered dynamics identified here evolves into cardiopulmonary disease later in life. Trial registration None Keywords: Preterm, Premature, Cardiovascular magnetic resonance, 4D flow, Ventricle, Kinetic energy, Exercise
Abstract Background Preterm birth has been linked to an elevated risk of heart failure and cardiopulmonary disease later in life. With improved neonatal care and survival, most infants born preterm are now reaching adulthood. In this study, we used 4D flow cardiovascular magnetic resonance (CMR) coupled with an exercise challenge to assess the impact of preterm birth on right heart flow dynamics in otherwise healthy adolescents and young adults who were born preterm. Methods Eleven young adults and 17 adolescents born preterm (< 32 weeks of gestation and < 1500 g birth weight) were compared to 11 young adult and 18 adolescent age-matched controls born at term. Stroke volume, cardiac output, and flow in the main pulmonary artery were quantified with 4D flow CMR. Kinetic energy and vorticity were measured in the right ventricle. All parameters were measured at rest and during exercise at a power corresponding to 70% VO2max for each subject. Multivariate linear regression was used to perform age-adjusted term-preterm comparisons. Results With exercise, stroke volume increased 10 ± 21% in term controls and decreased 4 ± 18% in preterm born subjects (p = 0.007). This resulted in significantly reduced capacity to increase cardiac output in response to exercise stress for the preterm group (58 ± 26% increase in controls, 36 ± 27% increase in preterm, p = 0.004). Elevated kinetic energy (KEterm = 71 ± 22 nJ, KEpreterm = 87 ± 38 nJ, p = 0.03) and vorticity (ωterm = 79 ± 16 s−1, ωpreterm = 94 ± 32 s−1, p = 0.01) during diastole in the right ventricle (RV) suggested altered RV flow dynamics in the preterm subjects. Streamline visualizations showed altered structure to the diastolic filling vortices in those born preterm. Conclusions For the participants examined here, preterm birth appeared to result in altered right-heart flow dynamics as early as adolescence, especially during diastole. Future studies should evaluate whether the altered dynamics identified here evolves into cardiopulmonary disease later in life. Trial registration None
Background Preterm birth has been linked to an elevated risk of heart failure and cardiopulmonary disease later in life. With improved neonatal care and survival, most infants born preterm are now reaching adulthood. In this study, we used 4D flow cardiovascular magnetic resonance (CMR) coupled with an exercise challenge to assess the impact of preterm birth on right heart flow dynamics in otherwise healthy adolescents and young adults who were born preterm. Methods Eleven young adults and 17 adolescents born preterm (< 32 weeks of gestation and < 1500 g birth weight) were compared to 11 young adult and 18 adolescent age-matched controls born at term. Stroke volume, cardiac output, and flow in the main pulmonary artery were quantified with 4D flow CMR. Kinetic energy and vorticity were measured in the right ventricle. All parameters were measured at rest and during exercise at a power corresponding to 70% VO2max for each subject. Multivariate linear regression was used to perform age-adjusted term-preterm comparisons. Results With exercise, stroke volume increased 10 ± 21% in term controls and decreased 4 ± 18% in preterm born subjects (p = 0.007). This resulted in significantly reduced capacity to increase cardiac output in response to exercise stress for the preterm group (58 ± 26% increase in controls, 36 ± 27% increase in preterm, p = 0.004). Elevated kinetic energy (KEterm = 71 ± 22 nJ, KEpreterm = 87 ± 38 nJ, p = 0.03) and vorticity (ωterm = 79 ± 16 s−1, ωpreterm = 94 ± 32 s−1, p = 0.01) during diastole in the right ventricle (RV) suggested altered RV flow dynamics in the preterm subjects. Streamline visualizations showed altered structure to the diastolic filling vortices in those born preterm. Conclusions For the participants examined here, preterm birth appeared to result in altered right-heart flow dynamics as early as adolescence, especially during diastole. Future studies should evaluate whether the altered dynamics identified here evolves into cardiopulmonary disease later in life. Trial registration None
Preterm birth has been linked to an elevated risk of heart failure and cardiopulmonary disease later in life. With improved neonatal care and survival, most infants born preterm are now reaching adulthood. In this study, we used 4D flow cardiovascular magnetic resonance (CMR) coupled with an exercise challenge to assess the impact of preterm birth on right heart flow dynamics in otherwise healthy adolescents and young adults who were born preterm. Eleven young adults and 17 adolescents born preterm (< 32 weeks of gestation and < 1500 g birth weight) were compared to 11 young adult and 18 adolescent age-matched controls born at term. Stroke volume, cardiac output, and flow in the main pulmonary artery were quantified with 4D flow CMR. Kinetic energy and vorticity were measured in the right ventricle. All parameters were measured at rest and during exercise at a power corresponding to 70% VO.sub.2max for each subject. Multivariate linear regression was used to perform age-adjusted term-preterm comparisons. With exercise, stroke volume increased 10 [+ or -] 21% in term controls and decreased 4 [+ or -] 18% in preterm born subjects (p = 0.007). This resulted in significantly reduced capacity to increase cardiac output in response to exercise stress for the preterm group (58 [+ or -] 26% increase in controls, 36 [+ or -] 27% increase in preterm, p = 0.004). Elevated kinetic energy (KE.sub.term = 71 [+ or -] 22 nJ, KE.sub.preterm = 87 [+ or -] 38 nJ, p = 0.03) and vorticity ([omega].sub.term = 79 [+ or -] 16 s.sup.-1, [omega].sub.preterm = 94 [+ or -] 32 s.sup.-1, p = 0.01) during diastole in the right ventricle (RV) suggested altered RV flow dynamics in the preterm subjects. Streamline visualizations showed altered structure to the diastolic filling vortices in those born preterm. For the participants examined here, preterm birth appeared to result in altered right-heart flow dynamics as early as adolescence, especially during diastole. Future studies should evaluate whether the altered dynamics identified here evolves into cardiopulmonary disease later in life.
Preterm birth has been linked to an elevated risk of heart failure and cardiopulmonary disease later in life. With improved neonatal care and survival, most infants born preterm are now reaching adulthood. In this study, we used 4D flow cardiovascular magnetic resonance (CMR) coupled with an exercise challenge to assess the impact of preterm birth on right heart flow dynamics in otherwise healthy adolescents and young adults who were born preterm.BACKGROUNDPreterm birth has been linked to an elevated risk of heart failure and cardiopulmonary disease later in life. With improved neonatal care and survival, most infants born preterm are now reaching adulthood. In this study, we used 4D flow cardiovascular magnetic resonance (CMR) coupled with an exercise challenge to assess the impact of preterm birth on right heart flow dynamics in otherwise healthy adolescents and young adults who were born preterm.Eleven young adults and 17 adolescents born preterm (< 32 weeks of gestation and < 1500 g birth weight) were compared to 11 young adult and 18 adolescent age-matched controls born at term. Stroke volume, cardiac output, and flow in the main pulmonary artery were quantified with 4D flow CMR. Kinetic energy and vorticity were measured in the right ventricle. All parameters were measured at rest and during exercise at a power corresponding to 70% VO2max for each subject. Multivariate linear regression was used to perform age-adjusted term-preterm comparisons.METHODSEleven young adults and 17 adolescents born preterm (< 32 weeks of gestation and < 1500 g birth weight) were compared to 11 young adult and 18 adolescent age-matched controls born at term. Stroke volume, cardiac output, and flow in the main pulmonary artery were quantified with 4D flow CMR. Kinetic energy and vorticity were measured in the right ventricle. All parameters were measured at rest and during exercise at a power corresponding to 70% VO2max for each subject. Multivariate linear regression was used to perform age-adjusted term-preterm comparisons.With exercise, stroke volume increased 10 ± 21% in term controls and decreased 4 ± 18% in preterm born subjects (p = 0.007). This resulted in significantly reduced capacity to increase cardiac output in response to exercise stress for the preterm group (58 ± 26% increase in controls, 36 ± 27% increase in preterm, p = 0.004). Elevated kinetic energy (KEterm = 71 ± 22 nJ, KEpreterm = 87 ± 38 nJ, p = 0.03) and vorticity (ωterm = 79 ± 16 s-1, ωpreterm = 94 ± 32 s-1, p = 0.01) during diastole in the right ventricle (RV) suggested altered RV flow dynamics in the preterm subjects. Streamline visualizations showed altered structure to the diastolic filling vortices in those born preterm.RESULTSWith exercise, stroke volume increased 10 ± 21% in term controls and decreased 4 ± 18% in preterm born subjects (p = 0.007). This resulted in significantly reduced capacity to increase cardiac output in response to exercise stress for the preterm group (58 ± 26% increase in controls, 36 ± 27% increase in preterm, p = 0.004). Elevated kinetic energy (KEterm = 71 ± 22 nJ, KEpreterm = 87 ± 38 nJ, p = 0.03) and vorticity (ωterm = 79 ± 16 s-1, ωpreterm = 94 ± 32 s-1, p = 0.01) during diastole in the right ventricle (RV) suggested altered RV flow dynamics in the preterm subjects. Streamline visualizations showed altered structure to the diastolic filling vortices in those born preterm.For the participants examined here, preterm birth appeared to result in altered right-heart flow dynamics as early as adolescence, especially during diastole. Future studies should evaluate whether the altered dynamics identified here evolves into cardiopulmonary disease later in life. Trial registration None.CONCLUSIONSFor the participants examined here, preterm birth appeared to result in altered right-heart flow dynamics as early as adolescence, especially during diastole. Future studies should evaluate whether the altered dynamics identified here evolves into cardiopulmonary disease later in life. Trial registration None.
Preterm birth has been linked to an elevated risk of heart failure and cardiopulmonary disease later in life. With improved neonatal care and survival, most infants born preterm are now reaching adulthood. In this study, we used 4D flow cardiovascular magnetic resonance (CMR) coupled with an exercise challenge to assess the impact of preterm birth on right heart flow dynamics in otherwise healthy adolescents and young adults who were born preterm. Eleven young adults and 17 adolescents born preterm (< 32 weeks of gestation and < 1500 g birth weight) were compared to 11 young adult and 18 adolescent age-matched controls born at term. Stroke volume, cardiac output, and flow in the main pulmonary artery were quantified with 4D flow CMR. Kinetic energy and vorticity were measured in the right ventricle. All parameters were measured at rest and during exercise at a power corresponding to 70% VO for each subject. Multivariate linear regression was used to perform age-adjusted term-preterm comparisons. With exercise, stroke volume increased 10 ± 21% in term controls and decreased 4 ± 18% in preterm born subjects (p = 0.007). This resulted in significantly reduced capacity to increase cardiac output in response to exercise stress for the preterm group (58 ± 26% increase in controls, 36 ± 27% increase in preterm, p = 0.004). Elevated kinetic energy (KE  = 71 ± 22 nJ, KE  = 87 ± 38 nJ, p = 0.03) and vorticity (ω  = 79 ± 16 s , ω  = 94 ± 32 s , p = 0.01) during diastole in the right ventricle (RV) suggested altered RV flow dynamics in the preterm subjects. Streamline visualizations showed altered structure to the diastolic filling vortices in those born preterm. For the participants examined here, preterm birth appeared to result in altered right-heart flow dynamics as early as adolescence, especially during diastole. Future studies should evaluate whether the altered dynamics identified here evolves into cardiopulmonary disease later in life. Trial registration None.
ArticleNumber 116
Audience Academic
Author Barton, Gregory P.
Eldridge, Marlowe W.
Goss, Kara N.
Roberts, Grant S.
Francois, Christopher J.
Corrado, Philip A.
Haraldsdottir, Kristin
Wieben, Oliver
Beshish, Arij G.
Macdonald, Jacob A.
Author_xml – sequence: 1
  givenname: Jacob A.
  orcidid: 0000-0002-8463-7628
  surname: Macdonald
  fullname: Macdonald, Jacob A.
– sequence: 2
  givenname: Grant S.
  surname: Roberts
  fullname: Roberts, Grant S.
– sequence: 3
  givenname: Philip A.
  surname: Corrado
  fullname: Corrado, Philip A.
– sequence: 4
  givenname: Arij G.
  surname: Beshish
  fullname: Beshish, Arij G.
– sequence: 5
  givenname: Kristin
  surname: Haraldsdottir
  fullname: Haraldsdottir, Kristin
– sequence: 6
  givenname: Gregory P.
  surname: Barton
  fullname: Barton, Gregory P.
– sequence: 7
  givenname: Kara N.
  surname: Goss
  fullname: Goss, Kara N.
– sequence: 8
  givenname: Marlowe W.
  surname: Eldridge
  fullname: Eldridge, Marlowe W.
– sequence: 9
  givenname: Christopher J.
  surname: Francois
  fullname: Francois, Christopher J.
– sequence: 10
  givenname: Oliver
  surname: Wieben
  fullname: Wieben, Oliver
BackLink https://www.ncbi.nlm.nih.gov/pubmed/34670573$$D View this record in MEDLINE/PubMed
BookMark eNp9kk1v1DAQhiNURD_gD3BAkZAQlxR_xbEvSFVVoFIlLiBxsxzbyXrltRc7AfbfM-mW0q0Q8iHO5Jl3MjPvaXUUU3RV9RKjc4wFf1cwkVw0iOAGIYF5Q55UJ7ilpGFEfjuCO5JdwznrjqvTUtYIYdmh7ll1TBnvUNvRk0pf_XLZ-OIaH-1snK19zm6cg8519uNqqldO56keQvpZ213UG29K7WOtbQquGBenUuto612a4wjROUCgTznW2-wmlzfPq6eDDsW9uHueVV8_XH25_NTcfP54fXlx05hWsqnpGJUUGWY11pwPBJl2sD1ijhItpRZukA5zhzSSVlrdaUwZofAqWtEzyuhZdb3XtUmv1Tb7jc47lbRXt4GURwWNeBOcotzoTljRO4KZ7Ew_9LRviUHU0gHZHrTe77W2c79xduky63Agevgl-pUa0w8lWiIFwiDw9k4gp--zK5PaeBhWCDq6NBdFWtEyTCnigL5-hK7TnCOMCigpJCVIsr_UqKEBH4cEdc0iqi447J4KIghQ5_-g4FgHewP3DB7iBwlvHiTAqsO0KinMk0-xHIKvHk7kfhR_nAQA2QMmp1KyG-4RjNRiV7W3qwK7qlu7qkVVPEoyftJLcfhvH_6X-hskNO2s
CitedBy_id crossref_primary_10_14814_phy2_70098
crossref_primary_10_1038_s41390_022_01955_7
crossref_primary_10_1113_EP091152
crossref_primary_10_1016_j_jpeds_2022_11_033
crossref_primary_10_1161_JAHA_122_027305
crossref_primary_10_1038_s44325_024_00002_0
crossref_primary_10_1161_JAHA_124_035529
crossref_primary_10_1002_jmri_29445
crossref_primary_10_1113_JP282906
crossref_primary_10_3390_fluids10010005
crossref_primary_10_1161_CIRCIMAGING_124_017791
Cites_doi 10.1002/jmri.1880030315
10.1002/jmri.23588
10.1164/rccm.201710-2016OC
10.1016/j.jchf.2016.03.022
10.1148/ryct.2020190033
10.1123/jpah.6.6.790
10.14814/phy2.13620
10.1111/apa.13880
10.1164/ajrccm.167.10.952
10.1213/ANE.0000000000000705
10.1007/s00421-020-04480-9
10.1016/0735-1097(93)90682-Q
10.1161/CIRCULATIONAHA.113.002583
10.1164/rccm.202002-0344LE
10.1002/jmri.24746
10.1111/apa.13205
10.1152/ajpheart.00804.2002
10.1016/S0140-6736(00)02384-9
10.1016/j.jtcvs.2014.11.085
10.1002/mrm.21763
10.1097/00005768-199710000-00011
10.1161/HYPERTENSIONAHA.120.15574
10.1001/jamacardio.2020.1511
10.1152/ajpheart.00278.2015
10.1016/j.jcmg.2020.03.016
10.1002/mrm.26674
10.1164/rccm.201904-0767LE
10.1016/j.jacc.2018.01.046
10.1161/01.CIR.48.1.74
10.2165/00007256-199724040-00003
10.1007/s00421-019-04075-z
10.1002/mrm.21778
10.1186/s12968-018-0483-6
ContentType Journal Article
Copyright 2021. The Author(s).
COPYRIGHT 2021 BioMed Central Ltd.
2021. This work is licensed under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.
The Author(s) 2021
Copyright_xml – notice: 2021. The Author(s).
– notice: COPYRIGHT 2021 BioMed Central Ltd.
– notice: 2021. This work is licensed under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.
– notice: The Author(s) 2021
DBID AAYXX
CITATION
CGR
CUY
CVF
ECM
EIF
NPM
3V.
7SC
7SP
7U5
7X7
7XB
88E
8FD
8FE
8FG
8FH
8FI
8FJ
8FK
ABUWG
AFKRA
ARAPS
AZQEC
BBNVY
BENPR
BGLVJ
BHPHI
CCPQU
DWQXO
FR3
FYUFA
GHDGH
GNUQQ
HCIFZ
JQ2
K9.
L7M
LK8
L~C
L~D
M0S
M1P
M7P
M7Z
P5Z
P62
P64
PHGZM
PHGZT
PIMPY
PJZUB
PKEHL
PPXIY
PQEST
PQGLB
PQQKQ
PQUKI
PRINS
7X8
5PM
DOA
DOI 10.1186/s12968-021-00816-2
DatabaseName CrossRef
Medline
MEDLINE
MEDLINE (Ovid)
MEDLINE
MEDLINE
PubMed
ProQuest Central (Corporate)
Computer and Information Systems Abstracts
Electronics & Communications Abstracts
Solid State and Superconductivity Abstracts
ProQuest Health & Medical Collection
ProQuest Central (purchase pre-March 2016)
Medical Database (Alumni Edition)
Technology Research Database
ProQuest SciTech Collection
ProQuest Technology Collection
ProQuest Natural Science Collection
ProQuest Hospital Collection
Hospital Premium Collection (Alumni Edition)
ProQuest Central (Alumni) (purchase pre-March 2016)
ProQuest Central (Alumni)
ProQuest Central UK/Ireland
Advanced Technologies & Aerospace Collection
ProQuest Central Essentials
Biological Science Collection
ProQuest Central
Technology Collection (ProQuest)
Natural Science Collection (ProQuest)
ProQuest One
ProQuest Central Korea
Engineering Research Database
Health Research Premium Collection
Health Research Premium Collection (Alumni)
ProQuest Central Student
SciTech Premium Collection
ProQuest Computer Science Collection
ProQuest Health & Medical Complete (Alumni)
Advanced Technologies Database with Aerospace
Biological Sciences
Computer and Information Systems Abstracts – Academic
Computer and Information Systems Abstracts Professional
ProQuest Health & Medical Collection
Medical Database
Biological Science Database
Biochemistry Abstracts 1
Advanced Technologies & Aerospace Database
ProQuest Advanced Technologies & Aerospace Collection
Biotechnology and BioEngineering Abstracts
ProQuest Central Premium
ProQuest One Academic
Publicly Available Content Database
ProQuest Health & Medical Research Collection
ProQuest One Academic Middle East (New)
ProQuest One Health & Nursing
ProQuest One Academic Eastern Edition (DO NOT USE)
ProQuest One Applied & Life Sciences
ProQuest One Academic
ProQuest One Academic UKI Edition
ProQuest Central China
MEDLINE - Academic
PubMed Central (Full Participant titles)
Directory of Open Access Journals
DatabaseTitle CrossRef
MEDLINE
Medline Complete
MEDLINE with Full Text
PubMed
MEDLINE (Ovid)
Publicly Available Content Database
ProQuest Central Student
ProQuest Advanced Technologies & Aerospace Collection
ProQuest Central Essentials
ProQuest Computer Science Collection
Computer and Information Systems Abstracts
SciTech Premium Collection
ProQuest Central China
ProQuest One Applied & Life Sciences
Health Research Premium Collection
Natural Science Collection
Health & Medical Research Collection
Biological Science Collection
ProQuest Central (New)
ProQuest Medical Library (Alumni)
Advanced Technologies & Aerospace Collection
ProQuest Biological Science Collection
ProQuest One Academic Eastern Edition
Electronics & Communications Abstracts
ProQuest Hospital Collection
ProQuest Technology Collection
Health Research Premium Collection (Alumni)
Biological Science Database
ProQuest Hospital Collection (Alumni)
Biotechnology and BioEngineering Abstracts
ProQuest Health & Medical Complete
ProQuest One Academic UKI Edition
Solid State and Superconductivity Abstracts
Engineering Research Database
ProQuest One Academic
ProQuest One Academic (New)
Technology Collection
Technology Research Database
Computer and Information Systems Abstracts – Academic
ProQuest One Academic Middle East (New)
ProQuest Health & Medical Complete (Alumni)
ProQuest Central (Alumni Edition)
ProQuest One Community College
ProQuest One Health & Nursing
ProQuest Natural Science Collection
ProQuest Central
ProQuest Health & Medical Research Collection
Health and Medicine Complete (Alumni Edition)
ProQuest Central Korea
Advanced Technologies Database with Aerospace
ProQuest SciTech Collection
Computer and Information Systems Abstracts Professional
Advanced Technologies & Aerospace Database
ProQuest Medical Library
Biochemistry Abstracts 1
ProQuest Central (Alumni)
MEDLINE - Academic
DatabaseTitleList


Publicly Available Content Database

MEDLINE - Academic
MEDLINE
Database_xml – sequence: 1
  dbid: DOA
  name: DOAJ Directory of Open Access Journals
  url: https://www.doaj.org/
  sourceTypes: Open Website
– sequence: 2
  dbid: NPM
  name: PubMed
  url: https://proxy.k.utb.cz/login?url=http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed
  sourceTypes: Index Database
– sequence: 3
  dbid: EIF
  name: MEDLINE
  url: https://proxy.k.utb.cz/login?url=https://www.webofscience.com/wos/medline/basic-search
  sourceTypes: Index Database
– sequence: 4
  dbid: 8FG
  name: ProQuest Technology Collection
  url: https://search.proquest.com/technologycollection1
  sourceTypes: Aggregation Database
DeliveryMethod fulltext_linktorsrc
Discipline Medicine
EISSN 1532-429X
EndPage 11
ExternalDocumentID oai_doaj_org_article_36ca78d8be21497cbfb3b52c03d3f0db
PMC8529801
A681638282
34670573
10_1186_s12968_021_00816_2
Genre Research Support, Non-U.S. Gov't
Journal Article
Research Support, N.I.H., Extramural
GeographicLocations United States--US
Wisconsin
GeographicLocations_xml – name: Wisconsin
– name: United States--US
GrantInformation_xml – fundername: NIH HHS
  grantid: R01 HL086897
– fundername: NCATS NIH HHS
  grantid: KL2 TR000428
– fundername: NCATS NIH HHS
  grantid: KL2 TR002374
– fundername: NHLBI NIH HHS
  grantid: R01 HL038149
– fundername: NIH HHS
  grantid: R01 HL38149
– fundername: NCATS NIH HHS
  grantid: UL1 TR000427
– fundername: NIAID NIH HHS
  grantid: T32 AI007635
– fundername: NCATS NIH HHS
  grantid: UL1TR000427
– fundername: NCATS NIH HHS
  grantid: UL1 TR002373
– fundername: ;
  grantid: UL1TR000427
– fundername: ;
  grantid: R01 HL086897; R01 HL38149
GroupedDBID ---
.1-
.FO
0R~
29K
2VQ
2WC
36B
4.4
53G
5GY
5VS
7X7
88E
8FE
8FG
8FH
8FI
8FJ
AAFWJ
AALRI
AAWTL
AAXUO
AAYWO
AAYXX
ABDBF
ABUWG
ACGEJ
ACGFO
ACGFS
ACIWK
ACPRK
ACUHS
ACVFH
ADBBV
ADCNI
ADCVX
ADRAZ
ADUKV
ADVLN
ADXPE
AENEX
AEUPX
AFCTW
AFJKZ
AFKRA
AFPKN
AFPUW
AFRAH
AFRHN
AHBYD
AHMBA
AHSBF
AHYZX
AIGII
AITUG
AJUYK
AJWEG
AKBMS
AKRWK
AKYEP
ALIPV
ALMA_UNASSIGNED_HOLDINGS
AMKLP
AMRAJ
AMTXH
AOIJS
APXCP
ARAPS
AWYRJ
BAPOH
BAWUL
BBNVY
BCNDV
BENPR
BFQNJ
BGLVJ
BHPHI
BMC
BPHCQ
BVXVI
C6C
CAG
CCPQU
CITATION
COF
CS3
D-I
DIK
DU5
E3Z
EAP
EBC
EBD
EBS
EJD
EMB
EMK
EMOBN
EST
ESX
F5P
FDB
FRP
FYUFA
GROUPED_DOAJ
GX1
H13
HCIFZ
HMCUK
HYE
HZ~
IAO
IHR
IHW
INR
IPNFZ
KQ8
LK8
M1P
M41
M48
M7P
O5R
O5S
O9-
OK1
OVT
P2P
P62
P6G
PHGZM
PHGZT
PIMPY
PQQKQ
PROAC
PSQYO
RBZ
RIG
RNS
ROL
RPM
RSV
SMD
SOJ
SV3
TDBHL
TFW
TR2
TUS
UKHRP
Z5R
ZCN
-5E
-5G
-A0
-BR
3V.
ACRMQ
ADINQ
C24
CGR
CUY
CVF
EAD
ECM
EIF
INH
M~E
NPM
PMFND
7SC
7SP
7U5
7XB
8FD
8FK
AZQEC
DWQXO
FR3
GNUQQ
JQ2
K9.
L7M
L~C
L~D
M7Z
P64
PJZUB
PKEHL
PPXIY
PQEST
PQGLB
PQUKI
PRINS
7X8
5PM
PUEGO
ID FETCH-LOGICAL-c594t-743930c4da1a66f20c5fdb04e32a99a8ef9e16e0a09d9da7a134230a0858b4343
IEDL.DBID DOA
ISSN 1097-6647
1532-429X
IngestDate Wed Aug 27 01:27:57 EDT 2025
Thu Aug 21 14:12:03 EDT 2025
Fri Jul 11 13:14:59 EDT 2025
Fri Jul 25 19:14:18 EDT 2025
Tue Jun 17 21:31:14 EDT 2025
Tue Jun 10 20:48:31 EDT 2025
Thu May 22 21:21:20 EDT 2025
Wed Feb 19 02:08:56 EST 2025
Thu Apr 24 22:52:13 EDT 2025
Tue Jul 01 02:54:56 EDT 2025
IsDoiOpenAccess true
IsOpenAccess true
IsPeerReviewed true
IsScholarly true
Issue 1
Keywords Premature
Exercise
Cardiovascular magnetic resonance
Ventricle
Kinetic energy
4D flow
Preterm
Language English
License 2021. The Author(s).
Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
LinkModel DirectLink
MergedId FETCHMERGED-LOGICAL-c594t-743930c4da1a66f20c5fdb04e32a99a8ef9e16e0a09d9da7a134230a0858b4343
Notes ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 14
content type line 23
ORCID 0000-0002-8463-7628
OpenAccessLink https://doaj.org/article/36ca78d8be21497cbfb3b52c03d3f0db
PMID 34670573
PQID 2598932094
PQPubID 55371
PageCount 11
ParticipantIDs doaj_primary_oai_doaj_org_article_36ca78d8be21497cbfb3b52c03d3f0db
pubmedcentral_primary_oai_pubmedcentral_nih_gov_8529801
proquest_miscellaneous_2585413306
proquest_journals_2598932094
gale_infotracmisc_A681638282
gale_infotracacademiconefile_A681638282
gale_healthsolutions_A681638282
pubmed_primary_34670573
crossref_primary_10_1186_s12968_021_00816_2
crossref_citationtrail_10_1186_s12968_021_00816_2
ProviderPackageCode CITATION
AAYXX
PublicationCentury 2000
PublicationDate 2021-10-21
PublicationDateYYYYMMDD 2021-10-21
PublicationDate_xml – month: 10
  year: 2021
  text: 2021-10-21
  day: 21
PublicationDecade 2020
PublicationPlace England
PublicationPlace_xml – name: England
– name: New York
– name: London
PublicationTitle Journal of cardiovascular magnetic resonance
PublicationTitleAlternate J Cardiovasc Magn Reson
PublicationYear 2021
Publisher BioMed Central Ltd
BioMed Central
Elsevier
Publisher_xml – name: BioMed Central Ltd
– name: BioMed Central
– name: Elsevier
References Lewandowski (10.1186/s12968-021-00816-2_bib10) 2013; 128
Goss (10.1186/s12968-021-00816-2_bib11) 2020; 5
Laskey (10.1186/s12968-021-00816-2_bib35) 1993; 21
Crocker (10.1186/s12968-021-00816-2_bib20) 1997; 29
Naumburg (10.1186/s12968-021-00816-2_bib3) 2015; 104
Pasipoularides (10.1186/s12968-021-00816-2_bib27) 2003; 284
Barton (10.1186/s12968-021-00816-2_bib8) 2020; 202
Walker (10.1186/s12968-021-00816-2_bib25) 1993; 3
Huckstep (10.1186/s12968-021-00816-2_bib34) 2018; 71
Gupta (10.1186/s12968-021-00816-2_bib36) 2018; 79
Nett (10.1186/s12968-021-00816-2_bib37) 2012; 35
Haraldsdottir (10.1186/s12968-021-00816-2_bib28) 2020
Hagen (10.1186/s12968-021-00816-2_bib18) 2008; 107
Stalder (10.1186/s12968-021-00816-2_bib26) 2008; 60
Garg (10.1186/s12968-021-00816-2_bib13) 2018
Turley (10.1186/s12968-021-00816-2_bib32) 1997; 24
Gu (10.1186/s12968-021-00816-2_bib21) 2005; 26
Mohamed (10.1186/s12968-021-00816-2_bib9) 2020; 13
Haraldsdottir (10.1186/s12968-021-00816-2_bib16) 2019; 119
Malhotra (10.1186/s12968-021-00816-2_bib30) 2016; 4
Glass (10.1186/s12968-021-00816-2_bib1) 2015; 120
Mulchrone (10.1186/s12968-021-00816-2_bib7) 2020; 201
Weisman (10.1186/s12968-021-00816-2_bib31) 2003; 167
Schrauben (10.1186/s12968-021-00816-2_bib24) 2015; 42
Bull (10.1186/s12968-021-00816-2_bib19) 2009; 6
Johnson (10.1186/s12968-021-00816-2_bib22) 2008; 60
Jeong (10.1186/s12968-021-00816-2_bib14) 2015; 149
Fenster (10.1186/s12968-021-00816-2_bib12) 2015; 309
Spodick (10.1186/s12968-021-00816-2_bib33) 1973; 48
Raju (10.1186/s12968-021-00816-2_bib2) 2017; 106
Goss (10.1186/s12968-021-00816-2_bib4) 2018; 198
Irving (10.1186/s12968-021-00816-2_bib6) 2000; 355
Macdonald (10.1186/s12968-021-00816-2_bib15) 2020
Lewandowski (10.1186/s12968-021-00816-2_bib5) 2020; 76
Haraldsdottir (10.1186/s12968-021-00816-2_bib17) 2018; 32
10.1186/s12968-021-00816-2_bib23
Haraldsdottir (10.1186/s12968-021-00816-2_bib29) 2018; 6
References_xml – volume: 3
  start-page: 521
  year: 1993
  ident: 10.1186/s12968-021-00816-2_bib25
  article-title: Semiautomated method for noise reduction and background phase error correction in MR phase velocity data
  publication-title: J Magn Reson Imaging
  doi: 10.1002/jmri.1880030315
– volume: 35
  start-page: 1462
  year: 2012
  ident: 10.1186/s12968-021-00816-2_bib37
  article-title: Four-dimensional phase contrast MRI with accelerated dual velocity encoding
  publication-title: J Magn Reson Imaging
  doi: 10.1002/jmri.23588
– volume: 198
  start-page: 1549
  year: 2018
  ident: 10.1186/s12968-021-00816-2_bib4
  article-title: Early pulmonary vascular disease in young adults born preterm
  publication-title: Am J Respir Crit Care Med
  doi: 10.1164/rccm.201710-2016OC
– volume: 4
  start-page: 607
  year: 2016
  ident: 10.1186/s12968-021-00816-2_bib30
  article-title: Cardiopulmonary exercise testing in heart failure
  publication-title: JACC Hear Fail
  doi: 10.1016/j.jchf.2016.03.022
– year: 2020
  ident: 10.1186/s12968-021-00816-2_bib15
  article-title: Feasibility of cardiovascular four-dimensional flow MRI during exercise in healthy participants
  publication-title: Radiol Cardiothorac Imaging
  doi: 10.1148/ryct.2020190033
– volume: 6
  start-page: 790
  year: 2009
  ident: 10.1186/s12968-021-00816-2_bib19
  article-title: Global physical activity questionnaire (GPAQ): nine country reliability and validity study
  publication-title: J Phys Act Heal
  doi: 10.1123/jpah.6.6.790
– volume: 6
  start-page: 1
  year: 2018
  ident: 10.1186/s12968-021-00816-2_bib29
  article-title: Impaired autonomic function in adolescents born preterm
  publication-title: Physiol Rep
  doi: 10.14814/phy2.13620
– volume: 106
  start-page: 1409
  year: 2017
  ident: 10.1186/s12968-021-00816-2_bib2
  article-title: Adults born preterm: a review of general health and system-specific outcomes
  publication-title: Acta Paediatr Int J Paediatr
  doi: 10.1111/apa.13880
– volume: 26
  start-page: 743
  year: 2005
  ident: 10.1186/s12968-021-00816-2_bib21
  article-title: PC VIPR: a high-speed 3D phase-contrast method for flow quantification and high-resolution angiography
  publication-title: Am J Neuroradiol
– ident: 10.1186/s12968-021-00816-2_bib23
– volume: 167
  start-page: 211
  year: 2003
  ident: 10.1186/s12968-021-00816-2_bib31
  article-title: ATS/ACCP Statement on cardiopulmonary exercise testing
  publication-title: Am J Respir Crit Care Med
  doi: 10.1164/ajrccm.167.10.952
– volume: 120
  start-page: 1337
  year: 2015
  ident: 10.1186/s12968-021-00816-2_bib1
  article-title: Outcomes for extremely premature infants
  publication-title: Anesth Analg
  doi: 10.1213/ANE.0000000000000705
– volume: 32
  start-page: 85317
  issue: Suppl 1
  year: 2018
  ident: 10.1186/s12968-021-00816-2_bib17
  article-title: Exercise intolerance in adolescents born preterm associated with left ventricular diastolic dysfunction
  publication-title: FASEB J
– year: 2020
  ident: 10.1186/s12968-021-00816-2_bib28
  article-title: Blunted cardiac output response to exercise in adolescents born preterm
  publication-title: Eur J Appl Physiol
  doi: 10.1007/s00421-020-04480-9
– volume: 21
  start-page: 406
  year: 1993
  ident: 10.1186/s12968-021-00816-2_bib35
  article-title: Pulmonary artery hemodynamics in primary pulmonary hypertension
  publication-title: J Am Coll Cardiol
  doi: 10.1016/0735-1097(93)90682-Q
– volume: 128
  start-page: 713
  year: 2013
  ident: 10.1186/s12968-021-00816-2_bib10
  article-title: Right ventricular systolic dysfunction in young adults born preterm
  publication-title: Circulation
  doi: 10.1161/CIRCULATIONAHA.113.002583
– volume: 202
  start-page: 1471
  year: 2020
  ident: 10.1186/s12968-021-00816-2_bib8
  article-title: Pulmonary microvascular changes in adult survivors of prematurity: utility of dynamic contrast-enhanced magnetic resonance imaging
  publication-title: Am J Respir Crit Care Med
  doi: 10.1164/rccm.202002-0344LE
– volume: 42
  start-page: 211
  year: 2015
  ident: 10.1186/s12968-021-00816-2_bib24
  article-title: Respiratory-induced venous blood flow effects using flexible retrospective double-gating
  publication-title: J Magn Reson Imaging
  doi: 10.1002/jmri.24746
– volume: 104
  start-page: 1104
  year: 2015
  ident: 10.1186/s12968-021-00816-2_bib3
  article-title: Some neonatal risk factors for adult pulmonary arterial hypertension remain unknown
  publication-title: Acta Paediatr Int J Paediatr
  doi: 10.1111/apa.13205
– volume: 284
  start-page: H1064
  year: 2003
  ident: 10.1186/s12968-021-00816-2_bib27
  article-title: Diastolic right ventricular filling vortex in normal and volume overload states
  publication-title: Am J Physiol Hear Circ Physiol
  doi: 10.1152/ajpheart.00804.2002
– volume: 355
  start-page: 2135
  year: 2000
  ident: 10.1186/s12968-021-00816-2_bib6
  article-title: Adult cardiovascular risk factors in premature babies
  publication-title: Lancet
  doi: 10.1016/S0140-6736(00)02384-9
– volume: 149
  start-page: 1339
  year: 2015
  ident: 10.1186/s12968-021-00816-2_bib14
  article-title: Ventricular kinetic energy may provide a novel noninvasive way to assess ventricular performance in patients with repaired tetralogy of Fallot
  publication-title: J Thorac Cardiovasc Surg
  doi: 10.1016/j.jtcvs.2014.11.085
– volume: 60
  start-page: 1329
  year: 2008
  ident: 10.1186/s12968-021-00816-2_bib22
  article-title: Improved 3D phase contrast MRI with off-resonance corrected dual echo VIPR
  publication-title: Magn Reson Med
  doi: 10.1002/mrm.21763
– volume: 29
  start-page: 1344
  year: 1997
  ident: 10.1186/s12968-021-00816-2_bib20
  article-title: Measuring general levels of physical activity: preliminary evidence for the Physical Activity Questionnaire for Older Children
  publication-title: Med Sci Sport Exerc
  doi: 10.1097/00005768-199710000-00011
– volume: 76
  start-page: 1028
  year: 2020
  ident: 10.1186/s12968-021-00816-2_bib5
  article-title: Impact of the vulnerable preterm heart and circulation on adult cardiovascular disease risk
  publication-title: Hypertension
  doi: 10.1161/HYPERTENSIONAHA.120.15574
– volume: 5
  start-page: 910
  year: 2020
  ident: 10.1186/s12968-021-00816-2_bib11
  article-title: Association between preterm birth and arrested cardiac growth in adolescents and young adults
  publication-title: JAMA Cardiol
  doi: 10.1001/jamacardio.2020.1511
– volume: 309
  start-page: 1087
  year: 2015
  ident: 10.1186/s12968-021-00816-2_bib12
  article-title: Vorticity is a marker of right ventricular diastolic dysfunction
  publication-title: Am J Physiol Hear Circ Physiol
  doi: 10.1152/ajpheart.00278.2015
– volume: 13
  start-page: 2046
  year: 2020
  ident: 10.1186/s12968-021-00816-2_bib9
  article-title: Multimodality imaging demonstrates reduced right-ventricular function independent of pulmonary physiology in moderately preterm-born adults
  publication-title: JACC Cardiovasc Imaging
  doi: 10.1016/j.jcmg.2020.03.016
– volume: 79
  start-page: 554
  year: 2018
  ident: 10.1186/s12968-021-00816-2_bib36
  article-title: Improving left ventricular segmentation in four-dimensional flow MRI using intramodality image registration for cardiac blood flow analysis
  publication-title: Magn Reson Med
  doi: 10.1002/mrm.26674
– volume: 201
  start-page: 615
  year: 2020
  ident: 10.1186/s12968-021-00816-2_bib7
  article-title: Impaired right ventricular-vascular coupling in young adults born preterm
  publication-title: Am J Respir Crit Care Med
  doi: 10.1164/rccm.201904-0767LE
– volume: 71
  start-page: 1347
  year: 2018
  ident: 10.1186/s12968-021-00816-2_bib34
  article-title: Physiological stress elicits impaired left ventricular function in preterm-born adults
  publication-title: J Am Coll Cardiol
  doi: 10.1016/j.jacc.2018.01.046
– volume: 107
  start-page: 320
  year: 2008
  ident: 10.1186/s12968-021-00816-2_bib18
  article-title: A comparison of Wisconsin Neonatal Intensive Care Units with National data on outcomes and practices
  publication-title: Wis Med J
– volume: 48
  start-page: 74
  year: 1973
  ident: 10.1186/s12968-021-00816-2_bib33
  article-title: Effects of posture on exercise performance: measurement by systolic time intervals
  publication-title: Circulation
  doi: 10.1161/01.CIR.48.1.74
– volume: 24
  start-page: 241
  year: 1997
  ident: 10.1186/s12968-021-00816-2_bib32
  article-title: Cardiovascular responses to exercise in children
  publication-title: Sport Med
  doi: 10.2165/00007256-199724040-00003
– volume: 119
  start-page: 857
  year: 2019
  ident: 10.1186/s12968-021-00816-2_bib16
  article-title: Heart rate recovery after maximal exercise is impaired in healthy young adults born preterm
  publication-title: Eur J Appl Physiol
  doi: 10.1007/s00421-019-04075-z
– volume: 60
  start-page: 1218
  year: 2008
  ident: 10.1186/s12968-021-00816-2_bib26
  article-title: Quantitative 2D and 3D phase contrast MRI: optimized analysis of blood flow and vessel wall parameters
  publication-title: Magn Reson Med
  doi: 10.1002/mrm.21778
– year: 2018
  ident: 10.1186/s12968-021-00816-2_bib13
  article-title: Left ventricular blood flow kinetic energy after myocardial infarction—insights from 4D flow cardiovascular magnetic resonance
  publication-title: J Cardiovasc Magn Reson
  doi: 10.1186/s12968-018-0483-6
SSID ssj0019707
Score 2.37131
Snippet Preterm birth has been linked to an elevated risk of heart failure and cardiopulmonary disease later in life. With improved neonatal care and survival, most...
Background Preterm birth has been linked to an elevated risk of heart failure and cardiopulmonary disease later in life. With improved neonatal care and...
Abstract Background Preterm birth has been linked to an elevated risk of heart failure and cardiopulmonary disease later in life. With improved neonatal care...
SourceID doaj
pubmedcentral
proquest
gale
pubmed
crossref
SourceType Open Website
Open Access Repository
Aggregation Database
Index Database
Enrichment Source
StartPage 116
SubjectTerms 4D flow
Adolescent
Adolescents
Adult
Adults
Birth weight
Cardiac output
Cardiovascular disease
Cardiovascular magnetic resonance
Comparative analysis
Congestive heart failure
Coronary artery disease
Diastole
Dynamics
Efficiency
Electrocardiography
Exercise
Exercise Test
Female
Fluid flow
Force and energy
Heart rate
Heart Ventricles
Humans
Infant, Newborn
Infants
Infants (Premature)
Kinetic energy
Magnetic resonance
Neonates
Oxygen consumption
Patient outcomes
Physical fitness
Population
Predictive Value of Tests
Pregnancy
Premature
Premature Birth
Preterm
Pulmonary arteries
Pulmonary artery
Pulmonary hypertension
Questionnaires
Scanners
Stress (Physiology)
Stroke Volume
Teenagers
Velocity
Ventricle
Vorticity
Young Adult
Young adults
Youth
SummonAdditionalLinks – databaseName: ProQuest Health & Medical Collection
  dbid: 7X7
  link: http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwfV3da9UwFA86QXwRv1edGkHwQcLatE2TJ5myMYT55OC-hXzqhdHO3jvE_95z0tx6i7DHNqfQ5nw35_wOIe-7xioPVo6VIUbWOOkZOL3IaiUaBfmYj2lo38U3cX7ZfF21q_zDbZPLKnc2MRlqPzj8R34MYTq4Vg7ZyKfrXwynRuHpah6hcZfcQ-gyLOnqVnPCVakutUvjISsToul2TTNSHG_AzwnJsEABvaJgfOGYEn7__1Z6z00tSyj3fNLZI_IwB5P0ZOL-Y3In9E_I_Yt8XP6UmNM8UIlB5g089HQ9jmn4_EhTVk5xnvWWxqvhN_XTbPoNXfd0D-eJmt7TP2gTaMLq2FCQmp5inSIY9Wfk8uz0-5dzlmcqMNeqZssw_6hL13hTGSEiL10bvS2bUHOjlJEhqlCJUJoSWOhNZyqECIRL2UqLXajPyUE_9OGQ0NZE34CLjdyYxtvKuqiUK72vWtsGKwpS7TZUuww4jnMvrnRKPKTQExM0MEEnJmhekI_zM9cT3Mat1J-RTzMlQmWnG8P4Q2fN07VwppNe2sAhG-ycjba2LXdl7etYeluQt8hlPfWdzgqvT4TEWBVS0oJ8SBSo8vABzuTOBdgGBM9aUB4tKEFV3XJ5J0k6m4qN_ifYBXk3L-OTWP7Wh-EGaWQL0QakdwV5MQne_NE1uDpEtSxItxDJxa4sV_r1zwQkLluuIEJ5eftrvSIPOOoJOGxeHZGD7XgTXkMktrVvkrr9BaylMNs
  priority: 102
  providerName: ProQuest
– databaseName: Scholars Portal Journals: Open Access
  dbid: M48
  link: http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwrV1Li9RAEG6WFcSL-Da6aguCB4kmnXSn-yCyyi6LMJ4c2FvTTx0YMmtmFt1_b1Xn4QQXTx6Trj6kXl99pLuKkFdNbZWHLJcXIca8dtLnAHoxr5SoFfAxH9PQvsUXcbasP5_z8wMyjjsaFLi9ltrhPKllt37768fVBwj49yngpXi3BcwSMsfDBohwIoeUfAOQqcFAXdR__iqopmjGizPX7puBU-rh_3em3oOq-THKPVw6vUNuDwUlPe494C45CO09cnMx_DK_T8zJMFQpB_YNdvR01XVpAH1HEzOnONN6R-N685P6fj79lq5autfriZrW0yvMCzT169hS8JyW4llFSOwPyPL05Ouns3yYq5A7rupdjhykKlztTWmEiKxwPHpb1KFiRikjQ1ShFKEwBZjRm8aU2CYQHiWXFm-iPiSH7aYNjwnlJvoaYDYyY2pvS-uiUq7wvuSWBysyUo4K1W5oOo6zL9Y6kQ8pdG8EDUbQyQiaZeTNtOeib7nxT-mPaKdJEttlpxeb7pseok9XwplGemkDA0bYOBttZTlzReWrWHibkRdoZd3fPZ2CXh8LifUq0NKMvE4S6IjwAc4MtxdADdhAayZ5NJOEcHXz5dGT9OjtGjgo1I0MqHZGXk7LuBOPwLVhc4kykkPFARQvI496x5s-ugK4w86WGWlmLjnTynylXX1PzcQlZwqqlCf_Q41PyS2G0QTQzsojcrjrLsMzqNl29nkKxN9OmT-h
  priority: 102
  providerName: Scholars Portal
Title Exercise-induced irregular right heart flow dynamics in adolescents and young adults born preterm
URI https://www.ncbi.nlm.nih.gov/pubmed/34670573
https://www.proquest.com/docview/2598932094
https://www.proquest.com/docview/2585413306
https://pubmed.ncbi.nlm.nih.gov/PMC8529801
https://doaj.org/article/36ca78d8be21497cbfb3b52c03d3f0db
Volume 23
hasFullText 1
inHoldings 1
isFullTextHit
isPrint
link http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwrV3di9NAEF_0BPFF_L7oWVcQfJDlks1ms_t4J62H0EPEg74t-4mFI5W2x3H_vTObtDQI-uJLIN0JNDsfvxky-xtCPrTC6QBRjpUxJSa8CgxAL7FaS6GhHgspD-2bX8qLK_F10SwORn1hT1hPD9xv3GktvW1VUC5ySOZb75KrXcN9WYc6lcFh9AXM2xVTw_cD3Zbt7oiMkqcbQDWpGLYjIAZKxkcwlNn6_4zJB6A0bpg8QKDZE_J4SB3pWf-Xn5J7sXtGHs6Hj-PPiZ0O45MY1NmgsUCX63UeNb-muQanOL16S9P16paGfhL9hi47esDqRG0X6B1GAJqZOTYUbKSj2JUIIfwFuZpNf3y-YMMEBeYbLbYMq4269CLYykqZeOmbFFwpYs2t1lbFpGMlY2lLUFiwra2QEBBuVaMcnjl9SY66VRePCW1sCgIANXFrRXCV80lrX4ZQNa6JThak2m2o8QO9OE65uDa5zFDS9EowoASTlWB4QT7tn_nVk2v8Vfoc9bSXRGLs_AOYixnMxfzLXAryDrVs-lOme_c2Z1JhZgoFaEE-Zgl0cHgBb4dzCrANSJU1kjwZSYJj-vHyzpLMEBg2BqpNyBDBYkVB3u-X8Ulsduvi6gZlVAO5BRRzBXnVG97-pWsANuSwLEg7MsnRroxXuuXPTBuuGq4hH3n9P7bxDXnE0ZsAxHl1Qo6265v4FrKzrZuQ--2ihauafZmQB-fTy2_fJ9k54ToX6jf55TzH
linkProvider Directory of Open Access Journals
linkToHtml http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwtV1Lb9NAEF6VIgEXxBtDoYsE4oBWtdf2en1AqECrlDY9tVJvyz4hUnFKkqrKn-I3MrN2TCyk3npMdhxldx7fjHcehLytClM7sHIs9SGwwkrHAPQCy2tR1BCPuRCH9o2Pxei0-HZWnm2QP6taGEyrXNnEaKjd1OI78h1w0wFaOUQjny5-M5wahberqxEarVgc-uUVhGzzjwdfgb_vON_fO_kyYt1UAWbLulgw9MDz1BZOZ1qIwFNbBmfSwudc17WWPtQ-Ez7VKWzC6Upn2CQPPspSGqzDhN-9RW4D8KaoUdVZH-BldRXLs_FSlwlRVKsiHSl25oCrQjJMiEAUFowPgDDOC_gfFdZgcZiyuYaB-w_I_c55pbuttD0kG755RO6Mu-v5x0TvdQOcGET6IDOOTmazOOx-RuNbAIrzsxc0nE-vqFs2-tfEzumkoWt9pahuHF2iDaKxN8icgpQ2FPMiAUSekNMbOe2nZLOZNv45oaUOrgBID1zrwpnM2FDXNnUuK03pjUhItjpQZbsG5zhn41zFQEcK1TJBARNUZILiCfnQP3PRtve4lvoz8qmnxNbc8Yvp7IfqNF3lwupKOmk8h-izsiaY3JTcprnLQ-pMQraRy6qtc-0NjNoVEn1jCIET8j5SoImBDVjdVUrAMWCzrgHl1oASTIMdLq8kSXWmaa7-KVJC3vTL-CSm2zV-eok0sgTvBsLJhDxrBa_fdA7Qil00E1INRHJwKsOVZvIzNi6XJa_BI3px_d_aJndHJ-MjdXRwfPiS3OOoM-As8GyLbC5ml_4VeIEL8zqqHiXfb1rX_wIUkW0C
openUrl ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Exercise-induced+irregular+right+heart+flow+dynamics+in+adolescents+and+young+adults+born+preterm&rft.jtitle=Journal+of+cardiovascular+magnetic+resonance&rft.au=Jacob+A.+Macdonald&rft.au=Grant+S.+Roberts&rft.au=Philip+A.+Corrado&rft.au=Arij+G.+Beshish&rft.date=2021-10-21&rft.pub=Elsevier&rft.eissn=1532-429X&rft.volume=23&rft.issue=1&rft.spage=1&rft.epage=11&rft_id=info:doi/10.1186%2Fs12968-021-00816-2&rft.externalDBID=DOA&rft.externalDocID=oai_doaj_org_article_36ca78d8be21497cbfb3b52c03d3f0db
thumbnail_l http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=1097-6647&client=summon
thumbnail_m http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=1097-6647&client=summon
thumbnail_s http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=1097-6647&client=summon