Reproductive endocrinology

Evaluation of coronary microvascular dysfunction and risk factors in children and youth with Turner syndrome by magnetic resonance myocardial perfusion imaging

Clin Endocrinol (Oxf)Published Prospective cohort study

Authors' conclusion

Myocardial microvascular dysfunction can occur in children and youth patients with TS. Age and overweight/obesity were the independent risk factors of microvascular dysfunction, which imply the importance of lowering BMI for the prevention of coronary heart disease in young TS population.

Study context

Population
Children and youth with turner syndrome (TS) and age- and gender-matched controls
Participants
67 vs 32
Exposure
TS vs matched controls
  • TSn = 67
  • Controlsn = 32reference
Outcome
Myocardial microvascular function by first-pass cardiovascular MRI perfusion imaging, and risk factors for microvascular dysfunction
Methodological detailsage- and gender-matched controls
  • Age- and gender-matched controls

Main finding

As reported in the abstract

Myocardial microvascular perfusion (upslopecor, MaxSI of LV myocardium)

Age as independent impact factor of microvascular dysfunction (multivariable linear regression): β (95% CI), p

−0.107

−0.201 to −0.013p = .026

Overweight/obese as independent impact factor of microvascular dysfunction (multivariable linear regression): β (CI), p

−1.155

−2.134 to −0.176p = .021

Observational data: associations, not effects.

Further findings

Subgroups: older TS patients; overweight/obese TS patients

Upslopecor of older TS patients decreased more significantly vs normal controls
Upslopecor and maximum signal intensity (MaxSI) lower in overweight/obese TS patients than in TS patients with normal body mass index (BMI) and controls

Original publication

Evaluation of coronary microvascular dysfunction and risk factors in children and youth with Turner syndrome by magnetic resonance myocardial perfusion imaging. Clin Endocrinol (Oxf). Published 27 December 2022. doi:10.1111/cen.14866

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