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August 10, 2026American Heart Journal Plus Cardiology Research and PracticeOpen Access

Echocardiographic assessment of cardiac growth in children with structurally normal hearts

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Why the study?

The impact of prenatal factors and early growth patterns on heart structure and function in children with structurally normal hearts remains incompletely described.

Do prenatal factors and early growth patterns influence heart structure and function in children with structurally normal hearts?

Population

738 children aged 11 to 83 months with structurally normal hearts

Comparison

BW, BW/GA z-score, GA, and weight gain z-score as predictors of cardiac dimensions

Design

Longitudinal study

Key result

Higher postnatal weight gain z-score was independently associated with smaller cardiac dimension z-scores, particularly in the aortic root, ascending aorta, and left atrium diameter.

Authors

HBHediyeh BaghsheikhiWCWhitney CowellVOVladislav Obsekov

Discussion

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Overview

Associations between prenatal factors, early growth, and cardiac dimensions remain hypothesis-generating; larger prospective studies needed before clinical implications.

Study Design

Type

Observational (n=738)

Structured PICO

Do prenatal factors and early growth patterns influence heart structure and function in children with structurally normal hearts?

P
Population
738 children aged 11 to 83 months with structurally normal hearts evaluated via 1000 echocardiograms to assess the impact of early growth patterns on cardiac dimensions.
O
Outcome
Cardiac dimensions and volumes (z-scores standardized for body surface area)surrogate

Postnatal weight gain is a more significant predictor of cardiac size z-scores than birth characteristics in children with structurally normal hearts.

Cite This Study

Baghsheikhi et al. (2026) conducted an observational in Structurally normal hearts (n=738). Postnatal weight gain and birth characteristics was evaluated on Cardiac dimension and volume z-scores standardized for body surface area. Higher postnatal weight gain z-score was independently associated with smaller cardiac dimension z-scores, particularly in the aortic root, ascending aorta, and left atrium diameter.

synapsesocial.com/papers/6a83874e13ebf8b47e9608f9https://doi.org/10.1016/j.ahjo.2026.100859
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1GROWTH OF THE HEART RELATED TO BODILY GROWTH DURING CHILDHOOD AND ADOLESCENCE1948 · 43 citations
  2. 2Recommendations for Cardiac Chamber Quantification by Echocardiography in Adults: An Update from the American Society of Echocardiography and the European Association of Cardiovascular Imaging2015 · 8,499 citations
  3. 3Regression equations for calculation of z scores for echocardiographic measurements of left heart structures in healthy Han Chinese children2018 · 15 citations
  4. 4Left ventricular mass is underestimated in overweight children because of incorrect body size variable chosen for normalization2019 · 9 citations
  5. 5Lifestyle intervention in obese pregnancy and cardiac remodelling in 3-year olds: children of the UPBEAT RCT2022 · 14 citations