Increased aortic stiffness in prepubertal girls with Turner syndrome
Open accessAbstract
Background Aortic dilation and dissection contribute highly to the increased mortality of Turner syndrome (TS) but the exact pathophysiology is not completely understood.Design Prospective case - control study.Methods 15 prepubertal TS girls (median age 10.64, IQ 8.31-11.04) with a tricuspid (TAV, n=9) or a bicuspid (BAV, n=6) aortic valve, and 31 sex-, age-, and height-matched healthy controls underwent a cardiac and vascular ultrasound to evaluate aortic dimensions and elastic properties of the aortic wall.Results TS BAV had significantly larger ascending aortic diameters than controls for absolute diameter, 22.2±5.1mm vs. 18.6±1.9mm (p=0.014) and z-score 1.7±2.1 vs. 0.1±0.7 (p=0.008). Distensibility of the ascending aorta was lower in the TS than in controls (40.2×10-3 kPa-1, IQ 31.3-56.2 vs. 62.9×10-3 kPa-1, IQ 55.5-76.5, p=0.003), both for TS TAV (p=0.014) and BAV (p=0.005). Stiffness index was higher in TS than in controls (5.26, IQ 3.34-5.26 vs. 3.23, IQ 2.55-3.24, p=0.005), both for TS TAV (p=0.028) and TS BAV (p=0.006). Pulse wave velocity was not different between groups. There was no correlation between stiffness and z-score of the ascending aortic diameter.Conclusions In prepubertal TS girls, stiffness of the ascending aorta is increased in patients with a BAV and TAV while dilation of the ascending aorta is more frequent in BAV. This suggests an intrinsic aortic wall abnormality making all TS patients at increased risk for severe aortic complications although the risk is the highest for TS with BAV.
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Proximal aortic stiffness is frequently increased in TS, even if the aorta is not dilated and the aortic valve is tricuspid.
“Proximal aortic stiffness is frequently increased in TS, even if the aorta is not dilated and the aortic valve is tricuspid.462-465”
From Clinical practice guidelines for the care of girls and women with Turner syndrome. (2024) · cites this paper as [462]
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- Authors
- De Groote, K., Devos, D., Van Herck, K., De Wolf, D., Van der Straaten, S., Rietzschel, E., Raes, A., Vandekerckhove, K., Panzer, J., De Wilde, H., & De Schepper, J.
- Affiliations
- Ghent University Hospital (BE)
- Venue
- Journal of Cardiology
- Publisher
- Elsevier BV
- Published
- 2017-01
- Volume
- 69
- Issue
- 1
- Pages
- 201-207
- ISSN
- 0914-5087 (ISSN-L)
- OpenAlex
- W2321483747
- Cited by
- 41
- References
- 41
- Citations by year
- 2025: 3 · 2024: 6 · 2023: 2 · 2022: 6 · 2021: 3 · 2020: 2 · 2019: 9 · 2018: 8 · 2017: 1 · 2016: 1
- FWCI
- 5.18
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Journal of Cardiology (publishedVersion)
- PubMed (publishedVersion)
- Ghent University Academic Bibliography (Ghent University) (submittedVersion)
- VUBIR (Vrije Universiteit Brussel) (submittedVersion)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Health and Disease Prevention
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Aortic Disease and Treatment Approaches
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Connective tissue disorders research
- Keywords
- Turner syndrome, aortic stiffness, ascending aorta, bicuspid aortic valve, tricuspid aortic valve, aortic dilatation, aortic distensibility, prepubertal girls, aortic complications
- MeSH terms
- Aorta, Aortic Diseases, Aortic Valve, Child, Dilatation, Pathologic, Female, Heart Valve Diseases, Humans, Prospective Studies, Turner Syndrome, Case-Control Studies, Vascular Stiffness, Pulse Wave Analysis
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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