Early diagnosis and screening of congenital cardiac anomalies

2010 ◽  
Vol 21 (2) ◽  
pp. 194-196 ◽  
Author(s):  
Saeed Dastgiri ◽  
Mahdieh Taghizadeh ◽  
Mohammad Heidarzadeh
Keyword(s):  
Early Diagnosis ◽  
Congenital Anomalies ◽  
Birth Defect ◽  
P Value ◽  
Cardiac Anomalies ◽  
Paediatric Cardiologist ◽  
Congenital Cardiac Anomalies ◽  
Northwest Region

AbstractConsiderable numbers of congenital cardiac anomalies are missed at the time of delivery. Study reports show that congenital cardiac anomalies are the second most common birth defect in many countries. Despite this fact, our previous study showed that the prevalence of congenital cardiac anomalies is the fifth most common one, indicating that many of these defects might not be properly diagnosed at the time of delivery and birth. The aim of this study was to estimate the missing frequency of congenital cardiac anomalies at the time of delivery and birth. The population of the study was 185,650 births in the Northwest region of Iran covered by the Tabriz Registry of Congenital Anomalies. A total of 451 children with congenital cardiac anomalies were studied in the region from 2000 to 2009. The expected prevalence of congenital cardiac anomalies at birth was estimated to be 24.2 per 10,000 births while a prevalence of 9.2 per 10,000 births was observed at the same time and place. This indicated that 59.1% of children with congenital cardiac anomalies were not identified at birth (p-value less than 0.05). This proportion increased by 13% over the study period from 2000 to 2009 (p-value greater than 0.1). Our findings indicated that a remarkable frequency of congenital cardiac anomalies was not diagnosed at birth because there was no paediatric cardiologist available at the time of birth in the gynaecology and obstetrics wards.

scholarly journals A STUDY ON THE ANTENATAL SONOGRAPHIC EVALUATION OF CONGENITAL CARDIAC ANOMALIES IN PREGNANT WOMEN FOR A PERIOD OF TWO YEARS

2021 ◽  
pp. 1-4
Author(s):  
Ramakanth Veluru ◽  
Ramesh Kumar ◽  
Revathi RB
Keyword(s):  
Pregnant Women ◽  
Congenital Anomalies ◽  
Live Births ◽  
Cardiac Anomalies ◽  
Sonographic Evaluation ◽  
Cardiac Abnormalities ◽  
Chamber View ◽  
Congenital Cardiac Anomalies ◽  
Cardiovascular Anomalies ◽  
Base View

Structural cardiac anomalies are estimated to occur in 8 of every 1,000 live births. Cardiovascular anomalies are frequently associated with other congenital anomalies because the heart is among the last organs to develop completely in the embryo. The ultrasonographic (US) view like four-chamber view,three-vessel view, a base view, RVOT, and LVOT views are done during the fetal scan to detect cardiac abnormalities

scholarly journals Primary versus Staged Closure of Exomphalos Major: Cardiac Anomalies Do Not Affect Outcome

2017 ◽  
Vol 28 (03) ◽  
pp. 279-284 ◽  
Author(s):  
Clare Rees ◽  
Lucinda Tullie ◽  
Agostino Pierro ◽  
Edward Kiely ◽  
Joe Curry ◽  
...  
Keyword(s):  
Intensive Care ◽  
Length Of Stay ◽  
Primary Closure ◽  
Single Center ◽  
Fascial Defect ◽  
Pentalogy Of Cantrell ◽  
Cardiac Anomalies ◽  
Intensive Care Stay ◽  
Congenital Cardiac Anomalies ◽  
Liver Herniation

Aim The objective of the study is to describe management of exomphalos major and investigate the effect of congenital cardiac anomalies. Methods A single-center retrospective review (with audit approval) was performed of neonates with exomphalos major (fascial defect ≥ 5cm ± liver herniation) between 2004 and 2014.Demographic and operative data were collected and outcomes compared between infants who had primary or staged closure. Data, median (range), were analyzed appropriately. Results A total of 22 patients were included, 20 with liver herniation and 1 with pentalogy of Cantrell. Gestational age was 38 (30–40) weeks, birth weight 2.7 (1.4–4.6) kg, and 13 (60%) were male. Two were managed conservatively due to severe comorbidities, 5 underwent primary closure, and 15 had application of Prolene (Ethicon Inc) mesh silo and serial reduction. Five died, including two managed conservatively, none primarily of the exomphalos. Survivors were followed up for 38 months (2–71). Cardiac anomalies were present in 20 (91%) patients: 8 had minor and 12 major anomalies. Twelve (55%) patients had other anomalies. Primary closure was associated with shorter length of stay (13 vs. 85 days, p = 0.02), but infants had similar lengths of intensive care stay, duration of parenteral feeds, and time to full feeds. Infants with cardiac anomalies had shorter times to full closure (28 vs. 62 days, p = 0.03), but other outcomes were similar. Conclusion Infants whose defect can be closed primarily have a shorter length of stay, but other outcomes are similar. Infants with more significant abdominovisceral disproportion are managed with staged closure; the presence of major cardiac anomalies does not affect surgical outcome.

scholarly journals Effectiveness of 12-13-week scan for early diagnosis of fetal congenital anomalies in the cell-free DNA era

2018 ◽  
Vol 51 (4) ◽  
pp. 463-469 ◽  
Author(s):  
M. J. A. Kenkhuis ◽  
M. Bakker ◽  
F. Bardi ◽  
F. Fontanella ◽  
M. K. Bakker ◽  
...  
Keyword(s):  
Early Diagnosis ◽  
Congenital Anomalies ◽  
Cell Free Dna ◽  
Free Dna

scholarly journals A Case-Control Study for Assessing Risk Factors for Congenital Anomalies among Children in Sulaimani City

2018 ◽  
pp. 90-95 ◽  
Author(s):  
Niaz Mustafa Kamal ◽  
Nasih Othman
Keyword(s):  
Risk Factors ◽  
Congenital Anomalies ◽  
Maternal Obesity ◽  
Case Control Study ◽  
Significant Risk ◽  
Case Control ◽  
P Value ◽  
Maternal Risk ◽  
Wide Range ◽  
Control Study

Congenital anomalies comprise a wide range of abnormalities in body structure or function that are present at birth and are of prenatal origin. These are defined as structural changes that have significant medical, social or cosmetic consequences for the affected individual, and typically require medical intervention. According to our Knowledge, research is scarce on these conditions in Sulaimaniyah city. Therefore, the current study was conducted to investigate potential risk factors for congenital anomalies. A case-control study was carried out from March to August 2017 involving 400 children (200 cases and 200 controls) aged 0-5 years. Required data were obtained on the risk factors through face to face interviews with mothers of cases and controls. The data were using descriptive statistical methods, Chi-square and Logistic Regression using STATA 11, calculating odds ratios and condensing P value less than 0.05 as statistically significant. The mean age of the children was 1.9 years and age of their mothers at the time of pregnancy was 28 years. Congenital heart anomalies were the commonest type accounting for 27.5%. Significant risk factors for congenital anomalies were family history (OR=2.24, P= 0.007), maternal obesity (OR= 2.26, P= 0.001), mothers age over 30 (OR=2.78, P= 0.002) and mothers not using folic acid during pregnancy (OR=2.12, P= 0.0007). In general, in order to control and prevent the cases of CM, it is important to provide health education and policies to reduce environmental and maternal risk factors. Further, studies with larger sample size are needed to investigate incidence and risk factors of congenital anomalies.

scholarly journals Age of puppies at referral to veterinary cardiology specialists for murmur investigation

2021 ◽  
Vol 63 (1) ◽  
Author(s):  
Lynn Bernadette Rovroy ◽  
Viktor Szatmári
Keyword(s):  
Medical Records ◽  
Digital Archive ◽  
Cardiac Anomaly ◽  
Time Interval ◽  
Health Examination ◽  
Cardiac Auscultation ◽  
Congenital Cardiac Anomaly ◽  
Cardiac Anomalies ◽  
Veterinary Practitioner ◽  
Congenital Cardiac Anomalies

Abstract Background Cardiac auscultation is an important screening test at the first health examination of puppies because most clinically relevant congenital cardiac anomalies cause a loud murmur from birth. This retrospective study aimed to investigate the age at which dogs with suspected congenital cardiac anomalies were referred to a veterinary cardiology specialist for murmur investigation. A secondary aim was to establish the time interval between the visit to the cardiologist and the first available murmur documentation. The digital archive of a veterinary teaching hospital was searched for dogs with congenital cardiac anomalies and puppies with innocent murmurs during a 5-year period. Dogs had to be referred because of a murmur, and they had to undergo physical examination and echocardiography by a veterinary cardiology specialist. The health certificate section of the pet passport, and the medical records from the referring veterinarian, were reviewed to identify the date when the murmur was first documented. Results Of the 271 included dogs, 94% had a congenital cardiac anomaly and 6% had an innocent murmur. The dogs’ median age was 190 days when they were examined by the cardiologist. Only 10% of the dogs were referred by the breeder’s veterinarian, while 90% of the dogs were referred by the new owner’s veterinarian. The median age of the first available murmur documentation by a first opinion veterinary practitioner was 95 days. Conclusions Only 10% of the puppies in the present study were referred to a veterinary cardiology specialist for murmur investigation before they were sold to a new owner. Referral prior to re-homing would have been feasible if the murmur had been detected and documented by the breeder’s veterinarian, if referral was offered by the breeder’s veterinarian and the referral was accepted by the breeder.

scholarly journals Association of occlusal wear facets in patients with temporomandibular disorders

2020 ◽  
Vol 16 (12) ◽  
pp. 1060-1068
Author(s):  
Faazila Fathima ◽  
Keyword(s):  
Early Diagnosis ◽  
Temporomandibular Disorders ◽  
Temporomandibular Disorder ◽  
Tooth Wear ◽  
P Value ◽  
Age Group ◽  
Posterior Teeth ◽  
Index Data ◽  
Occlusal Wear ◽  
High Prevalence

Occlusal changes were important factors in temporomandibular disorder (TMD). It is of interest to evaluate the association of occlusal wear facets in TMD patients. We used a dataset of 49 patients with and without TMD for this study. Occlusal wear facets were evaluated using Smith and Knight tooth wear index. Data shows that teeth wear was present more in patients with TMD (55%). The age group 26-40 years showed high prevalence of teeth wear (grade1) in TMD patients (P value = 0.034). TMD was present more in females than males. Female (54%) patients with TMD showed more teeth wear compared to males. Most patients with TMD showed posterior teeth wear (61%) than generalized teeth wear. Thus, association was present between occlusal teeth wear and TMD patients especially in the age group of 26-40 years. Hence, proper evaluation of occlusal factors will aid in early diagnosis of TMDs.

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