scholarly journals Congenital heart disease in school-aged children: Cognition, education, and participation in leisure activities

Author(s):  
Rebecca Spillmann ◽  
Susanne Polentarutti ◽  
Melanie Ehrler ◽  
Oliver Kretschmar ◽  
Flavia M. Wehrle ◽  
...  

Abstract Background Children with congenital heart disease (CHD) are at risk for neurodevelopmental deficits. This study aimed to investigate the impact of cognitive deficits on educational outcome and participation in leisure activities. Methods A prospective cohort of 134 children with CHD who underwent cardiopulmonary bypass surgery (CPB) was examined at 10 years of age. IQ was assessed with the WISC-IV and executive functions with the BRIEF (parent- and teacher-report). Parents reported on type and level of education and educational support, and leisure activity participation. Ordinal regression analyses assessed the association between cognitive deficits and educational outcome and participation. Results Total IQ (P = 0.023), working memory (P < 0.001), processing speed (P = 0.008), and teacher-reported metacognition (P = 0.022) were lower than norms. Regular school was attended by 82.4% of children with CHD compared to 97% of the general Swiss population (P < 0.001). Seventy-five percent of children participated in leisure activities. Lower total IQ and teacher-rated global executive functions were associated with more educational support and lower IQ was associated with less participation. Conclusion As school-aged children with CHD experience cognitive deficits, follow-up is required to provide optimal support with regard to educational outcome and participation in leisure activities. Impact Contemporary cohorts of children with congenital heart disease undergoing cardiopulmonary bypass surgery remain at increased risk for cognitive deficits. Cognitive deficits affect educational outcome and leisure activities. These findings underline the importance of early detection of cognitive deficits and recommend support with respect to cognitive functioning.

2020 ◽  
Vol 30 (11) ◽  
pp. 1730-1731
Author(s):  
Surendranath R. Veeram Reddy ◽  
Carrie E. Herbert ◽  
Thomas M. Zellers

AbstractAnomalous circumflex coronary artery origin from pulmonary artery is a very rare congenital heart disease. Misdiagnosis of this condition may lead to inadequate myocardial protection during cardiopulmonary bypass surgery.


2000 ◽  
Vol 73 (2) ◽  
pp. 173-179 ◽  
Author(s):  
Sven Dittrich ◽  
Katrin Kurschat ◽  
Ingo Dähnert ◽  
Michael Vogel ◽  
Christian Müller ◽  
...  

2019 ◽  
Vol 20 (8) ◽  
pp. 753-758 ◽  
Author(s):  
Eleonora Marinari ◽  
Alessandra Rizza ◽  
Roberta Iacobelli ◽  
Francesca Iodice ◽  
Isabella Favia ◽  
...  

2017 ◽  
Vol 83 (1) ◽  
pp. 63-70 ◽  
Author(s):  
Kristina N Heye ◽  
Walter Knirsch ◽  
Beatrice Latal ◽  
Ianina Scheer ◽  
Kristina Wetterling ◽  
...  

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