Cardiopatías congénitas, tratamiento quirúrgico y sus complicaciones en población pediátrica del Hospital Vicente Corral Moscoso, 2017- Agosto 2019

BACKGROUND: The heart is the most commonly affected organ by congenital diseases, with and incidence of 0.8 per 100 newborns. Nearly two thirds of all the surgical procedures are now a days performed before the first year of life, improving survival rate and life quality. This study aims to determine the frequency of the surgical interventions performed to treat congenital heart diseases and its complications. METHODS: An observational, descriptive cross sectional study was carried out; with 70 pediatric patients diagnosed and surgically treated for congenital heart diseases. The data was collected from the patient’s medical records using a form. Statistical analysis was performed using SPSS version 15 software. RESULTS: The median age was 1.1 years, 60% of the sample were women. 90% of the heart diseases were non-cyanogenic. The most frequent diagnosis was: persistence of the arterial duct (58.57%), followed by interventricular communication (12.86%). The type of procedures corresponds to the heart disease, thus 58.57% were performed for closure of arterial duct persistence and 12.86% were surgical repairs for closure of interventricular communication. The median stay in the intensive care unit was 4 days and the median stay in general hospitalization room was 5 days. The main complications in this pediatric population undergoing a surgical procedure were: pneumonia (11.4%) and sepsis of unspecified origin (8.6%). CONCLUSION: Treatment for heart diseases were performed at early ages (average age= 2.5±3.2). More than half of the surgical procedures for congenital heart disease were performed to correct the persistence of the ductus arteriosus, the main complication was pneumonia.

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A Review of Selected Adult Congenital Heart Diseases Encountered in Daily Practice

Current Cardiology Reviews ◽

10.2174/1573403x16666200810104615 ◽

2020 ◽

Vol 16 ◽

Author(s):

Farhan Bajwa ◽

Syed M Jafri ◽

Karthik Ananthasubramaniam

Keyword(s):

Surgical Procedures ◽

Congenital Heart ◽

Heart Diseases ◽

Daily Practice ◽

Congenital Heart Diseases ◽

Congenital Diseases ◽

Adult Congenital ◽

The Common ◽

Adult Congenital Heart Diseases

: The advancement in corrective surgical procedures and anaesthesia technology has resulted in the increase survival of patients with Congenital Heart Diseases (CHD). Most of the surviving CHD patients have successfully reached adulthood and those surviving adults now outnumber the infants born with the CHD. Unfortunately, the surviving adults with CHD do not get proper care due to either inconsistent follow up or not getting care from a specialist in the field of CHD. It is imperative for general practicing clinicians to be aware of the congenital diseases as well as the current clinical recommendations. This manuscript reviews some of the common congenital diseases seen in adults such as cardiac shunts, left heat obstructive lesions and aortopathies.

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High prevalence of congenital heart disease at high altitudes in Tibet

European Journal of Preventive Cardiology ◽

10.1177/2047487318812502 ◽

2018 ◽

Vol 26 (7) ◽

pp. 756-759 ◽

Cited By ~ 7

Author(s):

Hua Chun ◽

Yan Yue ◽

Yibin Wang ◽

Zhaxi Dawa ◽

Pu Zhen ◽

...

Keyword(s):

Congenital Heart Disease ◽

Heart Disease ◽

Patent Ductus Arteriosus ◽

High Altitude ◽

Congenital Heart ◽

Septal Defect ◽

Heart Diseases ◽

Ductus Arteriosus ◽

Congenital Heart Diseases ◽

Patent Ductus

Background Previous small sample studies suggested that elevated altitudes might be associated with the incidence of cardiovascular diseases. However, it remains uncertain whether high altitudes (over 3000 m above sea level) are related to congenital heart disease. We therefore explored the prevalence of congenital heart disease in a large cohort of students in the world's largest prefecture-level city with the highest altitude. Methods This cross-sectional study included 84,302 student participants (boys 52.12%, girls 47.88%, with an average age of 10.62 ± 3.33 years). Data were extracted from the screening results among different altitude area schools in Nagqu from June 2016 to August 2017. Students were first screened by performing a physical examination consisting of cardiac auscultations and clinical manifestation screenings. An echocardiography was performed to confirm and identify the subtype of congenital heart disease. Results The prevalence of congenital heart disease among students in Nagqu, Tibet, was 5.21‰ (439 cases). The most common congenital heart disease type was patent ductus arteriosus, representing 66.3% of congenital heart diseases diagnosed in this study, followed by atrial septal defect and ventricular septal defect, representing 20.3% and 9.1% of congenital heart diseases, respectively. Students living in higher altitudes were significantly more prone to have congenital heart disease than students in locations with lower altitudes. The prevalence of congenital heart disease in girls was found to be higher than that of boys. Conclusions The correlation between congenital heart disease and increased altitude is noteworthy. This study's results are the first big data epidemiological investigation to confirm that high altitude is a significant environmental risk factor for congenital heart disease, especially patent ductus arteriosus. Furthermore, the results provide additional support to make a diagnostic and treatment plan to prevent congenital heart disease in high altitude areas.

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Study the universal critical congenital heart disease screening in a peripheral area of Uttarakhand, India

International Journal of Contemporary Pediatrics ◽

10.18203/2349-3291.ijcp20203641 ◽

2020 ◽

Vol 7 (9) ◽

pp. 1849

Author(s):

Ravi Sahota ◽

Navpreet Kaur ◽

Gurpal Singh ◽

Veena Joshi ◽

Bharti Gahtori ◽

...

Keyword(s):

Congenital Heart Disease ◽

Heart Disease ◽

Congenital Heart ◽

Screening Program ◽

Heart Diseases ◽

Research Work ◽

Congenital Heart Diseases ◽

Critical Congenital Heart Disease ◽

Cross Sectional ◽

Birth Prevalence

Background: Congenital heart disease (CHD) is the most frequently occurring congenital disorder, responsible for 28% of all congenital birth defects. The birth prevalence of CHD is reported to be 8-12/1000 live births. Considering a rate of 9/1000, about 1.35 million babies are born with CHD each year globally. Objective of research work to study the prevalence of CHD among newborn and its types.Methods: This cross-sectional study was carried among 34 cases of CHD/5126 newborn screened at 4 birthing places in Kashipur a small town in Uttrakhand at pediatrics department of Sahota Super-specialty hospital, Kashipur, Uttarakhand. Screening program between 22 August 2014, and March 30, 2019. All newborns, including preterm babies, delivered in these facilities were eligible for inclusion in this study.Results: Present study found the prevalence of CHD was 0.7 per 1000 children (34/5126). Around 26.5% participants have cyanotic CHD and 73.5% have acynotic CHD. Almost 44%, 28%, 20%, 4% and 4% participants of acynotic congenital heart diseases have VSD, ASD, PDA, AVSD and valvular PS respectively and 55.6%, 22.2%, 11.1% and 11.1% participants of cynotic congenital heart diseases have TOF, DORV/VSD, dTGA/VSD and tricuspid atresia respectively.Conclusions: Screening for congenital heart disease should be included as a part of newborn assessment as it is a common congenital problem. Early identification influences outcome. Barriers in implementation of the screening programmes in resource limited setting is a challenging feature. This study can provide observed data that can help in policy making in the health sector.

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Changes in tactics and treatment results in congenital heart diseases in adults during the last 15 years (investigation based on the data of cardio-surgical departments of the Republic of Tatarstan)

Kazan medical journal ◽

10.17750/kmj2015-623 ◽

2015 ◽

Vol 96 (4) ◽

pp. 623-628

Author(s):

R K Dzhordzhikiya ◽

I I Vagizov ◽

G I Kharitonov ◽

I V Bilalov ◽

M N Mukharyamov

Keyword(s):

Pulmonary Hypertension ◽

Heart Disease ◽

Congenital Heart ◽

Heart Diseases ◽

Ductus Arteriosus ◽

Adult Patients ◽

Long Term Results ◽

Congenital Heart Diseases ◽

Septal Defects ◽

Diagnostic Center

Aim. To summarize and to distinguish the features of diagnosis and treatment of congenital heart diseases in adults characteristic for the contemporary cardio surgery, by a retrospective study of case reports. Methods. The study analyzed the medical charts of 245 adults with congenital heart diseases treated in the Cardio surgical department №2 of the Interregional Clinical and Diagnostic Center between 2007 and 2015 years. The comparison group included 701 adult patients with congenital heart diseases treated in the Kazan Center of Cardiovascular surgery between 1987 and 1997. Results. The prevalence of congenital heart diseases in adults remains significant. In recent years, the share of operations for these diseases is 5.4% of all cardiac interventions. The most frequent pathology is atrial septal defects. The most frequent complications of septal defects are tricuspidal valve insufficiency (83%) and pulmonary hypertension (77%). Comorbidities include: hypertensive heart disease (36%), cardiac arrhythmias (31%) and ischemic heart disease (33%). The number surrendered surgeries decreased from 28.8% in 1997 to 3.7% in 2014. Postoperative mortality has decreased from 3.3% to 1%. Nowadays a significant amount of operations (56%) is transcatheter occlusion. There is an experience of such surgeries in defects of secondary atrial septum and patent ductus arteriosus. Conclusion. Congenital heart diseases in adults are characterized by severe impairment of haemodynamics, leading to arterial pulmonary hypertension and tricuspid insufficiency, therefore, require early diagnostics and timely treatment before the onset of complications. 68% of such adult patients suffer from comorbidities that increase the risk of surgical interventions. Endovascular surgeries are low invasive, have minimal complication rate and produce good immediate and long-term results.

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Recent Advancement in Non-surgical Interventional Treatment in Congenital Heart Disease at National Institute of Cardiovascular Disease (NICVD)-a Tertiary Care Hospital of Bangladesh

Cardiovascular Journal ◽

10.3329/cardio.v6i2.18354 ◽

2014 ◽

Vol 6 (2) ◽

pp. 133-142

Author(s):

ABMA Salam ◽

AMA Kamali ◽

KA Hasan ◽

H Ataul ◽

M Selim ◽

...

Keyword(s):

Congenital Heart Disease ◽

Heart Disease ◽

Congenital Heart ◽

Heart Diseases ◽

Ductus Arteriosus ◽

Tertiary Care ◽

Interventional Treatment ◽

Congenital Heart Diseases ◽

Care Hospital ◽

Device Closure

Background: Treatment of Congenital Heart Disease (CHD) is either Surgical or Interventional. Medical management is mainly symptomatic / palliative. Although surgery is the main mode of treatment but in the recent past non-surgical Interventional method is replacing it because of its multiple advantages over surgical procedures. Since 2005, we started our journey in National Institute of Cardiovascular Diseases with a PDA device closure. In this article we tried to review the success rate of the interventional procedures in this hospital. Methods: The aim of this retrospective study is to review the short term & Intermediate outcome of the non surgical interventional treatment of congenital heart diseases. We included all the interventional rocedures done in this Institute since 2005 upto December 2013. Results: During this period, we performed total 150 cases of patent ductus arteriosus (PDA) device, 20 cases of PDA Coil closure, 60 cases of atrial septal defect (ASD) device, 90 cases of Balloon Pulmonary Valvuloplasty (BPV), 20 cases of Balloon Aortic Valvuloplasty (BAV), 22 cases of Coarctation Balloon Angioplasty, 35 cases of Mitral Valvuloplasty (PTMC), 15 cases of Balloon Atrial Septostomy. Almost all of our intervention procedures were successful except one case of mortality related to procedure of PDA device closure, 4 device embolization (2 ASD & 2 PDA) and one case of PDA coil with persistent Intravascular hemolysis. All the embolized devices were subsequently retrieved surgically with repair. All other patients of interventional treatment are enjoying new life without any morbidity. Conclusion: Thus, we concluded that interventional methods of suitably selected case of congenital heart disease may be an alternative lucrative safe & effective option of remedy for many of the congenital heart diseases. DOI: http://dx.doi.org/10.3329/cardio.v6i2.18354 Cardiovasc. j. 2014; 6(2): 133-142

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Characteristics of Congenital Heart of Premature Newborns

Journal of Health Sciences ◽

10.17921/2447-8938.2019v21n3p193-197 ◽

2019 ◽

Vol 21 (3) ◽

pp. 193

Author(s):

Giuliana De Souza Sena ◽

Sabrinne Suelen Santos Sampaio ◽

Vanessa Braga Torres ◽

Ingrid Guerra Azevedo ◽

Nivia Maria Rodrigues Arrais ◽

...

Keyword(s):

Intensive Care ◽

Heart Disease ◽

Premature Infants ◽

Congenital Heart ◽

Heart Diseases ◽

Ductus Arteriosus ◽

Rio Grande ◽

Congenital Heart Diseases ◽

Pulmonary Flow ◽

Terapia Intensiva

AbstractCongenital heart disease is considered the most common malformation found in neonatology. The aim of this study was to characterize the congenital heart diseases of premature newborns in the Neonatal Intensive Care Unit (NICU) of a high-risk maternity unit. This was an observational retrospective, descriptive character study carried out in a maternity school, reference in high-risk gestation in the state of Rio Grande do Norte. The study was carried out with premature infants admitted to NICU, who presented some cardiological findings when performing the echocardiogram examination. Data collection was performed through the records of infants hospitalized from December 2016 to December 2017. A total of 371 records were evaluated. Fifty eight infants were diagnosed with congenital heart disease, and 38 of them had Persistence of the ductus arteriosus. The main diagnosed cardiopathies caused low pulmonary flow. About half of the pregnant women with cardiac infants presented some complications during pregnancy, and the most frequent was Urinary Tract Infection; 55 infants needed some ventilatory support, 14 had at least one extubation failure during the hospitalization period, and 8 presented atelectasis. Persistence of the ductus arteriosus was the most common cardiologic finding, and the most frequent congenital heart diseases were those that decreased pulmonary flow, diagnosed mostly in premature infants who needed some ventilation support, but who were discharged from hospital.Keywords: Infant, Premature. Intensive Care Units, Neonatal. Neonatology.ResumoCardiopatias congênitas (CC) são consideradas as malformações mais comuns encontradas na neonatologia. O objetivo deste estudo foi caracterizar as CC de recém-nascidos prematuros em Unidade de Terapia Intensiva Neonatal (UTIN) de uma maternidade de alto risco. Tratase de um estudo observacional retrospectivo, de caráter descritivo, realizado em uma maternidade escola, referência em gestação de alto risco do estado do Rio Grande do Norte. O estudo foi realizado com os bebês prematuros admitidos na UTIN, que apresentaram algum achado cardiológico ao realizar o exame de ecocardiograma. A coleta de dados foi realizada através dos prontuários dos bebês internados no período de dezembro de 2016 a dezembro de 2017. Foram avaliados 371 prontuários, sendo elencados para o estudo 58 bebês, 38 apresentaram persistência do canal arterial (PCA) e foram alocados no grupo PCA e 20 apresentaram outro tipo de CC e foram alocados no grupo CC. 55 bebês necessitaram do uso de algum suporte ventilatório, 14 apresentaram pelo menos uma falha de extubação durante o período de internação e 8 apresentaram atelectasia. Cerca de metade das gestantes com bebês cardiopatas apresentaram alguma intercorrência durante a gestação. A mais frequente foi à infecção do trato urinário. A PCA foi o achado cardiológico mais comum da amostra (65%) e dentre os 20 RN com diferentes CC, as que causam o baixo fluxo pulmonar foram as mais frequentes (70%), sendo encontradas em sua maioria em prematuros que necessitaram de algum suporte ventilatório, mas que receberam alta hospitalar.Palavras-chave: Recém-Nascido Prematuro. Unidade de Terapia Intensiva Neonatal. Neonatologia.

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Cardiopatia congênita: estado nutricional e proporcionalidade corporal ao nascimento

Abr-Jun - Braspen Journal ◽

10.37111/braspenj.2020351004 ◽

2020 ◽

Vol 35 (1) ◽

pp. 13-19

Author(s):

Izabela dos Santos Pereira ◽

Cláudia Porto Sabino Pinho ◽

Adriana César da Silveira

Keyword(s):

Congenital Heart Disease ◽

Heart Disease ◽

Nutritional Status ◽

Congenital Heart ◽

Heart Diseases ◽

Ponderal Index ◽

Congenital Heart Diseases ◽

Cyanotic Heart Disease ◽

Cross Sectional ◽

Using Data

Introduction: Congenital heart diseases have a great impact on perinatal and infant mortality rates in Brazil. These are diseases that can lead to compromised growth and development of the child. The purpose of this study is to describe the nutritional condition and the corporal proportionality to the birth of children with congenital heart disease. Methods: A cross-sectional, retrospective study using data on the birth of children with congenital heart disease admitted to a cardiology service in the Northeast of Brazil between 2011 and 2014. The nutritional status was assessed by weight/age (W/A) indicators, length/age, weight/length, body mass index/age (BMI/A), ponderal index, cephalic perimeter. Results: A total of 117 patients were evaluated, being 60.7% male and 20.9% with cyanotic heart disease. It was found that 6.8% of the children were low birth weight. The nutritional indexes showed a 3.4% deficit in the W/A indicator, in weight/length 5.1%, for BMI/A 4.3% and length/age 7.8%. The ponderal index showed that 28.2% of the children were disproportionate at birth and 84.4% had a normal head circumference. Lower Z score values of W/A (p = 0.030) and BMI/A (p = 0.023) for cyanotic heart disease compared to other types of congenital heart diseases were observed in our study. Conclusions: Children with congenital heart disease had relatively preserved nutritional status at birth, with prevalence of nutritional disorders similar to those described in the literature.

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Association of congenital heart diseases with extracardiac anomalies

International Journal of Contemporary Pediatrics ◽

10.18203/2349-3291.ijcp20173790 ◽

2017 ◽

Vol 4 (5) ◽

pp. 1807 ◽

Cited By ~ 2

Author(s):

Mithlesh Dewangan

Keyword(s):

Congenital Heart Disease ◽

Heart Disease ◽

Congenital Heart ◽

Prospective Observational Study ◽

Heart Diseases ◽

Cross Sectional Study ◽

Congenital Heart Diseases ◽

Cross Sectional ◽

Medical College ◽

Jawaharlal Nehru

Background: Congenital heart diseases are one of the main causes of death among the congenital malformations. An extracardiac malformation further increases the risk of morbidity and mortality to these patients, in addition to risks of surgical correction. So here comes the importance of extracardiac malformation.Methods:This prospective observational study was conducted at Neonatology Section, Department of Pediatrics, Jawaharlal Nehru Medical College, Aligarh Muslim University, Aligarh. The study was conducted over a period of 2 years (from January 2015 to December 2016). Newborns with congenital heart disease were examined for extracardiac defects.Results: This hospital based cross-sectional study found that there were 121 cases of congenital heart diseases among 11030 live births making an incidence of 1.09% Out of these 73.5% were acyanotic heart diseases and 26.5% were cyanotic heart disease. Extracardiac anomalies were found in 38 (31.5%) cases.Conclusions:Association of Congenital heart disease with extracardiac anomalies is well known. Syndromes are most commonly associated.

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Burden of Care Among Mothers Having Children with Congenital Heart Diseases

Journal of Nepal Paediatric Society ◽

10.3126/jnps.v40i2.26885 ◽

2020 ◽

Vol 40 (2) ◽

pp. 72-77

Author(s):

Nita Sharma ◽

Pratima Sharma ◽

Tulashi Adhikari Mishra

Keyword(s):

Heart Disease ◽

Congenital Heart ◽

Heart Diseases ◽

Sampling Technique ◽

Structured Interview ◽

Health Condition ◽

P Value ◽

Burden Of Care ◽

Cross Sectional ◽

Significance Level

Introduction: Congenital Heart Disease (CHD) is a problem with structure and function of the heart that is present at birth. Children with CHD require special care, treatment and follow up for a number of common conditions which may be quite straining to the care givers. The objective of the study was to find out the burden of care among mothers having children with CHD. Methods: This descriptive cross-sectional study was carried out in a cardiac centre of Nepal. A total of 95 mothers having children with CHD attending outpatient department of our institute were selected as the sample for the study using non-probability purposive sampling technique. A semi structured interview questionnaire consisting of the Modified Caregiver Strain Index was used to assess the burden of care among mothers having children with CHD. Frequency and percent were used to describe the variables and chi- square test at 0.05 significance level was used to analyse associations. Results: Most (77.9%) of the mothers were regularly strained to find that their children’s health condition was deteriorating due to CHD. Nearly half (44.2%) of the mothers always had financial constrain while giving care to the child, nearly half (40%) of the mothers had done emotional adjustments to take care of their children with CHD, another two-fifths (28.4%) of the mothers sometimes had disturbed sleep and almost half (46.3%) of the mothers were always upset due to some behaviour of their child with CHD. Half (50.5%) of the mothers had high level of burden of care. Statistically significant association were found between age of the mother and level of burden of care (p value = 0.05). Similarly, the type of family (p value = 0.005), age of the children (p value = 0.000) and type of CHD (p value = 0.002) were significantly associated with the level of burden of care among the mothers. Conclusion: The study concluded that mothers tend to feel less burden of care as the child grows older, mothers having children with cyanotic heart disease tend to experience more burden of care. Mothers of less than thirty years of age and living in a joint family also experience more burden of care.

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