CYANOTIC HEART DISEASE AND PSYCHOLOGICAL DEVELOPMENT

Forty-two children of normal intelligence with congenital heart disease between the ages of 4 and 8 years were tested for general intelligence, perceptual motor function, and gross and fine motor coordination. Three groups of children were tested: (1) those with cyanotic heart disease, (2) those with noncyanotic heart disease and a history of congestive heart failures, and (3) those with noncyanotic heart disease and a benign medical history. The first group had lower I.Q. scores, did less well in perceptual motor tasks, and had poorer gross motor coordination than children in the third group. Children of the second group occupied an intermediate position.

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Growth and Developmental Status of Children with Congenital Heart Disease

Bangladesh Medical Journal ◽

10.3329/bmj.v40i2.18512 ◽

2014 ◽

Vol 40 (2) ◽

pp. 54-57 ◽

Cited By ~ 2

Author(s):

AHm Nasiruzzaman ◽

MZ Hussain ◽

MA Baki ◽

MA Tayeb ◽

MN Mollah

Keyword(s):

Congenital Heart Disease ◽

Heart Disease ◽

Congenital Heart ◽

Social Impairment ◽

Study Patient ◽

Fine Motor ◽

Cyanotic Heart Disease ◽

Developmental Status ◽

Gross Motor ◽

Motor Delay

Cardiac malformations ore responsible for malnutrition, which may range from mild under nutrition to severe failure to thrive (FTT). Developmental delay was also associated with congenital heart disease. The aim of the study was to evaluate the nutritional status and developmental status of children with congenital heart disease. This cross sectional study was done in the department of Paediatrics, BSMMU and Dhaka Shishu Hospital from March'08 to February'09. Children, age 1 month to 6 years with congenital heart disease confirmed by echocardiogram (both cyanotic and acyanotic heart disease) were included in this study. Total 50 children included in this study. Mean age of study patient was 3.04 (±2.01SD) years. Ventricular septal defects were found as leading number (36%). Tetralogy of Fallot was found in 26% cases. According to WHO standard 38% children from acyanotic and 16%/rom cyanotic heart disease were severely stunted. Ten percent children from acyanotic and 04% from cyanotic heart disease were severely wasted. Gross motor and fine motor delay was present in 60% and 54% of children. Forty four percent children had speech delay and social impairment was present in 32% children. Severe stunting was more common than wasting in this study. Gross motor and fine motor delay was found the main developmental problem. DOI: http://dx.doi.org/10.3329/bmj.v40i2.18512 Bangladesh Medical Journal 2011 Vol.40(2): 54-57

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Familial congenital heart disease in Bandung, Indonesia

Paediatrica Indonesiana ◽

10.14238/pi53.3.2013.173-6 ◽

2013 ◽

Vol 53 (3) ◽

pp. 173

Author(s):

Sri Endah Rahayuningsih

Keyword(s):

Congenital Heart Disease ◽

Heart Disease ◽

Dilated Cardiomyopathy ◽

Congenital Heart ◽

Family Studies ◽

Recurrence Risk ◽

Descriptive Study ◽

Pedigree Analysis ◽

Tricuspid Atresia ◽

History Of

Background Congenital heart disease (CHD) may occur inseveral members of a family. Studies have shown that familialgenetic factor play a role in CHD.Objective To identify familial recurrences of CHD in familieswith at least one member treated for CHD in Dr. Hasan SadikinHospital, Bandung Indonesia.Methods In this descriptive study, subjects were CHD patientshospitalized or treated from January 2005 to December 2011. Weconstructed family pedigrees for five families.Results During the study period, there were 1,779 patients withCHD. We found 5 families with 12 familial CHD cases, consistingof 8 boys and 4 girls. Defects observed in these 12 patients weretetralogy of Fallot, transposition of the great arteries, persistentductus arteriosus, ventricular septa! defect, tricuspid atresia,pulmonary stenos is, and dilated cardiomyopathy. Persistent ductusarteriosus was the most frequently observed defect (4 out of 12subjects) . None of the families had a history of consanguinity. Therecurrence risk of CHD among siblings was calculated to be 0.67%,and the recurrence risk ofCHD among cousins was 0.16%.Conclusion Familial CHD may indicate the need for geneticcounseling and further pedigree analysis.

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Double Inlet Left Ventricle with Eisenmenger Syndrome in an Adult – A Case Report

International Journal of Medical Students ◽

10.5195/ijms.2017.173 ◽

2017 ◽

Vol 5 (1) ◽

pp. 53-56

Author(s):

Rahul Regi Abraham ◽

Rahul Regi Abraham

Keyword(s):

Congenital Heart Disease ◽

Heart Disease ◽

Left Ventricle ◽

Congenital Heart ◽

Pulmonary Stenosis ◽

Eisenmenger Syndrome ◽

Tertiary Center ◽

History Of ◽

Double Inlet Left Ventricle

Background: Patient diagnosed with double inlet left ventricle (prevalent in 5 – 10 in 100,000 newborns) complicated with Eisenmenger syndrome had a median survival age of 14 years without corrective surgery. Congenital heart disease such as this is usually treated by multiple surgeries during early childhood. A surgically uncorrected case in adults is not of common occurrence. Further, generalized itching after coming in contact with water (aquagenic pruritis) presented an interesting conundrum to treat. Case: A 29-year-old patient in India presented at a primary health care center with a history of difficulty breathing and discoloration of extremities since birth. He also gave a history of itching which commonly occurred after taking bath, hemoptysis and history of turning blue in color after birth. Patient had received no treatment besides regular phlebotomies. On examination, there was grade IV clubbing and conjunctival congestion. Cardiovascular examination revealed an enlarged heart, heaving apex beat and a pan-systolic murmur. A provisional diagnosis of a congenital cyanotic heart disease was made. Investigations revealed hemoglobin of 16.8g/dl. X–ray and electrocardiogram showed hypertrophy of the ventricles. An echocardiogram showed double inlet left ventricle with L-malposed vessels but without pulmonary stenosis. A final diagnosis of congenital heart disease; double inlet left ventricle, L-malposed vessels without pulmonary stenosis, Eisenmenger Syndrome and absolute erythrocytosis was made. Patient was advised for further management with a cardiologist in a tertiary center but the patient did not follow up. Conclusion: Unlike in high-income countries where most congenital heart diseases are detected and dealt with at birth whereas low-and middle-income nations often have to deal with cases that present much later and should often be included in the differential diagnosis. Inability to follow up cases, centers that are poorly equipped and lack of facilities for investigations, patient’s lack of medical awareness, and financial restrictions are major barriers to providing optimal treatment.

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Abstract 13468: Effect of Listing Criteria on Transplant Rate and Early Outcomes in Adults With Congenital Heart Disease

Circulation ◽

10.1161/circ.142.suppl_3.13468 ◽

2020 ◽

Vol 142 (Suppl_3) ◽

Author(s):

Wagih m Zayed ◽

Neha Bansal ◽

Snehal R Patel ◽

Jacqueline M Lamour ◽

Daniel J GOLDSTEIN ◽

...

Keyword(s):

Congenital Heart Disease ◽

Heart Disease ◽

Congenital Heart ◽

Primary Diagnosis ◽

Organ Allocation ◽

Transplant Recipients ◽

Allocation Policy ◽

Kaplan Meier ◽

Allocation Criteria ◽

History Of

Introduction: Heart failure (HF) is the leading cause of death in adults with congenital heart disease (ACHD). Heart transplant (HT) is one of the few options for the treatment of advanced HF in this growing population. In October 2018, the United Network for Organ Sharing (UNOS) implemented a change in organ allocation criteria. The effect of this change on outcomes in ACHD patients (pts) after listing and transplant has not been evaluated. Hypothesis: Change in organ allocation criteria negatively impacts outcomes in ACHD patients. Methods: Data from the Scientific Registry of Transplant Recipients in pts age > 18 years old listed for HT between Oct. 2016 and 0ct. 2019 and followed through March 2020 were analyzed. Pts were grouped by diagnosis (ACHD and non-ACHD) and by the time of listing (pre- and post-change in allocation criteria). Differences in comorbidities, outcomes while listed, and 1-year Kaplan Meier survival post-HT were compared among groups. For comparison, post-change criteria (status 1-6) were equated to pre-change criteria (status 1A, 1B, 2). Results: Over 3 years, 11,931 patients were listed for HT; 459 had a primary diagnosis of ACHD. ACHD was present in 279/7942 pts listed in the 2 years pre-change and 180/3989 pts in the year post-change. ACHD pts listed post-change were less likely to have a history of cardiac surgery (88% vs. 79%, p=0.01) and more likely to have an abnormal BMI (p=0.015) than ACHD pts pre-change. Post-change, ACHD pts were listed at a higher priority status compared to pre-change ACHD. (Figure). The proportion of pts transplanted with ACHD increased slightly pre- and post-change (3.7% vs. 4.1%). There was no difference in 1-year survival in ACHD pts transplanted pre- and post-change (Figure). Conclusions: Recent changes to the UNOS organ allocation policy increased the proportion of ACHD patients transplanted with no change in early post-HT survival.

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SWEATING IN CONGENITAL HEART DISEASE

PEDIATRICS ◽

10.1542/peds.41.1.123 ◽

1968 ◽

Vol 41 (1) ◽

pp. 123-129

Author(s):

Blanche P. Alter ◽

Emily E. Czapek ◽

Richard D. Rowe

Keyword(s):

Heart Failure ◽

Congestive Heart Failure ◽

Congenital Heart Disease ◽

Heart Disease ◽

Congenital Heart ◽

Sweat Test ◽

Endocardial Fibroelastosis ◽

History Of Or ◽

History Of ◽

Sweat Tests

Sweating was found to be increased in children with congenital heart disease who had a propensity to congestive heart failure, e.g., children with endocardial fibroelastosis or large or moderate sized left-to-right shunts. This was suggested in a review of cardiac clinic records of 220 patients and was supported by the results of pilocarpine sweat tests which were performed on 34 cardiac patients. By history and by measurement of the amount of sweat produced, children with a history of or tendency toward heart failure could be predicted though patients did not need to be in failure when tested. Contrary to previous opinion, the left-to-right shunt was not in itself sufficient to cause the child to sweat. The shunt had to be large enough to be associated with failure at some time. It is suggested that the pilocarpine sweat test might actually be useful as an aid in predicting a child's potential for heart failure. Several theories regarding the mechanism of sweating in these situations are discussed.

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Optimizing Motor Learning: Difficulty Manipulation Combined with Feedback- Frequency Enhance Under-Time-Pressure Fine-Motor-Coordination Skill Acquisition and Retention

Journal of Motor Behavior ◽

10.1080/00222895.2021.2016573 ◽

2021 ◽

pp. 1-13

Author(s):

Yousri Elghoul ◽

Fatma Bahri ◽

Khaled Trabelsi ◽

Hamdi Chtourou ◽

Mohamed Frikha ◽

...

Keyword(s):

Motor Learning ◽

Skill Acquisition ◽

Motor Coordination ◽

Time Pressure ◽

Fine Motor ◽

Learning Difficulty ◽

Fine Motor Coordination ◽

Feedback Frequency ◽

Coordination Skill

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ONE OF THE EARLIEST CLINICAL AND POSTMORTEM DESCRIPTIONS OF CYANOTIC CONGENITAL HEART DISEASE REPORTED IN THE UNITED STATES

PEDIATRICS ◽

10.1542/peds.43.4.577 ◽

1969 ◽

Vol 43 (4) ◽

pp. 577-577

Author(s):

T. E. C.

Keyword(s):

Heart Disease ◽

New England ◽

Maternal Care ◽

Congenital Heart ◽

The United States ◽

Cyanotic Congenital Heart Disease ◽

Cyanotic Heart Disease ◽

Considerable Time ◽

Congenital Cyanotic Heart Disease ◽

Unusual Shape

The first volume of the New England Journal of Medicine and Surgery, which appeared in 1812, contained this succinct description of congenital cyanotic heart disease in a young girl: S.R. when born was for a considerable time supposed to be dead-did not cry, or evince any living actions. The lungs were artificially inflated for several minutes and life at length appeared, but very feebly.-A livid countenance, with frequent syncope took place.-With great maternal care the infant was kept alive, and as she grew became remarkably sprightly and active. When two years old (she) was unusually intelligent and fond of exercise.-As she advanced in age her fondness for violent exercise in playing often exposed her danger, as these efforts never failed to produce syncope and a kind of convulsion, laughing, crying, any emotion of mind, also brought on the syncope, from which after falling into a horizontal position, she generally soon recovered.-Her countenance, all times blueish and livid, was in these fits extremely extremely so. Her nails were always of the colour of litmus, or perhaps a little nearer to violet. After death the thorax was examined-it was of an unusual shape, being more cylindrical than common, and the lungs having less the form of a cloven hoof, when inflated, than they usually assume.-The heart was very small. In place of a right auricle was observed a small appendage like the edge of that portion of the heart, not capable of containing more than one fourth its usual contents.

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History of Anesthesia for Congenital Heart Disease

Anesthesia for Congenital Heart Disease ◽

10.1002/9781444314328.ch1 ◽

2009 ◽

pp. 1-17

Author(s):

Dolly D. Hansen ◽

Paul R. Hickey

Keyword(s):

Congenital Heart Disease ◽

Heart Disease ◽

Congenital Heart ◽

History Of ◽

History Of Anesthesia

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Cardiac involvement in genetic disease

Oxford Textbook of Medicine ◽

10.1093/med/9780199204854.003.1611_update_001 ◽

2010 ◽

pp. 2834-2841

Author(s):

Thomas A. Traill

Keyword(s):

Congenital Heart Disease ◽

Heart Disease ◽

Family History ◽

Genetic Disease ◽

Congenital Heart ◽

Cardiac Involvement ◽

Atrioventricular Canal ◽

Marfan's Syndrome ◽

Atrioventricular Canal Defect ◽

History Of

Many clinicians find themselves faced, from time to time, with a patient who has a family history of a known disorder, such as Marfan’s syndrome, or who has noncardiac features that suggest a syndrome. Down’s syndrome—25 to 50% have congenital heart disease, most characteristically atrioventricular canal defect....

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