scholarly journals Cardiopatia congênita: estado nutricional e proporcionalidade corporal ao nascimento

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.

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

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.

scholarly journals Association of congenital heart diseases with extracardiac anomalies

2017 ◽  
Vol 4 (5) ◽  
pp. 1807 ◽  
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. 

scholarly journals Nutritional Status in Children with Congenital Heart Disease: Prevalence and Its Associated Factors

2017 ◽  
Vol 38 (1-2) ◽  
pp. 38
Author(s):  
Rafner Lndra ◽  
Tina Christina L Tobing ◽  
Ahmad Dian Siregar ◽  
Abdullah Afif Siregar ◽  
Endang D Hamid ◽  
...  
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Tract Infection ◽  
Nutritional Status ◽  
Respiratory Tract ◽  
Respiratory Tract Infection ◽  
Congenital Heart ◽  
Acute Respiratory Tract Infection ◽  
Cross Sectional ◽  
Height For Age

A cross sectional study was undertaken on 58 children (age range 4 months-15 years) With congenital heart disease (CHD) and in controls of 58 subjects without CHD. The study was performed by anthropometric examination, history of acute respiratory tract infection, dietary intake, simple laboratory examination and type and severity of CHD were recorded. There were significant differences in: 1. Nutritional status between patients With CHD and without CHD (p<0.001). 2. Frequency of acute respiratory tract infection between patients with CHD and without CHD (p<0.001). 3. Duration of each episode of acute respiratory tract infection between patients with CHD and without CHD (p<0.05). 4. Calorie and protein intakes between patients with CHD and without CHD (p<0.005). Type of CHD (cyanotic and non-cyanotic) was significantly associated with nutritional status based on height for age among patients with CHD (p<0.01). However, there was no siignificant association between the presence or absence of heart failure with nutritional status among patients with CHD. In conclusion, there were Significantly differences of nutritional status, frequency/duration of acute respiratory tract infection, calories and protein intake between patients with CHD and without CHD. Type of CHD (cyanotic and non-cyanotic) was significantly associated with nutritional status based on height for age.

scholarly journals High prevalence of congenital heart disease at high altitudes in Tibet

2018 ◽  
Vol 26 (7) ◽  
pp. 756-759 ◽  
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.

A LITERATURE REVIEW ON ANALYSIS OF PALM PATTERNS TO DETECT CONGENITAL HEART DISEASES

2020 ◽  
Vol 32 (02) ◽  
pp. 2050012
Author(s):  
Y. Mahesha ◽  
C. Nagaraju
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Congenital Heart ◽  
Heart Diseases ◽  
Congenital Heart Diseases ◽  
Normal People ◽  
Different Types ◽  
Left And Right ◽  
Paper Method

This paper presents the survey on different techniques which can be used to detect congenital heart disease using palm patterns. The congenital heart disease is one of the heart diseases which starts from birth. Research works are carried out towards detecting congenital heart disease before symptom appears using palm patterns so that it avoids critical health problems in future. Researchers have collected palm prints from normal people who are not suffering from any kind of heart disease and from patients who are suffering from different types of congenital heart diseases. These palm prints are collected from different hospitals. The palm prints are taken using ink and paper method. These palm patterns are analyzed to determine the role of palm pattern while detection of the disease. Few researchers have considered only triradius of palm and most of the researchers have considered palm patterns such as whorl, loop, arch and hypothenar pattern. In case of triradius, researchers have calculated position of axial triradius and it is categorized into three types. In case of whorl, loop and arch, they have considered how often they appear in palm of normal people and patients. Few researchers have analyzed both left and right hands of normal people and patients.

Covert fears, anxiety and depression in congenital heart disease

1998 ◽  
Vol 8 (4) ◽  
pp. 491-499 ◽  
Author(s):  
S. Gupta ◽  
R.M. Giuffre ◽  
S. Crawford ◽  
J. Waters
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Behavioral Problems ◽  
Congenital Heart ◽  
Heart Diseases ◽  
The State ◽  
Anxiety Scale ◽  
Maternal Anxiety ◽  
Congenital Heart Diseases ◽  
Medical Fears

AbstractThis study compared anxiety, fears, depression and behavioural problems as occurring in children with congenital heart disease, comparing them with samples of normal children. It further considered the influence of maternal anxiety, as well as analyzing a subgroup of children with cyanotic forms of congenital heart disease to determine if they were at higher risk than acyanotic children for the problems identified.MethodWe recruited 40 consecutive children with congenital heart disease without obvious psychoso-cial problems from the Cardiology clinic at the Alberta Children‘s Hospital. Of the 40 children, 39 families consented to have the children participate, of which 24 were cyanotic and 15 acyanotic. Children completed the revised versions of the Fear Survey Scale-Revised and the Child Manifest Anxiety Scale as well as the Child Depression Inventory. Mothers completed the Child Behaviour Checklist, and the State Trait Anxiety Scale.ResultsChildren with congenital heart diseases demonstrated more medical fears, and more physiological anxiety, than the normative samples. More specifically, children with cyanotic forms of congenital heart disease demonstrated more fears of the unknown, physiological anxiety, depression, and delinquent behaviors than the acyanotic children with congenital heart disease. Mothers of the children with cyanotic forms of congenital heart disease scored higher on both the state and trait scales, with higher maternal anxiety correlating with higher anxiety, medical fears and behavioral problems in the child.ConclusionIn a clinical setting, children with congenital heart diseases who do not present with psychological adjustment problems are still at risk for covert physiological anxiety, medical fears, depression and behavioral problems. The children with cyanotic malformations represent a subgroup at higher risk for these problems, which may be further exacerbated by increased maternal anxiety.

Pregnancy in maternal congenital heart disease: a review

2002 ◽  
Vol 13 (1) ◽  
pp. 43-61 ◽  
Author(s):  
Achim A. Schmaltz
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Congenital Heart ◽  
Heart Diseases ◽  
Reproductive Age ◽  
Congenital Heart Diseases ◽  
Eisenmenger Syndrome ◽  
Thromboembolic Complications ◽  
Considerable Morbidity ◽  
Considerable Strain

Improved diagnosis and corrective cardiac surgery has led to an increasing number of women with congenital heart diseases reaching reproductive age. Pregnancy places considerable strain on the heart and circulation, requiring marked cardiorespiratory adaptation. Today, with the exception of the Eisenmenger syndrome, there is no increased mortality associated with pregnancy in congenital heart disease. In contrast, there is still considerable morbidity, due to congestive heart failure, thromboembolic complications and disturbances of rhythm.

scholarly journals Serum Metabolomics Profiling to Identify Novel Biomarkers for Cyanotic Heart Disease

2021 ◽  
Vol 14 (1) ◽  
pp. 81-94
Author(s):  
Suman Vimal ◽  
Surendra Kumar Agarwal ◽  
Surabhi Yadav ◽  
Gauranga Majumdar ◽  
Balraj Mittal ◽  
...  
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Congenital Heart ◽  
Heart Diseases ◽  
Metabolic Profiles ◽  
Cyanotic Heart Disease ◽  
Metabolic Disturbances ◽  
Multivariate Statistical ◽  
Delay In Diagnosis ◽  
Novel Biomarkers

Congenital heart disease (CHD) is one of the most important causes of the death of children and young adults. Most of the patients do not survive past their teen years. This occurs either due to delay in diagnosis or no diagnosis at all. In recent times, several studies have shown the importance of biomarkers in the prediction of such defects. These biomarkers give the real time snapshot of the on going processes inside the cells and can significantly support the diagnosis of CHD. The present experiment was designed as an observational single centre pilot study to identify and establish the diagnostic metabolic signatures associated with the congenital heart diseases. Metabolic profiles of sera collected from 35 cyanotic congenital heart disease patients and 15 controls were obtained using high-resolution 1D 1H CPMG and NMR spectra. The metabolic profiles were compared using multivariate statistical analysis to identify the disease specific metabolic disturbances associated with cyanotic heart disease. The results show perturbation in several metabolites in cyanotic CHD patients versus controls. The discriminatory metabolites were further analysedwith area under receiver operating characteristic (AUROC) curve and identified five metabolic entities (i.e.valine, glucose, glutamine, creatinineand PUFA) which could differentiate cyanotic CHDs from controls with higher specificity.In conclusion, untargeted metabolic approach proved to be helpful in identifying and differentiating disease causing metabolites in cyanotic cases from controls.

scholarly journals Congenital heart diseases and pregnancy, Universitary Hospital Center of Gynecology Obstetrical of Befelatanana, Madagascar

2019 ◽  
Vol 8 (8) ◽  
pp. 3276
Author(s):  
Tanjonirina Razafindrainibe ◽  
Sidonie Rakotonomenjanahary ◽  
Mamitiana Andrianirina ◽  
Nasolotsiry E. Ravel
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Congenital Heart ◽  
Heart Diseases ◽  
Post Partum ◽  
Multidisciplinary Care ◽  
Fetal Mortality ◽  
Congenital Heart Diseases ◽  
Cardiac Decompensation

Background: Congenital heart diseases are malformations formed during the first weeks of life. Thanks to advances in medicine, they could be cared properly and pregnancies on heart diseases could be continued and completed. These malformations are sources of morbidity even high maternal fetal mortality. Whence our motivation to carry out this study and improve its care.Methods: This is a retrospective observational study reporting clinical cases of congenital heart disease pregnancies, only seen at the UHC-GOB over a seven years period (01 February 2007 - 28 February 2014).Results: We have identified 10 cases of congenital heart diseases out of 56 320 deliveries, that is, an incidence of 0.12 per 1000 deliveries. Isolated arterial canal persistence is predominant. The average age is 26±1. Four cases of congenital heart diseases diagnosed and repaired during childhood, have been noted as well as 02 cases of fortuitous discovery during pregnancy. No joint obstetric and cardiac follow up was performed for our patients. Delivery by high way is recommended in 70% of cases which 57% under peridural anesthesia. Half of the patients had peri-gestational cardiac decompensation such as dyspnea, pre-eclampsia and vacuo-shock progressively decreasing in post-partum. On the fetal side, we recorded 01 intra-uterine delayed growths, 03 premature births and 02 deaths.Conclusions: Pregnancy prognosis on congenital heart disease is based on the type of malformation, close follow up and a multidisciplinary care (Gyneco-obstetrician, Cardiologist, Reanimator, Pediatrician and Geneticist.

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