Congenital heart disease – a public health problem
Introduction. A congenital heart disease is a defect in the structure of the heart or great vessels that is present at birth. Signs and symptoms depend on the specific type of defect. The cause of a congenital heart defect is often unknown but remain the most common congenital malformations in newbo...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Amaltea Medical Publishing House
2020-09-01
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| Series: | Romanian Journal of Pediatrics |
| Subjects: | |
| Online Access: | https://rjp.com.ro/articles/2020.3/RJP_2020_3_EN_Art-03.pdf |
| Summary: | Introduction. A congenital heart disease is a defect in the structure of the heart or great vessels that is present at birth. Signs and symptoms depend on the specific type of defect. The cause of a congenital heart defect is often unknown but remain the most common congenital malformations in newborns and infants with a major role in early
and late neonatal morbidity and mortality.
Material and methods. The study was carried out in the Department of Neonatology and Premature in the collaboration with the Department of Pediatric Cardiology, from the Clinical Emergency Hospital for Children Louis Țurcanu Timișoara, in a period of 3 years (2015- 2018). There were 70 patients included in the study, who presented congenital heart malformation diagnosed clinically, by ultrasound and Angio-CT.
Results. The incidence of cardiac malformations in our unit was 2.11%. The most common clinical signs encountered
in patients with congenital heart disease were dyspnea associated with cyanosis, systolic murmur and oxygen saturation oscillations (SaO2). Associated with pregnancy, the presence of teratogenic factors with possible implication in congenital heart malformations was also detected. There were 12 cases involved genetic syndromes, Down’s syndrome having the highest prevalence. Due to the complexity of the cardiac malformation in the studied group, 11
patients (15.71%) died.
Conclusions. Congenital cardiovascular malformations are a problem of public health. In the assessment of a newborn with cardiac pathology, there should be involved obstetricians, neonatologists, anesthetists, pediatric cardiologists, pediatric cardiovascular surgeons, geneticists, with the common goal of preventing, diagnosing, monitoring and
treating congenital heart abnormalities. |
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| ISSN: | 1454-0398 2069-6175 |