Evaluation of dysmorphic children according to echocardiographic findings: A single center experience

Background: Abnormal echocardiographic findings are more common in dysmorphic children. In our study, dysmorphic child development and echocardiographic findings were presented according to prenatal, natal and postnatal periods. Aim of the study: The aim of this study is to evaluate the frequency an...

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Main Authors: Muhsin Elmas, Ayhan Pektas, Mustafa Solak
Format: Article
Language:English
Published: SpringerOpen 2018-07-01
Series:Egyptian Journal of Medical Human Genetics
Online Access:http://www.sciencedirect.com/science/article/pii/S111086301830003X
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author Muhsin Elmas
Ayhan Pektas
Mustafa Solak
author_facet Muhsin Elmas
Ayhan Pektas
Mustafa Solak
author_sort Muhsin Elmas
collection DOAJ
description Background: Abnormal echocardiographic findings are more common in dysmorphic children. In our study, dysmorphic child development and echocardiographic findings were presented according to prenatal, natal and postnatal periods. Aim of the study: The aim of this study is to evaluate the frequency and distribution of cardiac anomalies in dysmorphic children. The other aim is to investigate the prenatal, natal and postnatal characteristics of dysmorphic childs according to echocardiography findings. Design and setting: This study was carried out jointly by the Medical Genetics and Pediatric Cardiology Departments. The files and the genetic reports of the patients were examined and the hospital registry system scanned, retrospectively. The patients were followed up by the medical geneticist from 2012 to 2017. Their systemic physical examination was performed and recorded. Methods: This is a retrospective study which contains 468 children (244 males and 224 females) who were referred to the department of medical genetics due to dysmorphic features. Results: Abnormal echocardiography findings were detected in 157 dysmorphic children (33.4%). Atrial septal defect, patent foramen ovale and ventricular septal defect were the most commonly detected echocardiography findings in dysmorphic children. The number of male children in the abnormal echocardiography group was significantly higher than in the normal echocardiography group. The incidences of consanguineous marriage, polyhydramnios, intrauterine growth retardation (IUGR) and preterm delivery in the abnormal echocardiography group were significantly higher than in the normal echocardiography group. Chromosomal aneuploidy rate in the abnormal echocardiography group was significantly higher than in the normal echocardiography group (37.6% vs 1.0%; p = 0.001). Conclusion: According to our study findings, abnormal echocardiography findings were significantly associated with neonatal sex, consanguineous marriage, polyhydramnios, IUGR, preterm delivery and chromosomal aneuploidies in dysmorphic children. Keywords: Dysmorphic child, Echocardiography, Cardiac anomaly
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spelling doaj.art-de92d06a45a74aadb7154d49a86a80432022-12-22T03:03:44ZengSpringerOpenEgyptian Journal of Medical Human Genetics1110-86302018-07-01193267270Evaluation of dysmorphic children according to echocardiographic findings: A single center experienceMuhsin Elmas0Ayhan Pektas1Mustafa Solak2Afyon Kocatepe University, Medical Genetics Department, Afyonkarahisar, Turkey; Corresponding author.Afyon Kocatepe University, Pediatric Cardiology Department, Afyonkarahisar, TurkeyAfyon Kocatepe University, Medical Genetics Department, Afyonkarahisar, TurkeyBackground: Abnormal echocardiographic findings are more common in dysmorphic children. In our study, dysmorphic child development and echocardiographic findings were presented according to prenatal, natal and postnatal periods. Aim of the study: The aim of this study is to evaluate the frequency and distribution of cardiac anomalies in dysmorphic children. The other aim is to investigate the prenatal, natal and postnatal characteristics of dysmorphic childs according to echocardiography findings. Design and setting: This study was carried out jointly by the Medical Genetics and Pediatric Cardiology Departments. The files and the genetic reports of the patients were examined and the hospital registry system scanned, retrospectively. The patients were followed up by the medical geneticist from 2012 to 2017. Their systemic physical examination was performed and recorded. Methods: This is a retrospective study which contains 468 children (244 males and 224 females) who were referred to the department of medical genetics due to dysmorphic features. Results: Abnormal echocardiography findings were detected in 157 dysmorphic children (33.4%). Atrial septal defect, patent foramen ovale and ventricular septal defect were the most commonly detected echocardiography findings in dysmorphic children. The number of male children in the abnormal echocardiography group was significantly higher than in the normal echocardiography group. The incidences of consanguineous marriage, polyhydramnios, intrauterine growth retardation (IUGR) and preterm delivery in the abnormal echocardiography group were significantly higher than in the normal echocardiography group. Chromosomal aneuploidy rate in the abnormal echocardiography group was significantly higher than in the normal echocardiography group (37.6% vs 1.0%; p = 0.001). Conclusion: According to our study findings, abnormal echocardiography findings were significantly associated with neonatal sex, consanguineous marriage, polyhydramnios, IUGR, preterm delivery and chromosomal aneuploidies in dysmorphic children. Keywords: Dysmorphic child, Echocardiography, Cardiac anomalyhttp://www.sciencedirect.com/science/article/pii/S111086301830003X
spellingShingle Muhsin Elmas
Ayhan Pektas
Mustafa Solak
Evaluation of dysmorphic children according to echocardiographic findings: A single center experience
Egyptian Journal of Medical Human Genetics
title Evaluation of dysmorphic children according to echocardiographic findings: A single center experience
title_full Evaluation of dysmorphic children according to echocardiographic findings: A single center experience
title_fullStr Evaluation of dysmorphic children according to echocardiographic findings: A single center experience
title_full_unstemmed Evaluation of dysmorphic children according to echocardiographic findings: A single center experience
title_short Evaluation of dysmorphic children according to echocardiographic findings: A single center experience
title_sort evaluation of dysmorphic children according to echocardiographic findings a single center experience
url http://www.sciencedirect.com/science/article/pii/S111086301830003X
work_keys_str_mv AT muhsinelmas evaluationofdysmorphicchildrenaccordingtoechocardiographicfindingsasinglecenterexperience
AT ayhanpektas evaluationofdysmorphicchildrenaccordingtoechocardiographicfindingsasinglecenterexperience
AT mustafasolak evaluationofdysmorphicchildrenaccordingtoechocardiographicfindingsasinglecenterexperience