2020, Number 3
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Rev Med UAS 2020; 10 (3)
Main cardiovascular malformations in children of diabetic mothers
Martinez-Garcia J, Vega-Meza JM, Martinez-Felix NS, Inzunza-Manjarrez G, Quibrera-Matienzo JA
Language: Spanish
References: 26
Page: 118-126
PDF size: 97.16 Kb.
ABSTRACT
Objectives: To compare the frequency of congenital heart disease in children of a diabetic mother and children of a non-diabetic
mother at the Civil Hospital of Culiacan.
Material and methods: (n = 50) newborn babies born to a diabetic mother and (n = 50)
newborn babies born to a non-diabetic mother were evaluated by cardiology, performing a Doppler echocardiogram during the 1st
week of life. The frequency of congenital heart disease in these two groups was compared.
Results: Some type of congenital heart
disease was diagnosed in 78% (n = 39) of the children of a diabetic mother, while in the group of non-diabetic mothers some type of
heart disease was reported in 10% (n = 5). With statistical significance of (p = 0.000). The risk of congenital heart disease in the child
of a diabetic mother was OR: 31.9 CI = 10.2-99.8.
Conclusions: Children of diabetic mothers have a higher percentage of predisposition
to present congenital heart disease due to the known action of insulin, which acts as a primary anabolic last.
REFERENCES
Chamberlain JJ, Rhinehart A, Shaefer C, NeumanA. Diagnosis and Management of Diabetes:Synopsis of the 2016 American DiabetesAssociation Standards of Medical Care in Diabetes.Ann Intern Med, 2016;164(8):542–552.
Zajdenverg l, Negrato C. Gestational diabetesmellitus and type 2 diabetes: ¿same diseasein a different moment of life? Maybe not. ArchEndocrinol Metab, 2017;61(3):208-210.
Jafari SM, Ghojazadeh M, Aghdash A,Naghavi B, Mohammad N, PouralI Y. Prevalenceand risk factors of gestational diabetesin Iran. Iran J Public Health 2015;44(8):1036-1044.
Blumer I, Hadar E, Hadden D, Jovanovic L,Mestman J, Murad M. Diabetes and pregnancy:An Endocrine Society clinical practiceguideline. J Clin Endocrinol Metab2015;(17):67-68.
Potter CF, Kicklighter S, Rosenkrantz S. Infantof diabetic mother. Diabetes care. Medscape2016;(100):619-637.
Lawson TB, Drechsel D, Chivukula V, RugonyiS, Thornburg K, Hinds M. Hyperglycemia Altersthe Structure and Hemodynamics of theDeveloping Embryonic Heart.J CardiovascDev Dis. 2018;5(1):13.
OMS, Organización Mundial de la Salud. Anomalíascongénitas 2016. [Internet]. [Consultado3 Noviembre 2018]. Disponibleen:http://www.who.int/es/news-room/factsheets/detail/congenital-anomalies
Estadística INEGI. Principales causas de mortalidadpor residencia habitual, grupos deedad y sexo del fallecido: [Consultado 3 Noviembre2018]. INEGI;2016.[Availablefrom:http://www.inegi.org.mx/est/contenidos/proyectos/registros/vitales/mortalidad/tabulados/ConsultaMortalidad.asp2016.
Sadler, Thomas w. Langman's medical embryology.Lippincott Williams & Wilkins 6ta ed.Baltimore: 2011:163-173.
Moore K, Persaud T, Torchia Circulación fetaly neonatal. En Embriología clínica, el desarrollodel ser humano. Elsevier 10vaed.2010:368-375.
Romera G, Zunzunegui. J. Recién nacido consospecha de cardiopatía congénita, ProtocolosDiagnóstico Terapéuticos de la AEP: Neonatol.2008;(35):346-352.
Quesada T, Ruíz M. Cardiopatías congénitashasta la etapa neonatal. Aspectos clínicos yepidemiológicos. Rev Act Med. 2014;8(3):149-162.
Navarro RM, Herrera M. Mortalidad infantil porcardiopatías congénitas en un período denueve años en Villa Clara. Medicentro2013;17(1):24-33.
Maisuls H. Las cardiopatías congénitas y lamortalidad infantil. Rev Argent Cardiol2010;78(2):190-192.
Bartrons j. Ecocardiografía fetal. Examen de laanatomía y circulación normal del feto. HospitalSant Joan de Déu-Hospital Clínic Barcelona.2017; 48(1):713-729.
Valderrama P, Hernández I. Concordancia entreecocardiografía prenatal y posnatal en pacientescon cardiopatías congénitas: Hospitalde niños Dr. Roberto del Río. Rev Chil Obstetginecol 2010;75(4):234-239.
Peterson C, Ailes E, Riehle-Colarusso T, OsterME, Olney RS, Cassell CH, et al. Late detectionof critical congenital heart diseaseamong US infants: estimation of the potentialimpact of proposed universal screening usingpulse oximetry. JAMA 2014;168(4):361-370.
Abbu SR, Subaih B. Congenital heart diseasein infants of diabetic mothers: echocardiographicstudy. Pediatr Cardiol.2004;25(2):137-140.
Narchi H, Kulaylat N. Heart disease in infantsof diabetic mothers. Images in Pediatr Cardiol
2000;2(2):17.20. Akbariasbagh P, Shariat M, Akbariasbagh N.Cardiovascular malformations in infants of diabeticmothers: A retrospective case-controlstudy. Acta Med Iran 2017;55(2):103-108
Ganzoury E, Masry E, Anwar M, Farrash E, EllatifeA. Infants of diabetic mothers: echocardiographicmeasurements and cord blood IGFIand IGFBP1. Pediatr Diabetes 2012;3(2):189-196.
Cuadros M, Llanos A, Cuadros A, Villegas R.Ecografía 4D para el diagnóstico de malformacionescongénitas. Progr Obstet Ginecol.2010;53(7):267–72.
Orraca CM, Licourt I, Cabrera N, Sainz L, MorejónG. Congenital defects ultrasonographicprenatal diagnosis program in Pinar del Ríoprovince: 2008-2010. Rev Cubana Genet Comunit.2012;6(3):17-24.
Zhao J, Hakvoort T, Willemsen A, Jongejan A,Sokolovic M, Bradley E, et al. Effect of hyperglycemiaon gene expression during early organogenesisin mice. PloS one 2016;11(7):1-22.
Hăşmăşanu MG, Bolboacă S, Matya M,Zaharie G. Clinical and echocardiographicfindings in newborns of diabetic mothers. Actaclin Croat 2015;54(4.):458-466.
Calderón J, Cervantes J, Curí P. Problemáticade las cardiopatías congénitas en México.Arch Cardiol Mex 2010;80(2):133-140.