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2012, Number 3

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Cuba y Salud 2012; 7 (3)

Congenital cardiopathies diagnosed at Iván Portuondo Hospital over a 20 year period

García DO, Jiménez ASE, Leal SD, García FY, Ruiz MS

Language: Spanish
References: 25
Page: 14-19
PDF size: 788.76 Kb.


ABSTRACT

Objective: To determine the behavior of congenital cardiopathies, the associated risk factors and other anomalies found in patients of Iván Portuondo Hopsital, Artemisa, Cuba, over a period of 20 years.
Method: A descriptive longitudinal retrospective study, carried out from January 1st, 1990 until December 31st, 2009. Echocardiography, thoracic X-rays and arterial blood gases were performed on all cases suspected of having a cardiopathy. Echogradiographieswere also performed on patients susceptible of suffering a chromosomal disorder or malformation. The associated risk factors, types of cardiopathies and other related malformations were also determined.
Results: During the period 39,260 births took place and 132 children were diagnosed with cardiopathies, giving a general incidence rate of 3.3/1,000 live births. The main risk factor identified was related with the presence of a family history of cardiopathy, which was detected in 12 infants, or 9%. Interventricular communications were the cardiopathies most frequently present (52.3%). Other congenital malformations were present in 12 cases for a total of 9.1%, with Down’s syndrome being the most f requent (4.5%).
Conclusions: The incidence of congenital cardiopathies was lower than those reported in other studies, with interventricular communications being the most frequent anomaly. A family history of congenital cardiopathies was the main risk factor identified, while Down’s syndrome was associated with being the key chromosomal defect in the patients.


REFERENCES

  1. 1.Yates R. The influence of prenatal diagnosis on postnatal out comes in patients with structural congenital heart disease. Prenatal Diagnosis. 2004;24:1143-9.

  2. Montanari DF, Obregon MG. ¿Cuál es la importancia de las cardiopatías en el conjunto de los defectos congénitos? Arch. Argent. Pediatr. [online]. mar/abr. 2005;103(2):180-4.

  3. Blanco K, Blanco N. Propuesta de una estrategia preventiva preconcepcional de asesoramiento genético para las cardiopatías congénitas. Villa Clara; 2006. Disponible en: http://www.monografias.com/trabajos28/cardiopatiascongenitas/. [Consultado junio 2 de 2009].

  4. Carballés JF. Programa cubano de Rehabilitación Cardíaca del niño. Evaluación de 13 años. Tesis para optar por el título de Master en Atención Integral al niño. Ciudad de La Habana, Facultad Enrique Cabrera; 2007.

  5. Valdés F. La atención médica al niño. En: Pediatría. Colectivo de autores Tomo I. La Habana, Editorial de Ciencias Médicas; 2006.

  6. Bibliomed sobre anomalías congénitas. Rev. Cubana Med Gen Integr [serie en Internet]. 2004 [citado 6 Oct. 2004]; 20(3): [aprox. 4 p.]. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0864-1252004000300012&lng=es&nrm=iso&tlng=es

  7. Moreno Granado F. Epidemiología de las cardiopatías congénitas [monografía en Internet .España: SECPCC; 2009. Disponible en: http://www.secardioped.org/protocolos/protocolos/Capitulo_2.pdf

  8. Landzberg MJ, Unger Leider R. Pediatric cardiology and adult congenital heart disease. JACC. 2006;47(11suppl D):33-40.

  9. Botto LD, Correa A, Erickson JD. Racial and temporal variations in the prevalence of heart defects. Pediatrics. 2001;107(3):84-9.

  10. Gula JM, Tellez C, Castro FJ, Gamica B, Bosch V, Gracian M. Aspectos epidemiológicos de las cardiopatías congénitas: estudio sobre 1 216 niños en Murcia. Acta Pediat. Esp. 2002;60(23):250-8.

  11. Bruneau B. The developmental genetics of congenital heart disease. Nature 2008;451:943-8.

  12. Zipes DP, Libby P, Bonow RO, Braunwald E, eds. Braunwald's Heart Disease: A Textbook of Cardiovascular Medicine, 8th ed. St. Louis, Mo; WB Saunders; 2007.

  13. Boneva RS, Botto LD, Moore CA, Yang Q, Correa A, Erickson JD. Mortality associated with congenital heart defects in the United States: trends and racial disparities, 1979-1997. Circulation. 2001;103:2376-81.

  14. González TR. Características generales de las cardiopatías congénitas en niños del municipio Cerro. Año 2006. Tesis Maestría. Facultad de Ciencias Médicas Dr. “Salvador Allende”. Ciudad Habana. 2006. 89 p.

  15. Jenkins KJ, Correa A, Feinstein JA, et al. Noninherited risk factors and congenital cardiovascular defects: current knowledge. A scientific statement from the American Heart Association council on cardiovascular disease in the young. Endorsed by American Academy of Pediatrics. Circulation. 2007;115: 2995-3014.

  16. Martin Fanaroff and Martin's Neonatal-Perinatal Medicine, 8th ed. 2006.

  17. Avery’s Neonatology, 6th Edition, 2005.

  18. Blanco Pereira ME, Almeida Campos S, Russinyoll Fonte G, Rodríguez de la Torre G, Olivera Muñiz E; Medina Robaina RE. Actualización sobre cardiogénesis y epidemiología de las cardiopatías congénitas. Revista médica electrón. 2009;31(3).

  19. Silva VM, Lopes MVO, Araujo TL. Evaluación de los percentiles de crecimiento en niños con cardiopatías congénitas. Rev. Latinoam Enfermagem. 2007;15(2).

  20. Viñals L Arri,go Giuliano B. Cardiopatías congénitas. Incidencia postnatal. Rev Chilena Obstetricia Ginecología. 2002;67(3):207-10.

  21. Magliola R, Althabe M, Charroqui A, Moreno G, Balestrini M, Landry L et al. Cardiopatía congénita: actualización de resultados quirúrgicos en un hospital pediátrico 1994-2001. Arch argent pediatr. 2004;102(2).

  22. Bruneau B. The developmental genetics of congenital heart disease. Nature. 2008;451:943-8.

  23. Aracena AM. Cardiopatías congénitas y síndromes malformativos genéticos. Rev. Chil Pediatric. 2003;74(4):426-31.

  24. Fonseca Hernández M, Pina Cobas B, Acevedo Fonseca R. Cardiopatías congénitas asociadas a cromosomopatías. Revista cubana de Pediatría.1997:69(2);102-7.

  25. González TR. Características generales de las cardiopatías congénitas en niños del municipio Cerro. Año 2006. Tesis Maestría. Facultad de Ciencias Médicas Dr. “Salvador Allende”. Ciudad de La Habana. 2006. 89 p.




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