[Clinical characteristics of congenital heart disease diagnosed during neonatal period].
We have analyzed 43 newborn babies with congenital heart disease (CHD) over the last two years. The occurrence rate of CHD was 7.5 per 1,000 live births in our maternity hospital, and 4.5% of all babies admitted to our NICU. Low birth weight (<2,500g), and prematurity (<37 weeks of gestation) led to occurrence rates of 34% and 26%, respectively. Cardiac symptoms (heart murmur and cyanosis) accounted for 47% of all cases in which CHD was discovered, and extracardiac symptoms accounted for 40%. Prenatal diagnosis was made in two patients. Twenty babies were transferred to the pediatric cardiac care unit in the general hospital from our maternity hospital during their neonatal period. Dividing them into two categories by hemodynamic state, acyanotic type made up 72% of all patients; VSDs (Ventricular Septal Defects) were the most frequent anomaly. Cyanotic type made up only 28%, but included all 4 cases of neonatal death. Twelve babies underwent surgery during the study period, and 7 of them reached final anatomical correction. Early detection of the cardiac anomaly, including prenatal diagnosis, plays an important role in improving the prognosis of patients, and comprehensive therapeutic strategies are essential for neonatal CHD.
Shima
Y
Y
Department of Neonatal and Premature Medicine, Japanese Red Cross Katsushika Maternity Hospital, Tateishi, Katsusika-ku, Tokyo, Japan.
Takechi
N
N
Ogawa
S
S
Fukazawa
R
R
Fukumi
D
D
Uchikoba
Y
Y
Kuramochi
Y
Y
Yamauchi
H
H
D006348:Cardiac Surgical Procedures; D006330:Heart Defects, Congenital / Q000145:classification / Q000453:epidemiology; D006801:Humans; D007231:Infant, Newborn; D007363:Intensive Care Units, Neonatal; D011296:Prenatal Diagnosis; D011379:Prognosis