perinatologyРоссийский вестник перинатологии и педиатрииRossiyskiy Vestnik Perinatologii i Pediatrii (Russian Bulletin of Perinatology and Pediatrics)1027-40652500-2228Ltd. “The National Academy of Pediatric Science and Innovation”perinatology-271Research ArticleПЕРЕДОВАЯEDITORIALРаспространенность врожденных пороков сердца у детей на современном этапеPrevalence of congenital heart diseases in children at the present stageБелозеровЮ. М.BelozerovYu. M.

д.м.н., проф., гл.н.с. отделения патологии сердечно-сосудистой системы Научно-исследовательского клинического института педиатрии 125412 Москва, ул. Талдомская, д. 2

БрегельЛ. В.BregelL. V.

д.м.н., проф., зав каф. педиатрииИркутской государственной медицинской академии последипломного образования, зав. Центром детской кардиологии и ревматологии Иркутской областной детской клинической больницы, заслуженный врач РФ

СубботинВ. М.SubbotinV. M.

к.м.н., асе. той же каф., врач отделения ультразвуковой диагностики указанной больницы 664047 Иркутск, м/р Юбилейный, д. 100

Научно-исследовательский клинический институт педиатрии, МоскваРоссияResearch Clinical Institute of Pediatrics, MoscowRussian FederationИркутская государственная медицинская академия последипломного образованияРоссияIrkutsk State Medical Academy of Postgraduate EducationRussian Federation201417032016596711Copyright © Ltd. “The National Academy of Pediatric Science and Innovation”, 20162016Ltd. “The National Academy of Pediatric Science and Innovation”Ltd. “The National Academy of Pediatric Science and Innovation”https://www.ped-perinatology.ru/jour/about/submissions#copyrightNoticehttps://www.ped-perinatology.ru/jour/article/view/271

По данным обширного метаанализа мировой литературы врожденные пороки сердца регистрировались с частотой 6 на 1000 родившихся живыми детей в 1930—1934 гг. с увеличением показателя до 9,1 на 1000 после 1995 г. По разным оценкам, частота врожденных пороков сердца после 2000 г. составляла от 4 до 10 на 1000 рожденных детей. Однако истинная распространенность указанных пороков может быть гораздо выше. Большинство авторов сходятся на мнении, что частота врожденных пороков сердца варьирует от 19 до 75 на 1000 родившихся живыми, при этом серьезные аномалии регистрируются с частотой 19,1—23,9 на 1000 рождений. Легкие дефекты многие кардиологи не относят к пороку, однако данное положение нуждается в дальнейшем изучении. Большое значение в определении распространенности врожденных пороков сердца имеют фетальная эхокардиография и генетические методы исследования. Даны таблицы хромосомных и моногенных синдромов, ассоциированных с аномалиями развития сердца.

An extensive meta-analysis of the world literature showed that congenital heart diseases were registered at a rate of 6 per 1,000 live births in 1930—1934 with its increase up to 9,1 per 1,000 after 1995. According to various estimates, the rate of congenital heart diseases was 4 to 10 per 1,000 births after 2000. However, the true prevalence of the above defects may be much higher. Most authors are in agreement that the rate of congenital heart disease varies between 19 to 75 per 1,000 live births; serious anomalies being registered at a rate of 19,1—23,9 per 1,000 births. Many cardiologists do not consider mild defects to be diseases; however, this statement calls for further investigation. Fetal echocardiography and genetic studies are of great importance in estimating the prevalence of congenital heart disease. Tables of chromosomal and monogenic syndromes associated with cardiac malformations are given.

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The authors declare that there are no conflicts of interest present.