Buy (150 RUB)
|Generate QR code
Open Access
Subscription or Fee Access
Frequency of congenital heart diseases in newborn: ten years’ single clinic experience
https://doi.org/10.21508/1027-4065-2022-67-4-143-150
Abstract
Congenital heart disease occurs in the population with a frequency of 8 per 1000 live births. Information on the incidence of various congenital heart defects in newborns in connection with the widespread introduction of prenatal ultrasound diagnostics and an increase in its accuracy allows for planning pregnancy and management of newborns with critical heart defects. The aim of this study wasto retrospectively study the incidence of various congenital heart defects according to echocardiographic studies among newborns in the framework of the experience of one clinic over the period from 2009 to 2019. In the clinic of the Science Research Institute of Cardiology, echocardiographic studies were performed in 34298 children aged 1 day to 17 years, the average age was 3.68 years, the median 2.0 years. The newborns accounted for 4.6% of them (n = 1607). The results of echocardiographic studies were analyzed in 1607 newborns aged from 1 to 27 days. In 247 (15.3%) of the examined no congenital defects were detected, 1360 newborns had various congenital heart diseases. It was found that the most common anomaly in newborns were interventricular septal defects (37%), more than 60% of all interventricular septal defects were clinically insignificant small muscle defects. It has been shown that the incidence of congenital heart defects in newborns with complex prenatal diagnosis (coarctation of the aorta, double outlet right ventricle) has increased in recent years. A decrease in the incidence of atrioventricular septal defect was observed over the past five years. The possibilities of neonatal cardiac surgery in a particular clinic influenced the structure of the occurrence of individual congenital heart disease due to prenatal pregnancy planning and surgical tactics.
About the Authors
A. A. Sokolov
Tomsk National Research Medical Center of the Russian Academy of Sciences
Russian Federation
Russian Federation
Tomsk
G. I. Martsinkevich
Tomsk National Research Medical Center of the Russian Academy of Sciences
Russian Federation
Russian Federation
Tomsk
A. V. Smorgon
Tomsk National Research Medical Center of the Russian Academy of Sciences
Russian Federation
Russian Federation
Tomsk
References
1. Egbe A., Uppu S., Stroustrup A., Lee S., Ho D., Srivastav S. Incidences and sociodemographics of specific congenital heart diseases in the United States of America: an evaluation of hospital discharge diagnoses. Pediatr Cardiol 2014; 35(6): 975-982. DOI: 10.1007/s00246-014-0884-8
2. Titus M.J., Moodley J. Advances in fetal genetic diagnosis and therapy: ethical issues and appropriate technology in cost-restrained countries. Best Pract Res Clin Obstet Gynae Col 2012; 26(5): 531-540. DOI: 10.1016/j.bpobgyn.2012.06.004. Epub 2012 Jul 31.
3. Gottschalk I., Abel J.S., Menzel T., Herberg U., Breuer J., Gembruch U. et al. Prenatal diagnosis, associated findings and postnatal outcome of fetuses with double outlet right ventricle (DORV) in a single center. J Perinat Med 2019; 47(3): 354- 364. DOI: 10.1515/jpm-2018-0316
4. Lopez L., Colan S.D., Frommelt P.C., Ensing G.J., Kendall K., Younoszai A.K. et al. Recommendations for Quantification Methods During the Performance of a Pediatric Echocardiogram: A Report from the Pediatric Measurements Writing Group of the American Society of Echocardiography Pediatric and Congenital Heart Disease Council. J Am Soc Echocardiogr 2010; 23: 465-495. DOI: 10.1016/j.echo.2010.03.019
5. Chanda S.L., Singh N., Shukla D.K. Incidence of congenital heart disease. Indian J Pediatr 2001; 68: 507-510. DOI: 10.1007/BF02723241
6. Bharucha T., Hlavacek A.M., Spicer D.E., Theocharis P., Anderson R.H. How should we diagnose and differentiate hearts with double-outlet right ventricle? Cardiol Young 2017; 27(1): 1-15. DOI: 10.1017/S1047951116001190
7. Quartermain M.D., Hill K.D., Goldberg D.J., Jacobs J.P., Jacobs M.L., Pasquali S.K. et al. Prenatal Diagnosis Influences Preoperative Status in Neonates with Congenital Heart Disease: An Analysis of the Society of Thoracic Surgeons Congenital Heart Surgery Database. Pediatr Cardiol 2019; 40(3): 489-496. DOI: 10.1007/s00246-018-1995-4
8. Jacobs J.P. The science of assessing the outcomes and improving the quality of the congenital and paediatric cardiac care Curr Opin Cardiol 2015; 30(1): 100-11. DOI: 10.1097/HCO.0000000000000133
9. Fatema N.N., Chowdhury R.B., Chowdhury L. Incidence of congenital heart disease among hospital live births in a tertiary hospital of Bangladesh. Cadiovasc J 2008; 1: 14-20. DOI: 10.3329/cardio.v1i1.8199
10. Hoffman J.I., Kaplan S. The incidence of congenital heart disease. J Am Coll Cardiol 2002; 39: 1890-1900. DOI: 10.1016/s0735-1097(02)01886-7
11. Li J.J., Liu Y., Xie S.Y., Zhao G.D., Dai T., Chen H. et al. Newborn screening for congenital heart disease using echocardiography and follow-up at high altitude in China. Int J Cardiol 2019; 274: 106-112. DOI: 10.1016/j.ijcard.2018.08.102
12. Wu M.H., Chen H.C., Lu C.W., Wang J.K., Huang S.C., Huang S.K. Prevalence of congenital heart disease at live birth in Taiwan. J Pediatr 2010; 156(5): 782-785. DOI: 10.1016/j.jpeds.2009.11.062
13. Linde D., Konings E.M., Slager M.A., Witsenburg M., Helbing W.A., Johanna J. et al. Birth prevalence of congenital heart disease worldwide: a systematic review and meta-analysis. J Am Coll Cardiol 2011; 58(21): 2241-2247. DOI: 10.1016/j.jacc.2011.08.025
14. Zhao Q.M., Niu C., Liu F., Wu L., Ma X.J., Huang G.Y. Spontaneous Closure Rates of Ventricular Septal Defects (6,750 Consecutive Neonates). Am J Cardiol 2019; 124(4): 613-617. DOI: 10.1016/j.amjcard.2019.05.022 15.
15. Miyake T., Shinohara T., Nakamura Y., Fukuda T., Tasato H., Toyohara K. et al. Spontaneous closure of ventricular septal defects followed up from˂3 months of age. Pediatr Int 2004; 46(2): 135–140. DOI: 10.1046/j.1442–200x.2004.01858. x
16. Vaidya R., Wilson D., Paris Y., Madore L., Singh R. Use of acetaminophen for patent ductus arteriosus treatment: a single center experience. J Matern Fetal Neonatal Med 2020; 33(16): 2723–2729. DOI: 10.1080/14767058.2018.1559810
17. McGrath R.L., McGuinness G.A., Way G.L., Wolfe R.R., Nora J.J., Simmons M.A. The silent ductus arteriosus. J Pediatr 1978; 93(1): 110–113. DOI: 10.1016/s0022– 3476(78)80617–9
18. Hussain S., Sabir M., Afzal M., Asghar I. Incidence of congenital heart disease among neonates in a neonatal unit of a tertiary care hospital. J Pak Med Assoc 2014; 64(2): 175–178
19. Saxena A., Mehta A., Sharma M., Salhan S., Kalaivani M., Ramakrishnan S. et al. Birth prevalence of congenital heart disease: A cross-sectional observational study from North India. Ann Pediatr Cardiol 2016; 9(3): 205–209. DOI: 10.4103/0974–2069.189122
20. Tanner K., Sabrine N., Wren C. Cardiovascular malformations among preterm infants. Pediatrics 2005; 116(6): e833–8. DOI: 10.1542/peds.2005–0397
21. Kenny D., Hares D., Uzun O. Ventricular non-compaction in the setting of double-outlet right ventricle (tetralogy of Fallot type) with doubly committed subarterial ventricular septal defect. Heart 2007; 93(5): 647. DOI: 10.1136/hrt.2006.090480
22. Bespalova E.D., Tyumeneva A.I., Sinkovskaya E.S., Suratova O.G. Prenatal ultrasound diagnosis of complex congenital heart defects. Bjulleten’ NCSSH im. A.N. Bakuleva RAMN «Serdechno-sosudistye zabolevanija» 2003; 4(11): 321. (in Russ.)
23. Shapoval L.A., Kurkevich A.K. The role of fetal echocardiography in predicting a fetus with complete atrioventricular communication. Sovremennaja pediatrija 2019; 2(98): 12-17. (in Russ.)
24. Adriaanse B.M., Uittenbogaard L.B., Tromp C.H.N., Schaefer S.S., Heymans M.W., van Vugt J.M. et al. Prenatal examination of the area and morphology of the atrioventricular valves using four-dimensional ultrasound in normal and abnormal hearts Prenat Diagn 2015; 35(8): 741-747. DOI: 10.1002/pd.4569
25. Calkoen E., Adriaanse B., Haak M., Bartelings M., Kolesnik A., Niszczota C. How Normal is a ‘Normal’ Heart in Fetuses and Infants with Down Syndrome? Fetal Diagn Ther 2016; 39(1): 13-20. DOI: 10.1159/000381710
Review
For citations:
Sokolov A.A., Martsinkevich G.I., Smorgon A.V. Frequency of congenital heart diseases in newborn: ten years’ single clinic experience. Rossiyskiy Vestnik Perinatologii i Pediatrii (Russian Bulletin of Perinatology and Pediatrics). 2022;67(4):143-150. (In Russ.) https://doi.org/10.21508/1027-4065-2022-67-4-143-150
Views:
468
Email this article 