Acyanotic Congenital Heart Disease: Left-to-Right Shunt Lesions

Colombo, Jamie N.; McCulloch, Michael A.

doi:10.1542/neo.19-7-e375

Cited by 3 publications

(2 citation statements)

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“…Cardiomegaly was defined when cardiothoracic ratio was > 60% in neonates, and >55% in older children ( 27 ). Acyanotic CHD was defined as anatomic connection between the pulmonary and systemic circulations with left to right shunts ( 28 ). Cyanotic CHD was defined as heart lesions resulting in cyanosis owing to right sided heart obstructive lesions, left heart obstructive lesions, and mixing lesions( 29 ).…”

Section: Methodsmentioning

confidence: 99%

Severe Acute Malnutrition among Unoperated Ethiopian Children with Congenital Heart Disease: A Wake-up Call to Reverse the Situation, A Retrospective Cross-Sectional Study

Assefa

Tadele

2020

Ethiop J Health Sci

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BACKGROUND፡ Children with Congenital Heart Disease (CHD) are at increased risk for severe acute malnutrition (SAM). We aimed to determine the magnitude and determinants of SAM among children with CHD in a tertiary hospital.METHODS: Retrospective cross-sectional study was conducted among children with CHD between 2016 and 2019. Clinical and anthropometric data were retrieved from medical records. Anthropometric assessment was done by using WHO standard growth curves. Data analysis was done using Statistical Package for Social Sciences V22. Statistical significance was set at p-value<0.05, and multivariable logistic regression was used to determin predictors.RESULTS: There were 2400 pediatric admissions during the study period,CHD accounted for 6.5%(156) of admissions. For review, 141 records were eligible. The gender distribution was comparable, males 51.1% (72). Infants (<12 months) and older children (>12 months) accounted for 57.4% (81) and 42.6% (60) of study subjects, respectively. SAM was documented in 51.8% (73) of the study subjects, [95% CI: 44.7-60.2]. Infants had higher odds of SAM compared to children aged >12 months[adjusted odds ratio (AOR)= 4.48, 95%CI:2.07-9.70]. Anemic children had higher odds for SAM[AOR =3.76, 95% CI:1.54-9.18]. Children without acyanotic CHD with heart failure(HF) were 58% less likely to develop SAM[AOR= 0.42, 95% CI:0.19-0.96].CONCLUSION: The burden of SAM among children with CHD is high. Younger age,anemia and acyanotic CHD with HF predicted SAM.Screening for anemia and targeted anthropometric assessment are recommended for early SAM detection.

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Section: Methodsmentioning

confidence: 99%

Severe Acute Malnutrition among Unoperated Ethiopian Children with Congenital Heart Disease: A Wake-up Call to Reverse the Situation, A Retrospective Cross-Sectional Study

Assefa

Tadele

2020

Ethiop J Health Sci

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“…Although most resolve spontaneously, many will remain hemodynamically significant, particularly in the premature infant. Understanding the difference in pathophysiology, diagnosis, and management between the term and preterm infant is imperative to minimize the risk of secondary organ dysfunction and ensure proper growth and development (5) .…”

Section: Introductionmentioning

confidence: 99%

Iron Deficiency in Children with Cyanotic and Noncyanotic Congenital Heart Disease

Elmoghazy¹,

Ibrahim²,

Abdulnabi³

et al. 2022

The Egyptian Journal of Hospital Medicine

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Background: Cyanotic congenital heart disease (CCHD) predisposes patients to iron deficiency due to compensatory secondary erythrocytosis. Objective: This study aimed to assess the prevalence of iron deficiency among infants and children having cyanotic and non-cyanotic congenital heart disease. Patients and methods: This was a case-control study enrolled 30 children with congenital heart disease whether cyanotic or non-cyanotic at the

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Cardiac Concerns in the Pediatric Athlete

Colombo

Sawda

White

2022

Clinics in Sports Medicine

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Acyanotic Congenital Heart Disease: Left-to-Right Shunt Lesions

Abstract: An understanding of the pathophysiology, diagnosis, and appropriate initial management of acyanotic congenital heart disease is needed to appropriately care for infants in the NICU.

Cited by 3 publications

References 28 publications

Severe Acute Malnutrition among Unoperated Ethiopian Children with Congenital Heart Disease: A Wake-up Call to Reverse the Situation, A Retrospective Cross-Sectional Study

Severe Acute Malnutrition among Unoperated Ethiopian Children with Congenital Heart Disease: A Wake-up Call to Reverse the Situation, A Retrospective Cross-Sectional Study

Iron Deficiency in Children with Cyanotic and Noncyanotic Congenital Heart Disease

Cardiac Concerns in the Pediatric Athlete

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