Paediatric and congenital heart disease in South America: an overview

Pedra, C A C; Haddad, Jorge; Pedra, Simone Fontes; Peirone, Alejandro; Pilla, Carlo Benatti; Marin-Neto, José Antônio

doi:10.1136/hrt.2008.152017

Cited by 23 publications

(20 citation statements)

References 112 publications

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“…Surprisingly, gender equality in the utilisation of healthcare systems has not been evaluated in prospective studies, resulting in varied estimations of gender disparity among similar populations depending on the method used 8 15. Recent reviews of CHD from other developing countries make no mention of gender disparities in healthcare 16. In a retrospective study of paediatric admissions in Hong Kong, a significant gender disparity was found but was suggested to be due to male vulnerability to diseases 17.…”

Section: Discussionmentioning

confidence: 99%

Gender differences in the utilisation of surgery for congenital heart disease in India

Ramakrishnan

Khera

Jain

et al. 2011

Heart

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Section: Discussionmentioning

confidence: 99%

Gender differences in the utilisation of surgery for congenital heart disease in India

Ramakrishnan

Khera

Jain

et al. 2011

Heart

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“…This variation is explained by the use of different diagnostic methods that facilitate the detection of less severe heart diseases. Although less frequent, estimates in developing countries are around 8 in 1000 live births [30].…”

Section: Introductionmentioning

confidence: 99%

Exercise Capacity in Children and Adolescents with Corrected Congenital Heart Disease

et al. 2015

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Congenital heart disease promotes hemodynamic changes that can contribute to reduce exercise capacity. The aim of the study was to evaluate the exercise capacity of children and adolescents with cyanotic congenital heart disease and to assess respiratory muscle strength, plasma levels of B-type natriuretic peptide and ventricular ejection fraction, as well the associations between these variables. Cross-sectional study that evaluated 48 patients between 6 and 18 years-old that underwent a six-minute walk test (6MWT), respiratory muscle strength, dosage of B-type natriuretic peptide and echocardiography. The mean age was 13.3 ± 4.1 years, and the most prevalent heart disease was tetralogy of Fallot (54.2 %). The average distance walked was 452.7 ± 73.2 m, significantly below the predicted (69 %) (p < 0.001). The maximum inspiratory pressure was above the predicted result (111.4 %), average 58.2 ± 22.3 (p = 0.56), and the maximum expiratory pressure was 63.2 ± 23.3 cm H2O, significantly below the predicted (63 %) (p < 0.001). The level of B-type natriuretic peptide was elevated in all patients, with a median of 2087.17 (502.54-4,768.05). The ventricular ejection fraction showed a median of 65.9 (41-100). There was no correlation between the 6MWT, ventricular ejection fraction (r = -0.05; p = 0.72), inspiratory muscle strength (r = 0.03; p = 0.81), expiratory muscle strength (r = 0.09; p = 0.05) and B-type natriuretic peptide (r = -0.04; p = 0.77). Children and adolescents with cyanotic congenital heart disease present a lower exercise capacity and expiratory muscle strength. No associations were found between exercise capacity, respiratory muscle strength, B-type natriuretic peptide and left ventricular ejection fraction.

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“…Determining the true incidence or prevalence of congenital heart disease (CHD) for Latin America as a whole has been a true challenge. In South America, the frequency of CHD was estimated to be 9% live births, according to Pedra et al [1]. In Latin America, the reported incidence is variable, according to the Latin American Collaborative Study of Congenital Malformations (ECLAMC).…”

Section: Introductionmentioning

confidence: 99%

CCHD Screening Implementation Efforts in Latin American Countries by the Ibero American Society of Neonatology (SIBEN)

Sola

Rodríguez

Young

et al. 2020

IJNS

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Congenital heart disease (CHD) is among the four most common causes of infant mortality in Latin America. Pulse oximetry screening (POS) is useful for early diagnosis and improved outcomes of critical CHD. Here, we describe POS implementation efforts in Latin American countries guided and/or coordinated by the Ibero American Society of Neonatology (SIBEN), as well as the unique challenges that are faced for universal implementation. SIBEN collaborates to improve the neonatal quality of care and outcomes. A few years ago, a Clinical Consensus on POS was finalized. Since then, we have participated in 12 Latin American countries to educate neonatal nurses and neonatologists on POS and to help with its implementation. The findings reveal that despite wide disparities in care that exist between and within countries, and the difficulties and challenges in implementing POS, significant progress has been made. We conclude that universal POS is not easy to implement in Latin America but, when executed, has not only been of significant value for babies with CHD, but also for many with other hypoxemic conditions. The successful and universal implementation of POS in the future is essential for reducing the mortality associated with CHD and other hypoxemic conditions and will ultimately lead to the survival of many more Latin American babies. POS saves newborns’ lives in Latin America.

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Paediatric and congenital heart disease in South America: an overview

Cited by 23 publications

References 112 publications

Gender differences in the utilisation of surgery for congenital heart disease in India

Gender differences in the utilisation of surgery for congenital heart disease in India

Exercise Capacity in Children and Adolescents with Corrected Congenital Heart Disease

CCHD Screening Implementation Efforts in Latin American Countries by the Ibero American Society of Neonatology (SIBEN)

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