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A. Basics
B. Imaging
C. Arrhythmias and Device Therapy
D. Heart Failure
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01. History of Cardiology
02. Clinical Skills
03. Imaging
04. Arrhythmias, General
05. Atrial Fibrillation
06. Supraventricular Tachycardia (non-AF)
07. Syncope and Bradycardia
08. Ventricular Arrhythmias and Sudden Cardiac Death (SCD)
09. Device Therapy
10. Chronic Heart Failure
11. Acute Heart Failure
12. Coronary Artery Disease (Chronic)
13. Acute Coronary Syndromes
14. Acute Cardiac Care
15. Valvular Heart Disease
16. Infective Endocarditis
17. Myocardial Disease
18. Pericardial Disease
19. Tumors of the Heart
20. Congenital Heart Disease and Pediatric Cardiology
21. Pulmonary Circulation, Pulmonary Embolism, Right Heart Failure
22. Aortic Disease
23. Peripheral Vascular and Cerebrovascular Disease
24. Stroke
25. Interventional Cardiology
26. Cardiovascular Surgery
27. Hypertension
28. Risk Factors and Prevention
29. Rehabilitation and Sports Cardiology
30. Cardiovascular Disease in Special Populations
31. Pharmacology and Pharmacotherapy
32. Cardiovascular Nursing
33. e-Cardiology / Digital Health
34. Public Health and Health Economics
35. Research Methodology
36. Basic Science
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Congenital heart disesase: a restrospective analysis from a tertiary referral centre
Session:
Posters - F. Valvular, Myocardial, Pericardial, Pulmonary, Congenital Heart Disease
Speaker:
Diogo Faim
Congress:
CPC 2021
Topic:
F. Valvular, Myocardial, Pericardial, Pulmonary, Congenital Heart Disease
Theme:
20. Congenital Heart Disease and Pediatric Cardiology
Subtheme:
20.2 Congenital Heart Disease – Epidemiology, Prognosis, Outcome
Session Type:
Posters
FP Number:
---
Authors:
Diogo Faim; Joaquim Tiago; Rui Castelo; Andreia Francisco; Rosa Ramalho; António Pires
Abstract
<p style="text-align:justify"><span style="font-size:11pt"><span style="font-family:Calibri,sans-serif"><strong><span style="font-size:10.0pt">Introduction:</span></strong><span style="font-size:10.0pt"> Congenital heart disease is the most prevalent congenital malformation contributing to perinatal mortality. The aim of this study was to characterize its incidence and to establish survival in the first year of life.</span></span></span></p> <p style="text-align:justify"><span style="font-size:11pt"><span style="font-family:Calibri,sans-serif"><strong><span style="font-size:10.0pt">Material and Methods:</span></strong><span style="font-size:10.0pt"> Retrospective analysis of cases born in a central maternity hospital, diagnosed up to 72 hours after birth, during a period of 16 years. </span><span style="font-size:10.0pt">Results considered statiscally significant if p <0.05.</span></span></span></p> <p style="text-align:justify"><span style="font-size:11pt"><span style="font-family:Calibri,sans-serif"><strong><span style="font-size:10.0pt">Results: </span></strong><span style="font-size:10.0pt">Of the 47198 neonates born during the study period, 297 had congenital heart disease, 16% associated with syndromes or extra-cardiac disease. The incidence was 6:1000. Left to right shunt lesions accounted for 211, followed by cyanotic (n = 46), non-cyanotic obstructive (n = 31) and miscellaneous (n = 9). Coarctation of the aorta was positively correlated to gestational diabetes (p = 0.014). Prenatal diagnosis contributed to 26%, mostly in the cyanotics, itself related to mortality (p <0.001). Atrial septal defect were found more commonly in females (p = 0.02). Mortality due to heart disease was 3,4%. Overall survival of cyanotic disease cases was 88%, 81% and 78% at 28 days, 6 months and 1 year of age, respectively. For the miscellaneous cases was 91%, 91%, 90%, the obstructive cases was 97%, 97%, 97% and for the left to right shunt diseases was 99%, 98%, 98%, respectively. </span></span></span></p> <p style="text-align:justify"><span style="font-size:11pt"><span style="font-family:Calibri,sans-serif"><strong><span style="font-size:10.0pt">Discussion: </span></strong><span style="font-size:10.0pt">The incidence of congenital heart disease was 6:1000, mostly left to right shunt lesions. Heart disease accounted for only half of deaths. Cyanotic diseases carry a higher nonspecific mortality rate, usually progressive during the first year of life. </span></span></span></p>
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