Congenital Heart Disease最新文献

Association of congenital heart defects (CHD) with factors related to maternal health and pregnancy in newborns in Puerto Rico. 波多黎各新生儿先天性心脏缺陷 (CHD) 与产妇健康和怀孕相关因素的关系。

IF 0.3 4区医学

Congenital Heart Disease Pub Date : 2024-01-01 Epub Date: 2024-03-20 DOI: 10.32604/chd.2024.046339

Yamixa Delgado, Caliani Gaytan, Naydi Perez, Eric Miranda, Bryan Colón Morales, Mónica Santos

{"title":"Association of congenital heart defects (CHD) with factors related to maternal health and pregnancy in newborns in Puerto Rico.","authors":"Yamixa Delgado, Caliani Gaytan, Naydi Perez, Eric Miranda, Bryan Colón Morales, Mónica Santos","doi":"10.32604/chd.2024.046339","DOIUrl":"10.32604/chd.2024.046339","url":null,"abstract":"Background: Given the pervasive issues of obesity and diabetes both in Puerto Rico and the broader United States, there is a compelling need to investigate the intricate interplay among BMI, pregestational, and gestational maternal diabetes, and their potential impact on the occurrence of congenital heart defects (CHD) during neonatal development.Methods: Using the comprehensive System of Vigilance and Surveillance of Congenital Defects in Puerto Rico, we conducted a focused analysis on neonates diagnosed with CHD between 2016 and 2020. Our assessment encompassed a range of variables, including maternal age, gestational age, BMI, pregestational diabetes, gestational diabetes, hypertension, history of abortion, and presence of preeclampsia.Results: A cohort of 673 patients was included in our study. The average maternal age was 26 years, within a range of 22 to 32 years. The mean gestational age measured 39 weeks, with a median span of 38 to 39 weeks. Of the 673 patients, 274 (41%) mothers gave birth to neonates diagnosed with CHD. Within this group, 22 cases were linked to pre-gestational diabetes, while 202 were not; 20 instances were associated with gestational diabetes, compared to 200 without; and 148 cases exhibited an overweight or obese BMI, whereas 126 displayed a normal BMI.Conclusion: We identified a statistically significant correlation between pre-gestational diabetes mellitus and the occurrence of CHD. However, our analysis did not show a statistically significant association between maternal BMI and the likelihood of CHD. These results may aid in developing effective strategies to prevent and manage CHD in neonates.","PeriodicalId":10666,"journal":{"name":"Congenital Heart Disease","volume":"19 1","pages":"19-31"},"PeriodicalIF":0.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11192526/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141442261","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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Hemodynamic Profiling Using a Cardiac Index–Systemic Vascular Resistance Plot in Patients with Fontan Circulation Fontan循环患者心脏指数-全身血管阻力图的血流动力学分析

4区医学

Congenital Heart Disease Pub Date : 2023-01-01 DOI: 10.32604/chd.2023.030910

Yuki Kawasaki, Takeshi Sasaki, Daisuke Kobayashi

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Classifying Cardiac Anomalies in Right and Left Isomerism: Concordant and Discordant Patterns 左、右异构体心脏异常的分类:和谐型和不和谐型

IF 0.3 4区医学

Congenital Heart Disease Pub Date : 2023-01-01 DOI: 10.32604/chd.2022.023619

L. Oreto, G. Mandraffino, P. Ciliberti, Teresa P. Santangelo, P. Romeo, A. Celona, P. Gitto, L. Galletti, Fiore S. Iorio, Alfredo di Pino, A. Secinaro, P. Guccione, Robert H. Anderson, S. Agati

引用次数: 0

Pentalogy of Cantrell with Pentalogy of Fallot and Left Ventricular Diverticulum Cantrell五联症合并法洛五联症和左室憩室

IF 0.3 4区医学

Congenital Heart Disease Pub Date : 2023-01-01 DOI: 10.32604/chd.2023.026404

Weimin Zhang, Zheng Liu, Tao Zhu, Q. Huo

引用次数: 0

Ventricular Septal Crypts: Remnants of Spontaneous Interventricular Defect Closure? 室间隔隐窝:自发性室间隔缺损关闭的残余?

IF 0.3 4区医学

Congenital Heart Disease Pub Date : 2023-01-01 DOI: 10.32604/chd.2023.025639

A. Cresti, S. Sparla, S. Stefanelli, A. Picchi, U. Limbruno

引用次数: 0

Quality of Life in Congenital Heart Disease Patients According to Their Anatomical and Physiological Classification 先天性心脏病患者的生活质量与解剖生理分类

IF 0.3 4区医学

Congenital Heart Disease Pub Date : 2023-01-01 DOI: 10.32604/chd.2021.013308

Efr閚 Mart韓ez-Quintana, Hiurma Estupi襻n-Le髇, Ana Beatriz Rojas-Brito, Liuva D閚iz-D閚iz, Alejandro Barreto-Mart韓, Fayna Rodr韌uez-Gonz醠ez

引用次数: 0

Cardiac Surgery with Cardiopulmonary Bypass in Low-Weight or Preterm Neonates: A Retrospective Study Analyzing Early Outcome 心脏手术合并体外循环治疗低体重或早产儿:一项分析早期结果的回顾性研究

IF 0.3 4区医学

Congenital Heart Disease Pub Date : 2023-01-01 DOI: 10.32604/chd.2023.022636

Alain J. Poncelet, Maureen Peers de Nieuwburgh, St閜hane Moniotte, G. de Beco, K. Carbonez, Jean E. Rubay, T. Detaille, L. Houtekie, M. Momeni

引用次数: 0

Emergency Hybrid Correction in a Newborn with Critical Aortic Valve Stenosis with Acute Pulmonary Edema in the First Hour after Birth 新生儿出生后1小时重度主动脉瓣狭窄合并急性肺水肿的急诊混合矫治

IF 0.3 4区医学

Congenital Heart Disease Pub Date : 2023-01-01 DOI: 10.32604/chd.2023.025522

V. Suvorov, V. Zaitsev, N. Pilyugov, O. Tereshenko, M. Komissarov

引用次数: 0

Outcomes of Self-Expanding Transcatheter Pulmonary Valves: Extended Follow-Up of a Prospective Trial 自扩张经导管肺瓣膜的预后:一项前瞻性试验的延长随访

IF 0.3 4区医学

Congenital Heart Disease Pub Date : 2023-01-01 DOI: 10.32604/chd.2023.027562

Jingnan Zhang, J. Wan, Yihang Li, Yu Han, Jiahua Pan, Fang Fang, Shi-liang Jiang, Xiangbin Pan, Gejun Zhang

引用次数: 0

Intraoperative Blood Glucose Levels and Postoperative Acute Kidney Injury in Pediatric Patients Having Congenital Heart Surgery under Cardiopulmonary Bypass 体外循环下先天性心脏手术患儿术中血糖水平与术后急性肾损伤的关系

4区医学

Congenital Heart Disease Pub Date : 2023-01-01 DOI: 10.32604/chd.2023.028017

Dongyun Bie, Hongbai Wang, Chaobin Zhang, Chunrong Wang, Yuan Jia, Su Yuan, Sheng Shi, Jiangshan Huang, Jianhui Wang, Fuxia Yan

{"title":"Intraoperative Blood Glucose Levels and Postoperative Acute Kidney Injury in Pediatric Patients Having Congenital Heart Surgery under Cardiopulmonary Bypass","authors":"Dongyun Bie, Hongbai Wang, Chaobin Zhang, Chunrong Wang, Yuan Jia, Su Yuan, Sheng Shi, Jiangshan Huang, Jianhui Wang, Fuxia Yan","doi":"10.32604/chd.2023.028017","DOIUrl":"https://doi.org/10.32604/chd.2023.028017","url":null,"abstract":"Purpose: This study sought to explore the effect of intraoperative mean blood glucose levels and variability on postoperative acute kidney injury (AKI) in children undergoing congenital cardiac surgery. Methods: We conducted a prospective nested case-control study in children (age < 18 years) undergoing congenital heart surgery with cardiopulmonary bypass (CPB) at the Fuwai Hospital between April 01, 2022 and July 30, 2022. Cases were individuals who developed AKI within the first postoperative 7 days (AKI group) and controls were those without AKI (Non-AKI group) according to KDIGO criteria. AKI and Non-AKI groups unmatched and 1:1 matched by age, sex, and baseline serum creatinine were separately analyzed. Multivariate logistic and conditional logistic regressions were used to assess the associations between blood glucose variables and AKI. Results: 688 consecutively approached patients were included in the final analysis. On multivariate analysis, intra-CPB (adjusted odds ratio [OR] 0.802; 95% confidence interval [CI], 0.706 to 0.912; p = 0.001) and post-CPB (adjusted OR 0.830; 95% CI, 0.744 to 0.925; p = 0.001) blood glucose levels were associated with postoperative AKI. There were no significant differences in pre-CPB blood glucose (adjusted OR 0.926; 95% CI, 0.759 to 1.129; p = 0.446) or intraoperative glycemic fluctuations (adjusted OR 0.905; 95% CI, 0.723 to 1.132; p = 0.382) between AKI and Non-AKI groups. Results based on matched cases and controls were consistent with those from the unmatched analyses. Conclusion: Higher intraoperative blood glucose levels during and after CPB were protective factors against postoperative AKI in pediatric patients after congenital heart surgery.","PeriodicalId":10666,"journal":{"name":"Congenital Heart Disease","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135400902","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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