Results of cardiologic evaluation at our newborns intensive care unit

Year 2021, Volume: 38 Issue: 1, 11 - 15, 26.01.2021

İrfan Şahin

Abstract

Congenital heart disease (CHD) are the most common congenital anomaly in newborns. In this study, we aimed to evaluate the frequency and distribution of CHD among babies in the neonatal intensive care unit (NICU) of our center. Between June 2018 and February 2020, 109 babies were diagnosed with congenital heart disease among 1779 babies who were admitted to the NICU. The most frequent reasons of pediatric cardiology consultation were murmur and respiratory problems. Of newborns with CHD, 85.3%, have acyanotic and 11.1% have cyanotic CHD. The mean gestational age, postnatal age and the bodyweight of the cases were 33.4 weeks, 2.5 days and 1.58 kg, consecutively. 52.3% were male and 47.7% were female. The incidence of CHD in our center was 6.05%. The most common acyanotic CHDs were ventricular septal defect (24.8%), patent ductus arteriosus (23%) and atrial septal defect (16.6%). The most common cyanotic CHDs were Tetralogy of Fallot (3.7%) and transposition of the great arteries (1.8%). As a result, a significant portion of our patients were diagnosed acyanotic CHD. We think that the frequency of CHDs in our NICU will possibly change as the preferability of our center increases for pediatric cardiac surgery. Congenital heart diseases remain as common and important health problem in the neonatal period. Therefore, early cardiological evaluation is very important for management of these patients. The incidence of CHDs in the NICU is higher than in all live births. 

Keywords

Congenital heart disease, Newborn intensive care unit, Murmur

Project Number

Yok

References

• Hoffman JIE, Kaplan S, 2002. The incidence of congenital heart disease. J. Am. Coll. Cardiol. 39, 1890–1900. Wren C, Richmond S, Donaldson L, 2000. Temporal variability in birth prevalence of cardiovascular malformations. Heart. 83, 414-419. Geggel RL. Conditions leading to pediatric cardiology consultation in a tertiary academic hospital, 2004. Pediatrics. 114, e409-17. Gürkan B, 2004. Konjenital kalp hastalıklarının değerlendirilmesi. İçinde: Yurdakök M, Erdem G (eds). Türk Neonatoloji Derneği Neonatoloji Kitabı, Alp Ofset. Ankara: pp.503-504. Baş EK, Sarıkabadayı YÜ, Karacan M, Demirçubuk A, Karçin M, Arslan S. Gaziantep Çocuk Hastanesi Yenidoğan Yoğun Bakım Ünitesi’nde İzlenen Doğumsal Kalp Hastalıkları Vakalarının İncelenmesi, 2013. Çocuk Derg. 13, 65-69. Zan S, Yapıcıoğlu H, Erdem S, Özlü F, Satar M, Özbarlas N, Narlı N, KüçükosmanoğluO, Poyrazoğlu H, 2015. Çukurova Üniversitesi Tıp Fakültesi Hastanesi Yenidoğan Yoğun Bakım Üniteleri’nde son beş yılda izlenen doğumsal kalp hastalarının retrospektif incelenmesi. Çocuk. Sağ. Hast. Derg. 58, 7-16. Güven H, Bakiler AR, Kozan M, Aydınlıoğlu H, Helvacı M, Dorak C. Yenidoğan servislerinde konjenital kalp hastalıkları, 2006. Çocuk Sağlığı Hast. Derg. 49, 8-11. Morris CD. Lessons from epidemiology for the care of women with congenital heart disease, 2004. Prog Pediatr Cardiol. 1, 5-13. Kadivar M, Kiani A, Kocharian A, Shabanian R, Nasehi L, Ghajarzadeh M, 2008. Echocardiography and management of sick neonates in the intensive care unit. Congenit.Heart. Dis. 3, 325-329. Yıldız J, Çetin İi, Aktaş D, Arı ME, Kocabaş A, Ekici F, Şaylı TR, 2015. Ekokardiyografik değerlendirme kardiyak üfürüm duyulan tüm çocuklarda gerekli mi? Türkiye Çocuk Hast Derg. 3, 9. Özkan EA, Hüsrevşahi H, Beyse P, 2016. Çocuk kardiyolojisi polikliniğine başvuran hastaların geriye dönük değerlendirilmesi. Haydarpaşa Numune Med J. 56, 161-167. Ertuğrul S, Baysal T, Altunhan H, Annagür A, Örs R, Koç H, 2011. Yenidoğan yoğun bakım ünitesinde II. ve III. düzey hastalarda seçici olmayan ekokardiyografi uygulama sonuçlarımız. Selçuk Üniv Tıp Derg. 27, 92-94. Van der Linde D, Konings EE, Slager MA, Witsenburg M, Helbing WA, Takkenberg JJ, Roos-Hesselink JW, 2011. Birth prevalence of congenital heart disease worldwide: a systematic review and meta-analysis. J. Am. Coll. Cardiol. 58, 2241-2247. Zhao QM, Liu F, Wu L, Ma XJ, Niu C, Huang GY, 2019. Prevalence of Congenital Heart Disease at Live Birth in China. J Pediatr. 204, 53-58. Tokel K, Saygılı A, Mercan S, Varan B, Gürakan B, Aşlamacı S, 2001. Doğumsal kalp hastalıklı yenidoğanların değerlendirilmesi. Turk Pediatri Ars. 36, 3. Edwards WD, 2001. Classification and terminology of cardiovascular anomalies. In: Allen HD, Gutgessell HP, Clark EB, Driscoll DJ (eds). Moss &Adams Heart Disease in İnfants, Children, and Adolescent including the Fetus and Young Adult. 6th edition. Philadelphia: Lippincott, Williams and Wilkins. pp.118-37. Güvenç O, Güzeltaş A, 2017. Diyabetik anne bebeğinde görülen kardiyovasküler komplikasyonlar. Arşiv Kaynak Tarama Dergisi. 26, 310-319. Weber H, Copel J, Reece MA, Green J, Kleinman CS, 1991. Cardiac growth in fetus of diabetic mothers with good metabolic control. J Pediatr. 18, 103-107