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[Spontaneous closure of the interventricular septal defects in children]
Kardiologiia
|March 1, 1975
Insights
A significant number of interventricular septum defects close naturally in children by age 7. Spontaneous closure most often occurs between ages 1 and 4 years.
Area of Science:
- Pediatric Cardiology
- Congenital Heart Defects
Context:
- Interventricular Septal Defects (VSDs) are common congenital heart abnormalities.
- Understanding VSD natural progression is crucial for clinical management.
Purpose:
- To investigate the rate and timing of spontaneous closure in pediatric VSD patients.
- To identify factors associated with VSD closure and complications.
Summary:
- 214 pediatric patients with VSDs were monitored from birth to 7 years.
- 50 patients (23.4%) experienced spontaneous VSD closure.
- Spontaneous closure predominantly occurred between 1 and 4 years of age (86%).
- Complications like circulatory insufficiency and respiratory infections were noted in 20 patients with VSDs.
Impact:
- Provides data on the natural history of VSDs in children.
- Informs clinical expectations regarding spontaneous VSD resolution.
- Highlights the importance of monitoring for complications in pediatric VSD cases.
Abstract:
A total of 214 patients with a defect of the interventricular septum have been examined starting from the first days of their life and to the age of 7 years. In 50 of them the defect closed spontaneously (23.4 per cent). Twenty of these patients had a complicated course of the defect (circulatory insufficiency, colds and pneumonia). The spontaneous closure of the interventricular septum defect occurred most frequently at the age of from 1 to 4 years (86 per cent).