Infants with single ventricle: a population-based epidemiological study

Eileen K Steinberger1, Charlotte Ferencz, Christopher A Loffredo

  • 1Department of Epidemiology and Preventive Medicine, University of Maryland School of Medicine, Baltimore, Maryland 21201, USA.

Teratology
|March 6, 2002
PubMed

Insights

Paternal alcohol and smoking are linked to single ventricle heart defects in infants. These environmental factors may play a role in the development of this rare congenital condition.

Area of Science:

  • Pediatric Cardiology
  • Congenital Heart Defects
  • Epidemiology

Background:

  • Single ventricle is a rare congenital cardiac defect.
  • It often occurs within complex cardiovascular abnormalities.
  • Epidemiologic associations are not well understood.

Purpose of the Study:

  • To investigate epidemiologic associations of single ventricle.
  • To evaluate infant, family, and parental exposure factors.
  • To analyze associations based on cardio-visceral situs.

Main Methods:

  • Population-based case-control study using Baltimore-Washington Infant Study (BWIS) data (1981-89).
  • Evaluated 55 infants with single ventricle against 3,572 controls.
  • Used odds ratios and 95% confidence intervals to measure associations.

Main Results:

  • Paternal alcohol consumption (OR=2.0) and smoking (OR=2.4) associated with all single ventricle cases.
  • Associations were stronger in infants with abnormal situs.
  • Maternal abortion history (OR=3.2) and paternal marijuana use (OR=2.2) also showed associations.

Conclusions:

  • Paternal smoking and alcohol consumption identified as potential risk factors.
  • Highlights the need to consider environmental factors in single ventricle pathogenesis.
  • Further research is warranted.
Abstract

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