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[Frequency of association of cardiac and urinary abnormalities]
Insights
Congenital heart disease patients often have undiagnosed urinary tract abnormalities. Angiocardiography films revealed 7.2% of these silent uropathies, aiding diagnosis in conditions like ventricular septal defects.
Area of Science:
- Pediatric Cardiology
- Urology
- Diagnostic Imaging
Background:
- Congenital heart disease (CHD) is a complex condition.
- Associated anomalies can impact patient outcomes.
- Urinary tract abnormalities (uropathies) are potential comorbidities.
Purpose of the Study:
- To investigate the prevalence of uropathies in patients with CHD.
- To evaluate the diagnostic utility of urinary tract imaging during angiocardiography.
Main Methods:
- Retrospective analysis of 680 patients with CHD.
- Review of urinary apparatus films obtained during angiocardiography.
- Correlation of identified uropathies with specific CHD types.
Main Results:
- 49 uropathies (7.2%) were diagnosed in 680 CHD cases.
- Uropathies were most common in ventricular septal defects, pulmonary stenosis, and Tetralogy of Fallot.
- Angiocardiography imaging identified 22 (44.9%) previously undiagnosed uropathies.
Conclusions:
- Urinary tract imaging during angiocardiography is valuable for detecting silent uropathies in CHD patients.
- Routine screening for uropathies may be beneficial in specific CHD populations.
- Early detection of uropathies can potentially improve management and outcomes.
Abstract:
In 680 cases of congenital heart disease, the authors discovered 49 uropathies (i.e. 7.2%) diagnosed thanks to a film of the urinary apparatus taken during angiocardiography. These uropathies were encountered mainly during ventricular septal defects, pulmonary stenosis and Fallot's tetralogy. The diagnostic value of the film during angiocardiography is great as it revealed 22 out of 49 uropathies (i.e. 44.9%) clinically silent until then.