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Updates in Congenital Heart Disease: Can Outcomes Improve?

Gerard R Martin1, Russell R Cross1, Lisa A Hom1

  • 1Division of Cardiology, Children's National Heart Institute, George Washington University School of Medicine, Washington, District of Columbia.

American Journal of Perinatology
|June 26, 2019
PubMed

Insights

Critical congenital heart disease (CHD) is a leading cause of infant death. This article reviews pulse oximetry screening, advanced cardiac imaging, and quality improvement programs to improve outcomes for neonates with CHD.

Area of Science:

  • Pediatrics
  • Cardiology
  • Neonatology

Background:

  • Congenital heart disease (CHD) is the primary cause of mortality from congenital malformations in infants.
  • Despite medical and surgical advancements, improving outcomes in CHD remains a significant challenge.

Purpose of the Study:

  • To discuss the impact of pulse oximetry screening for critical CHD.
  • To describe the role of advanced cardiac imaging in neonates with CHD.
  • To highlight the importance of quality improvement and safety programs in cardiac intensive care units.

Main Methods:

  • Review of recent literature on pulse oximetry screening for critical CHD.
  • Analysis of the contributions of advanced cardiac imaging techniques in neonates.
  • Discussion of quality improvement and safety initiatives in cardiac intensive care settings.

Main Results:

  • Pulse oximetry screening has shown a significant impact on the early detection of critical CHD.
  • Advanced cardiac imaging provides crucial diagnostic information for neonates with CHD.
  • Quality improvement and safety programs are increasingly vital for optimizing patient care in cardiac ICUs.

Conclusions:

  • Early detection through pulse oximetry screening is crucial for improving outcomes in critical CHD.
  • Advanced imaging and robust quality improvement programs are essential components in managing neonates with CHD.
  • Multifaceted strategies are necessary to reduce mortality and enhance the care of infants with congenital heart disease.

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