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[The impact of congenital heart disease on neurodevelopment]

Hugo A Arroyo1, Mariel Foti2

  • 1Consultor, Hospital de Pediatría Prof. Dr. Juan P. Garrahan, Buenos Aires, Argentina.

Medicina
|September 27, 2024
PubMed

Insights

Congenital heart disease (CHD) affects 1% of births, often leading to cognitive and behavioral issues in survivors. Early neurodevelopmental assessment is crucial for timely intervention and improved long-term outcomes in children with CHD.

Area of Science:

  • Pediatric Cardiology
  • Neurodevelopmental Pediatrics
  • Medical Genetics

Context:

  • Congenital heart disease (CHD) affects approximately 1% of live births.
  • Survivors of CHD frequently experience significant morbidities, including cognitive deficits, academic challenges, and behavioral abnormalities, impacting their quality of life.

Purpose:

  • To emphasize the critical need for comprehensive neurodevelopmental assessments in all children diagnosed with congenital heart disease.
  • To highlight the multifaceted etiology of developmental dysfunction in CHD survivors, involving genetic, cardiac, and environmental factors.

Summary:

  • Developmental dysfunction in CHD is multifactorial, influenced by genetic susceptibility, cardiac diagnosis, fetal development, and perioperative/postoperative events.
  • Cognitive deficits, academic difficulties, and behavioral abnormalities are the most common morbidities affecting quality of life in CHD survivors.

Impact:

  • Early identification of neurodevelopmental needs through comprehensive assessment is vital for initiating timely interventions.
  • Optimizing long-term development and quality of life for children with CHD requires a proactive and supportive approach to their neurodevelopmental care.

Keywords:
cognitioncongenital heart diseaseneurodevelopment

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