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Critical congenital heart disease
Insights
This study reviewed 94 infants undergoing cardiac catheterization for congenital heart disease. Despite a 53% overall mortality, prognosis has gradually improved, with catheterization mortality at only 1%.
Area of Science:
- Pediatric Cardiology
- Neonatal Medicine
- Interventional Cardiology
Background:
- Congenital heart disease (CHD) is a significant concern in neonates.
- Diagnostic cardiac catheterization is a critical tool for evaluating CHD in infants.
- Early diagnosis and intervention impact infant outcomes.
Purpose of the Study:
- To review the outcomes of diagnostic cardiac catheterization in infants during their first month of life.
- To assess the efficacy and safety of interventions for CHD in neonates.
- To analyze trends in CHD prevalence and prognosis over time.
Main Methods:
- Retrospective review of 94 infants undergoing cardiac catheterization between 1976-1980.
- Analysis of diagnostic findings, interventions attempted, and mortality rates.
- Comparison of findings with data from the preceding decade.
Main Results:
- Eighty-three infants (88%) had congenital heart disease.
- Active intervention was attempted in nearly 50% of cases.
- Catheterization-related mortality was 1%, hospital mortality post-surgery was 44%, and overall mortality was 53%.
Conclusions:
- While CHD prevalence remained stable, infant prognosis has shown gradual improvement.
- Early diagnostic cardiac catheterization plays a vital role in managing neonatal CHD.
- Further research into factors improving long-term outcomes is warranted.
Abstract:
We have reviewed the outcome in 94 infants who underwent diagnostic cardiac catheterization in the 1st month of life during the period 1976-1980. Eighty-three were shown to have congenital heart disease, and in nearly 50% further active intervention was attempted. Mortality directly related to catheterization was only 1%, although hospital mortality after surgery was 44%, and overall mortality was 53%. The prevalence of cardiac abnormalities encountered has remained unchanged over the past 10 years, but there has been a gradual improvement in prognosis. Factors contributing to this are discussed.