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[Clinical-epidemiologic indications for echocardiographic assessment in the neonatal period. Value of risk groups]
L dos S Sadeck1, R Azevedo, A J Barbato
1Instituto da Criança Prof. Pedro de Alcântara-Hospital das Clínicas-FMUSP.
Purpose:
An echocardiographic study was performed in newborns from risk groups, with the aim of to determining prevalence and to evaluate the indications for this test in the neonatal period.
Methods:
One hundred fifty six newborns were studied. They were admitted to the Newborn ward of the Department of Obstetric of the HC-FMUSP, in the period of November 91 to April 93, from mothers with congenital heart disease or diabetes, low birth weight newborns, with extracardiac malformations, cardiac signs and/or congenital infections.
Results:
The observed prevalence was 21.8%, greater than that of the general population (0.8-1.2%). The group composed by 27 children with extracardiac abnormalities presented the largest prevalence when compared with the other groups (40.7%). These data justify the use of echocardiography in high risk newborns for the detection of congenital heart disease.