Congenital Cardiac Disease in Childhood X Socioeconomic Conditions: A Relationship to Be Considered in Public Health?

Abstract

IntroductionCongenital heart defects, cardiac malformations that occur in the embryonic period, constitute a serious health problem. They cover a proportion of 8-10 per 1000 live births and contribute to infant mortality.ObjectiveTo identify the socioeconomic status of children undergoing cardiac surgery at the Hospital Universitário da Universidade Federal do Maranhão, in São Luis, the existence of material elements that contribute to worsening conditions.MethodsWe conducted a retrospective study with a quantitative approach, descriptive and reflective, from the interviews conducted by the Social Service Social with families of children with heart disease from January 2011 to July 2012.ResultsA total of 95 interviews, the results reveal that (75.79%) of children have elements that suggest poor socioeconomic conditions. It also shows that only 66.33% lived in brick house, while (31.73%) in mud, adobe and straw houses. With regard to income, it showed that only 4.08% received 1-2 minimum wages, while the remaining (95.9%) with benchmarks oscillating half the minimum wage (27.55%), 1/4 of the minimum wage and (24.48%) and income below 70 dollars per person, featuring extreme poverty. On the social security situation prevailing at children with no ties to 61.22%. With respect to benefits, we found that only (12.24%) of children were in the enjoyment of the Continuous Cash Benefit - CCB.ConclusionPoor socioeconomic conditions listed as major obstacles in meeting the needs, resulting in the maintenance of health conditions and even allowing the aggravation of an existing pathology.

Histone lysine methylation and congenital heart disease: From bench to bedside (Review)

“…CHD is the most common type of birth defect, manifesting as obstacles in the process of embryonic heart or blood vessel development, which may result in the morphology, structure, function and metabolic abnormalities of heart and blood vessels (2,3,5). According to the statistics, CHD has become the first reason for birth defects and the main cause of perinatal death and death in children (2).…”

“…CHD is the most common type of birth defect, manifesting as obstacles in the process of embryonic heart or blood vessel development, which may result in the morphology, structure, function and metabolic abnormalities of heart and blood vessels (2,3,5). According to the statistics, CHD has become the first reason for birth defects and the main cause of perinatal death and death in children (2). The causes of CHD are not yet completely clear; however, most scholars consider that many types of CHD are caused by a single gene mutation and chromosome aberration, and most types of CHD belong to complex genetic diseases, which are caused by the interaction between genetic factors and environmental factors (90,91).…”

“…Congenital heart disease (CHD) involves the anatomical structure abnormality caused by the formation of obstacles or the abnormal development of the heart and great vessels during the period of embryonic development, or a group of congenital malformations with actual or potential influence on heart function arising from the open tunnels which should have selfclosed after childbirth. CHD mostly occurs during 2-8 weeks after impregnation, and it is the most common cardiovascular malformation affecting children; it severely affects the health of infants and young children (1)(2)(3)(4). At present, CHD is regarded as a multigene disease influenced by the environment and heredity; however, the pathogenesis of the disease and the underlying molecular mechanisms and interations between genes remain unclear (5)(6)(7)(8).…”

A realidade da cardiopatia congenita no Brasil: revisão bibliográfica / The reality of congenital heart disease in Brazil: bibliographic review

“…A falta de acesso à informação, condições precárias de moradia, saneamento e dificuldade de acesso ao sistema de saúde culminam em um público com grande fragilidade e seu desenvolvimento em risco (PNAD, 2009). A educação continuada em saúde pode melhorar a qualidade de vida desses pacientes e dos seus cuidadores (BARROS et al, 2014), um exemplo é o Hospital Universitário do Maranhão que atende diariamente criança portadoras do CC afim de submete-las a cirurgias de correção, um recurso do sistema público de saúde que tem acesso para todos. As condições socioeconômicas precárias podem atrapalhar no processo de recuperação e de manutenção de saúde, porém a informação pode ser uma ferramenta fundamental que auxilia nesse processo, buscando o auxílio do SUS quando necessário, utilizando de todos os recursos disponíveis nele, assim como na adesão ao tratamento administrado.…”

“…As condições socioeconômicas precárias podem atrapalhar no processo de recuperação e de manutenção de saúde, porém a informação pode ser uma ferramenta fundamental que auxilia nesse processo, buscando o auxílio do SUS quando necessário, utilizando de todos os recursos disponíveis nele, assim como na adesão ao tratamento administrado. (BARROS et al, 2014). Os dados da OMS mostram que 1% da população apresenta CC: 28.846 pacientes, quando comparado aos dados subnotificados do SUS, de apenas 1.680, demonstrando um abismo no diagnóstico de CC no Brasil (BRASIL, 2014.).…”