“…Cyanotic cardiopathies usually exhibit a lower basal POS (24) . In this study the majority of children had acyanotic CAD, given that they corresponded to a higher incidence of this classification of cardiopathy (25) and it Table 3. Comparison of the cardiorespiratory parameters before and during feeding in the breast and in the bottle in the two groups studied may also explain the finding of the basal POS of the SG being lower than that of the CG.…”
RESUMO Objetivo Verificar a variação dos parâmetros cardiorrespiratórios na alimentação de bebês cardiopatas. Método Estudo transversal controlado, realizado com bebês de 0 a 6 meses de idade, de ambos os gêneros, em um hospital de referência para cirurgia cardíaca pediátrica. Foram divididos em grupo de estudo os bebês com diagnóstico médico de cardiopatia congênita, pós-cirurgia cardíaca e em grupo controle, composto de bebês sem comorbidades pré-estabelecidas como fatores de risco para disfagia. Realizada monitorização de sinais vitais e oximetria de pulso antes, durante e após a avaliação clínica da deglutição nos dois grupos. Resultados Há diferença significativa da frequência cardíaca entre os dois grupos já anterior à avaliação, porém foi observado aumento acentuado do parâmetro no grupo estudo durante a oferta de via oral. A variação da frequência respiratória foi significativa durante a oferta de seio materno no grupo estudo, que também apresentou maior queda de saturação quando comparada a do grupo controle. Conclusão Há variação de parâmetros cardiorrespiratórios durante alimentação de bebês cardiopatas.
“…Cyanotic cardiopathies usually exhibit a lower basal POS (24) . In this study the majority of children had acyanotic CAD, given that they corresponded to a higher incidence of this classification of cardiopathy (25) and it Table 3. Comparison of the cardiorespiratory parameters before and during feeding in the breast and in the bottle in the two groups studied may also explain the finding of the basal POS of the SG being lower than that of the CG.…”
RESUMO Objetivo Verificar a variação dos parâmetros cardiorrespiratórios na alimentação de bebês cardiopatas. Método Estudo transversal controlado, realizado com bebês de 0 a 6 meses de idade, de ambos os gêneros, em um hospital de referência para cirurgia cardíaca pediátrica. Foram divididos em grupo de estudo os bebês com diagnóstico médico de cardiopatia congênita, pós-cirurgia cardíaca e em grupo controle, composto de bebês sem comorbidades pré-estabelecidas como fatores de risco para disfagia. Realizada monitorização de sinais vitais e oximetria de pulso antes, durante e após a avaliação clínica da deglutição nos dois grupos. Resultados Há diferença significativa da frequência cardíaca entre os dois grupos já anterior à avaliação, porém foi observado aumento acentuado do parâmetro no grupo estudo durante a oferta de via oral. A variação da frequência respiratória foi significativa durante a oferta de seio materno no grupo estudo, que também apresentou maior queda de saturação quando comparada a do grupo controle. Conclusão Há variação de parâmetros cardiorrespiratórios durante alimentação de bebês cardiopatas.
“…The risk of fetal mortality in cyanotic CHD is higher, but its correction, even when partial, significantly decreases the fetal and neonatal risk. 2 …”
Section: Discussionmentioning
confidence: 99%
“…CHD is the most common congenital problem and a leading cause of death among malformations. 1,2 CHD may be broadly grouped into two major categories: morphological anomalies including developmental defects resulting in structural malformations and functional irregularities, heart rhythm disturbances and cardiomyopathies. 1 They can also be divided into two groups: acyanotic and cyanotic heart defects.…”
Section: Introductionmentioning
confidence: 99%
“…The risk of fetal mortality in cyanotic CHD is higher and correction, even when partial, significantly decreases the fetal and neonatal risk. 2 About 20 to 30% of patients with CHD who do not receive adequate treatment die in the first month of life due to heart failure and/or hypoxic crises, and about 50% die by the end of the first year of life. [3][4][5] Knowledge about the prognosis of CHD supports the obtaining of indicators related to good care practices and specific outcomes, such as death.…”
Objective: To evaluate the prognosis and influence of associated factors in patients with congenital heart disease admitted for the first time to the Intensive Care Unit of the Hospital da Criança Santo Antônio/Irmandade da Santa Casa de Misericórdia de Porto Alegre, especially those factors associated with death. Methods: Patients were prospectively and consecutively allocated over a period of one year (August 2005 to July 2006). Now, 15 years after the initial selection, we collected data from these patients in the database of the Cytogenetics Laboratory of the Universidade Federal de Ciências da Saúde de Porto Alegre and in the medical records of the hospital. Results: Of the 96 patients, 11 died and 85 were alive until 20 years old. Four patients died in the Intensive Care Unit. The survival probability up to 365 days of life was 95.8%. The survival assessment identified that the deaths occurred mainly before the patients completed one thousand days of life. We found that complex heart disease was independently associated with an odds ratio of 5.19 (95% confidence interval — CI:1.09–24.71; p=0.038) for death. Conclusions: Knowledge about the factors that interfere with the prognosis can be crucial in care practice planning, especially considering that congenital heart disease is an important cause of mortality in the first year of life.
“…As acianogênicas são divididas em dois grupos principais: aquelas que possuem normofluxo pulmonar ou que são obstrutivas sem desvio, que incluem coarctação da aorta, interrupção do arco aórtico, estenose aórtica, estenose mitral e estenose pulmonar; e aquelas que com hiperfluxo pulmonar e desvia esquerda-direita representadas por comunicação interatrial, comunicação interventricular, persistência do canal arterial, defeito no septo atrioventricular e janela aortopulmonar. Já as cianogênicas são agrupadas em três grupos: as que apresentam hipofluxo pulmonar e são obstrutivas com desvio direita-esquerda, sendo elas a Tetralogia de Fallot, atresia tricúspide, atresia pulmonar com CIV, atresia pulmonar com CIV, transposição de grandes artérias sem CIV, transposição das grandes artérias com estenose pulmonar, anomalia de Ebstein, e síndrome de Eisenmenger (Born, 2009;Croti, et al, 2013).…”
Objectives: To identify the types of congenital heart diseases among newborns in the year 2016. Methods: A retrospective, quantitative and descriptive study was carried out based on the evaluation of medical records. The medical records of the patients who underwent transthoracic echocardiography performed in 2016 were analyzed on the type of heart disease, birth weight, gestational age, gender, and clinical outcome of newborns in the maternity ward in Santa Catarina State, from 0 to 28 days old. Results: Transthoracic echocardiograms revealed atrial septal defect, persistent ductus arteriosus, ventricular septal defect, transposition of large vessels at baseline, atrioventricular septal defect, tricuspid insufficiency, and coarctation of the aorta in descending order. The incidence of congenital heart disease in the sample collected was 14:1000. Prevalent gestational age was preterm, most of them with adequate weight for gestational age with low weight. Clinical outcome was hospital discharge in most cases. Conclusions: The profile of the cardiopathies, the predominance of low weight and the precocious gestational age point to the need for early diagnosis in order to avoid late repercussions that could be avoided through clinical follow - up and surgical interventions when necessary. The research points out the importance of the active search for congenital heart diseases in the neonatal period, suggesting the use of the fetal echocardiogram as an integral prenatal examination recommended by the Unified Health System, starting at 30 weeks of gestation.
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