Comunicação interventricular pequena: conduta clínica expectante em longo prazo

Atik, Edmar

doi:10.1590/s0066-782x2009000600003

Cited by 7 publications

(8 citation statements)

References 5 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In line with many previous reports, perimembranous VSD was the most prevalent form of VSD, and muscular VSD had an obviously higher SC rate [8, 10–12, 15, 18, 20, 22]. However, the average diameter of muscular VSD was smaller than other types and none of the subjects required surgical intervention.…”

Section: Discussionsupporting

confidence: 89%

Prediction of spontaneous closure of isolated ventricular septal defects in utero and postnatal life

Song

et al. 2016

BMC Pediatr

View full text Add to dashboard Cite

BackgroundVentricular septal defect (VSD) is a highly prevalent fetal congenital heart defect, which can become spontaneously closed during infancy. The current study aims to characterize fetal VSDs that were subsequently spontaneously closed in the first 2 years of life in eastern China.MethodsBetween January 2011 and December 2013, 257 fetal patients diagnosed with isolated VSD by fetal echocardiography at Nanjing Maternity and Child Health Care Hospital, China, were enrolled in the study. Subjects were divided into three groups: group 1 = persistent VSD; group 2 = closed after birth; group 3 = closed during gestation. Fetal echocardiography data, physical features at birth and follow-up outcomes for 2 years were compared to identify factors contributing to spontaneous closure (SC) of VSD. A predictive formula was applied to patients admitted to hospital in the first quarter of 2014 (n = 23) for validation.ResultsSC occurred in 42.8% patients. Birth weight (3.095 ± 0.774, 3.174 ± 0.535, 3.499 ± 0.532 kg in groups 1, 2 and 3, respectively) and defect diameter (3.422 ± 0.972, 2.426 ± 0.599, 2.292 ± 0.479 mm, in groups 1, 2 and 3, respectively) showed statistically significant differences between the three groups (P = 0.004 and P = 0.000, respectively). Receiver operating characteristic (ROC) curves identified cut-off value for the defect diameter as 2.55 mm, and logistic regression analysis identified the SC probability = (1 + exp -[-2.151 − 0.716*birth weight + 1.393*diameter])-1. Results indicated that male fetuses, full-term birth, muscular VSD, and defects without blood flow crossing the septum, have higher incidence of SC.ConclusionsThe major determinants of SC of isolated VSD are birth weight and diameter of the defect. In addition, VSD location may also affect the SC incidence.

show abstract

Section: Discussionsupporting

confidence: 89%

Prediction of spontaneous closure of isolated ventricular septal defects in utero and postnatal life

Song

et al. 2016

BMC Pediatr

View full text Add to dashboard Cite

show abstract

“…We speculate that perceived differences in spontaneous closure rates (between defects of different sizes and numbers) might have influenced follow up recommendations. It is known that age at diagnosis and method of diagnosis influence reported spontaneous closure rates for VSD [ 3 , 6 , 7 , 19 , 20 ]. Young age at diagnosis was a significant predictor of spontaneous closure [ 19 , 21 ].…”

Section: Discussionmentioning

confidence: 99%

Subspecialty surveillance of long-term course of small and moderate muscular ventricular septal defect: heterogenous practices, low yield

et al. 2014

View full text Add to dashboard Cite

BackgroundNo expert consensus guides practice for intensity of ongoing pediatric cardiology surveillance of hemodynamically insignificant small and moderate muscular ventricular septal defect (mVSD). Therefore, despite the well-established benign natural history of mVSD, there is potential for widely divergent follow up practices. The purpose of this investigation was to evaluate (1) variations in follow up of mVSD within an academic children’s hospital based pediatric cardiology practice, and (2) the frequency of active medical or surgical management resulting from follow up of mVSD.MethodsWe retrospectively reviewed records of 600 patients with isolated mVSD echocardiographically diagnosed between 2006 and 2012. Large mVSD were excluded (n = 4). Patient age, gender, echocardiographic findings, provider, recommendations for follow up, and medical and surgical management were tabulated at initial and follow up visits. Independent associations with follow up recommendations were sought using multivariate analysis.ResultsInitial echocardiography showed small single mVSD in 509 (85%), multiple small mVSD in 60 (10%), and small-to-moderate or moderate single mVSD in 31 (5%). The mean age at diagnosis was 15.9 months (0–18.5 years) and 25.7 months (0–18.5 years) at last follow up. There was slight female predominance (56.3%). Fourteen pediatric cardiology providers recommended 316 follow up visits, 259 of which were actually accomplished. There were 37 other unplanned follow up visits. No medical or surgical management changes were associated with any of the follow up visits. The proportion of patients for whom follow up was advised varied among providers from 11 to 100%. Independent associations with recommendation for follow up were limited to the identity and clinical volume of the provider, age of the patient, and the presence of multiple, small-to-moderate, or moderate mVSD.ConclusionsIn this large series of moderate or smaller mVSD, pediatric cardiology follow up was commonly recommended but resulted in no active medical or surgical management. Major provider based inconsistency in intensity of follow up of mVSD was identified, but is difficult to justify.

show abstract

“…Arteaga analyzed the prognostic value of the collagen volume fraction in hypertrophic cardiomyopathy 20. Atik described the clinical progress of patients with small ventricular septal defects 21. Costa et al showed that body mass index has a good correlation with proatherosclerotic profile in children and adolescents 22.…”

Section: Methodsmentioning

confidence: 99%

A review of cardiopulmonary research in Brazilian medical journals: clinical, surgical and epidemiological data

Serrano

Silva

2010

Clinics

View full text Add to dashboard Cite

Research in the field of cardiopulmonary disease in Brazil has been very active in recent decades. The combination of PUBMED, SCieLO, open access and online searching has provided a significant increase in the visibility of Brazilian journals. This newly acquired international visibility has in turn resulted in the appearance of more original research reports in the Brazilian scientific press. This review is intended to highlight part of this work for the benefit of the readers of “Clinics.” We searched through PUBMED for noteworthy articles published in Brazilian medical journals included in the Journal of Citation Reports of the Institute of Scientific Information to better expose them to our readership. The following journals were examined: “Arquivos Brasileiros de Cardiologia,” “Arquivos Brasileiros de Endocrinologia e Metabologia,” “Brazilian Journal of Medical and Biological Reviews,” “Jornal Brasileiro de Pneumologia,” “Jornal de Pediatria,” “Revista Brasileira de Cirurgia Cardiovascular,” “Revista da Associação Médica Brasileira,” Revista da Escola de Enfermagem U.S.P.” and “São Paulo Medical Journal.” These journals publish original investigations in the field of cardiopulmonary disease. The search produced 71 references, which are briefly examined.

show abstract

Comunicação interventricular pequena: conduta clínica expectante em longo prazo

Abstract: SummaryBackground: The small ventricular septal defect (VSD) usually presents good clinical evolution, even at long-term follow-up.

Cited by 7 publications

References 5 publications

Prediction of spontaneous closure of isolated ventricular septal defects in utero and postnatal life

Prediction of spontaneous closure of isolated ventricular septal defects in utero and postnatal life

Subspecialty surveillance of long-term course of small and moderate muscular ventricular septal defect: heterogenous practices, low yield

A review of cardiopulmonary research in Brazilian medical journals: clinical, surgical and epidemiological data

Contact Info

Product

Resources

About