Journal of Nippon Medical School: Vol.68 No.6 page.510

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ArticleTitle Clinical Characteristics of Congenital Heart Disease Diagnosed During Neonatal Period

AuthorList Yoshio Shima¹, Nobuyuki Takechi¹, Syunnichi Ogawa², Ryuji Fukazawa², Daichi Fukumi², Yohko Uchikoba², Yukiho Kuramochi² and Hitoshi Yamauchi³

Affiliation ¹Department of Neonatal and Premature Medicine, Japanese Red Cross Katsushika Maternity Hospital, ²Department of Pediatrics and ³Department of Surgery (II), Nippon Medical School

Language JA

Volume 68

Issue 6

Year 2001

Page 510-515

Received May 22, 2001

Accepted June 28, 2001

Keywords congenital heart disease, newborn infant, neonatal intensive care unit

Abstract We have analyzed 43 newborn babies with congenital heart disease (CHD) over the last two years.
The occurrence rate of CHD was 7.5 per 1,000 live births in our maternity hospital, and 4.5% of all babies admitted to our NICU. Low birth weight (<2,500g), and prematurity (<37 weeks of gestation) led to occurrence rates of 34% and 26%, respectively. Cardiac symptoms (heart murmur and cyanosis) accounted for 47% of all cases in which CHD was discovered, and extracardiac symptoms accounted for 40%. Prenatal diagnosis was made in two patients. Twenty babies were transferred to the pediatric cardiac care unit in the general hospital from our maternity hospital during their neonatal period. Dividing them into two categories by hemodynamic state, acyanotic type made up 72% of all patients; VSDs (Ventricular Septal Defects) were the most frequent anomaly. Cyanotic type made up only 28%, but included all 4 cases of neonatal death. Twelve babies underwent surgery during the study period, and 7 of them reached final anatomical correction. Early detection of the cardiac anomaly, including prenatal diagnosis, plays an important role in improving the prognosis of patients, and comprehensive therapeutic strategies are essential for neonatal CHD.

Correspondence to Yoshio Shima, Department of Neonatol and Premature Medicine, Japanese Red Cross Katsushika Maternity Hospital, 2-11-12 Tateishi, Katsusika-ku, Tokyo 124-0024, Japan

ArticleTitle	Clinical Characteristics of Congenital Heart Disease Diagnosed During Neonatal Period
AuthorList	Yoshio Shima¹, Nobuyuki Takechi¹, Syunnichi Ogawa², Ryuji Fukazawa², Daichi Fukumi², Yohko Uchikoba², Yukiho Kuramochi² and Hitoshi Yamauchi³
Affiliation	¹Department of Neonatal and Premature Medicine, Japanese Red Cross Katsushika Maternity Hospital, ²Department of Pediatrics and ³Department of Surgery (II), Nippon Medical School
Language	JA
Volume	68
Issue	6
Year	2001
Page	510-515
Received	May 22, 2001
Accepted	June 28, 2001
Keywords	congenital heart disease, newborn infant, neonatal intensive care unit
Abstract	We have analyzed 43 newborn babies with congenital heart disease (CHD) over the last two years. The occurrence rate of CHD was 7.5 per 1,000 live births in our maternity hospital, and 4.5% of all babies admitted to our NICU. Low birth weight (<2,500g), and prematurity (<37 weeks of gestation) led to occurrence rates of 34% and 26%, respectively. Cardiac symptoms (heart murmur and cyanosis) accounted for 47% of all cases in which CHD was discovered, and extracardiac symptoms accounted for 40%. Prenatal diagnosis was made in two patients. Twenty babies were transferred to the pediatric cardiac care unit in the general hospital from our maternity hospital during their neonatal period. Dividing them into two categories by hemodynamic state, acyanotic type made up 72% of all patients; VSDs (Ventricular Septal Defects) were the most frequent anomaly. Cyanotic type made up only 28%, but included all 4 cases of neonatal death. Twelve babies underwent surgery during the study period, and 7 of them reached final anatomical correction. Early detection of the cardiac anomaly, including prenatal diagnosis, plays an important role in improving the prognosis of patients, and comprehensive therapeutic strategies are essential for neonatal CHD.
Correspondence to	Yoshio Shima, Department of Neonatol and Premature Medicine, Japanese Red Cross Katsushika Maternity Hospital, 2-11-12 Tateishi, Katsusika-ku, Tokyo 124-0024, Japan