Heart disease presenting in the first week of life: Implications of advances in diagnosis and management since 1973

D. A. Danford, B. B. Stancombe, D. G. McNamara

Research output: Contribution to journalArticle

4 Scopus citations

Abstract

The spectra of congenital heart diseases presenting in the first week of life - diagnosis, treatment, and prognosis - were analyzed in a recent series and compared with a series 9 years earlier. Eighty percent of all infants aged 0 to 7 days referred to the pediatric cardiology service in these series had actual cardiovascular defects; 42% had critical cardiovascular disease. Use of echocardiography in the neonate with suspected congenital heart disease increased from 0 to 82% in the 9-year period, whereas, frequency of cardiac catheterization decreased. Treatment with prostaglandin E1 and catecholamine-derived pressor agents increased. Surgical mortality in critical neonatal heart disease fell from 58 to 18%, whereas, early cardiac deaths fell from 49 to 24%. These findings illustrate a favorable trend in the care of the neonate with congenital heart disease based on less hazardous diagnostic methods, more effective medical stabilization, and advanced in surgical technique.

Original languageEnglish (US)
Pages (from-to)290-295
Number of pages6
JournalTexas Heart Institute Journal
Volume11
Issue number3
StatePublished - 1984

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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