Prenatal diagnosis of congenital heart disease and birth outcomes.

Abstract:

:This study was undertaken to examine the impact that prenatal diagnosis of congenital heart disease (CHD) has on birth and early neonatal outcomes. The prevalence of prenatally diagnosed CHD has risen over the past decade, but the effect that prenatal diagnosis of CHD has on peripartum decisions remains unclear. No consensus exists on the effect of prenatal diagnosis on neonatal outcomes. Between January 2004 and July 2009, a retrospective chart review of all neonates with CHD admitted to our institution's neonatal intensive care unit was conducted. Obstetric and postnatal variables were collected. Among the 993 subjects, 678 (68.3%) had a prenatal diagnosis. A prenatal diagnosis increased the odds of a scheduled delivery [odds ratio (OR) 4.1, 95% confidence interval (CI) 3.0-5.6] and induction of labor (OR 11.5, 95% CI 6.6-20.1). Prenatal diagnosis was not significantly associated with cesarean delivery when control was used for maternal age, multiple gestation, and presence of extracardiac anomaly. Mean gestational age had no impact on prenatal diagnosis, but prenatal diagnosis was associated with increased odds of delivery before a gestational age of 39 weeks (OR 1.5, 95% CI 1.1-1.9) and decreased odds of preoperative intubation (OR 0.5, 95% CI 0.3-0.6). Prenatal diagnosis did not have an impact on preoperative or predischarge mortality. Prenatal diagnosis was associated with increased odds of a scheduled delivery, birth before a gestational age of 39 weeks, and a decreased need for invasive respiratory support. Prenatal diagnosis of CHD was not associated with preoperative or predischarge mortality.

journal_name

Pediatr Cardiol

journal_title

Pediatric cardiology

authors

Landis BJ,Levey A,Levasseur SM,Glickstein JS,Kleinman CS,Simpson LL,Williams IA

doi

10.1007/s00246-012-0504-4

subject

Has Abstract

pub_date

2013-03-01 00:00:00

pages

597-605

issue

3

eissn

0172-0643

issn

1432-1971

journal_volume

34

pub_type

杂志文章
  • The role of Shox2 in SAN development and function.

    abstract::Embryonic development is a tightly regulated process, and many families of genes functions to provide a regulatory genetic network to achieve such a program. The homeobox genes are an extensive family that encodes transcription factors with a characteristic 60-amino acid homeodomain. Mutations in these genes or in the...

    journal_title:Pediatric cardiology

    pub_type: 杂志文章

    doi:10.1007/s00246-012-0179-x

    authors: Liu H,Espinoza-Lewis RA,Chen C,Hu X,Zhang Y,Chen Y

    更新日期:2012-08-01 00:00:00

  • Successful percutaneous balloon valvuloplasty of the aortic valve in an infant.

    abstract::Percutaneous balloon aortic valvuloplasty was attempted in an eight-month-old infant with severe aortic valve stenosis. The procedure resulted in a fall in the resting transvalvular systolic pressure gradient from 106 mmHg to 40 mmHg and no aortic regurgitation. Clinical and Doppler echocardiography findings suggest p...

    journal_title:Pediatric cardiology

    pub_type: 杂志文章

    doi:10.1007/BF02282747

    authors: Sánchez GR,Mehta AV,Ewing LL,Brickley SE,Anderson TM,Black IF

    更新日期:1985-01-01 00:00:00

  • Progressive congenital valvar aortic stenosis during infancy: five cases.

    abstract::We report our experience with asymptomatic valvar aortic stenosis diagnosed during infancy. During the period between November 1, 1986 and October 31, 1992 a total of 13 infants were diagnosed with asymptomatic aortic stenosis, 5 of whom showed rapid progression over the first 2 years of life. Two of these asymptomati...

    journal_title:Pediatric cardiology

    pub_type: 杂志文章

    doi:10.1007/s002469900105

    authors: Anand R,Mehta AV

    更新日期:1997-01-01 00:00:00

  • Diagnostic and Prognostic Value of Plasma Levels of Cardiac Myosin Binding Protein-C as a Novel Biomarker in Heart Failure.

    abstract::Heart failure (HF) has high morbidity and mortality in children. This study aimed to investigate the value of cardiac myosin binding protein-C (cMyBP-C) as a diagnostic and prognostic biomarker in children with heart failure. This study was a prospective case-control study that involved 50 children with acute HF and 2...

    journal_title:Pediatric cardiology

    pub_type: 杂志文章

    doi:10.1007/s00246-016-1532-2

    authors: El Amrousy D,Hodeib H,Suliman G,Hablas N,Salama ER,Esam A

    更新日期:2017-02-01 00:00:00

  • The Influence of Fluid Overload on the Length of Mechanical Ventilation in Pediatric Congenital Heart Surgery.

    abstract::Fluid overload and prolonged mechanical ventilation lead to worse outcomes in critically ill children. However, the association between these variables in children following congenital heart surgery is unknown. The objectives of this study were to describe the association between fluid overload and duration of mechani...

    journal_title:Pediatric cardiology

    pub_type: 杂志文章

    doi:10.1007/s00246-015-1219-0

    authors: Sampaio TZ,O'Hearn K,Reddy D,Menon K

    更新日期:2015-12-01 00:00:00

  • Prevalence of obesity among patients with congenital and acquired heart disease.

    abstract::Overweight and obesity rates have risen dramatically in the United States, with subsequent detrimental comorbidity risks. The rates for obesity among children with congenital and acquired heart disease have rarely been reported. A retrospective cross-sectional study was conducted to determine the prevalence of overwei...

    journal_title:Pediatric cardiology

    pub_type: 杂志文章

    doi:10.1007/s00246-011-0049-y

    authors: Shustak RJ,McGuire SB,October TW,Phoon CK,Chun AJ

    更新日期:2012-01-01 00:00:00

  • Sedation and Anesthesia in Pediatric and Congenital Cardiac Catheterization: A Prospective Multicenter Experience.

    abstract::Sedation/anesthesia is critical to cardiac catheterization in the pediatric/congenital heart patient. We sought to identify current sedation/anesthesia practices, the serious adverse event rate related to airway, sedation, or anesthesia, and the rate of intra-procedural conversion from procedural sedation to the use o...

    journal_title:Pediatric cardiology

    pub_type: 杂志文章,多中心研究

    doi:10.1007/s00246-015-1167-8

    authors: Lin CH,Desai S,Nicolas R,Gauvreau K,Foerster S,Sharma A,Armsby L,Marshall AC,Odegard K,DiNardo J,Vincent J,El-Said H,Spaeth J,Goldstein B,Holzer R,Kreutzer J,Balzer D,Bergersen L

    更新日期:2015-10-01 00:00:00

  • PTPN11 mutation associated with aortic dilation and hypertrophic cardiomyopathy in a pediatric patient with Noonan syndrome.

    abstract::Noonan syndrome is an autosomal dominant disease that manifests a wide variety of clinical characteristics. The syndrome is also associated with some cardiac defects. Half of all Noonan syndrome cases are caused by mutations in the PTPN11 gene, but only limited data are available regarding aortic involvement in these ...

    journal_title:Pediatric cardiology

    pub_type: 杂志文章

    doi:10.1007/s00246-009-9537-8

    authors: Jefferies JL,Belmont JW,Pignatelli R,Towbin JA,Craigen WJ

    更新日期:2010-01-01 00:00:00

  • Morbidities in patients with hypoplastic left heart syndrome.

    abstract::We sought to document morbidities and growth for patients with hypoplastic left heart syndrome (HLHS) to inform the initial surgical decision and understand healthcare needs. Data were obtained on 137 patients with HLHS, born between 1989 and 1994, who survived staged surgery ( n = 62) or transplantation ( n = 75) and...

    journal_title:Pediatric cardiology

    pub_type: 杂志文章,多中心研究

    doi:10.1007/s00246-003-0471-x

    authors: Jenkins PC,Flanagan MF,Jenkins KJ,Sargent JD,Canter CE,Chinnock RE,Vincent RN,O'Connor GT

    更新日期:2004-01-01 00:00:00

  • The Deconditioning Effect of the COVID-19 Pandemic on Unaffected Healthy Children.

    abstract::The COVID-19 pandemic has had devastating direct consequences on the health of affected patients. It has also had a significant impact on the ability of unaffected children to be physically active. We evaluated the effect of deconditioning from social distancing and school shutdowns implemented during the COVID-19 pan...

    journal_title:Pediatric cardiology

    pub_type: 杂志文章

    doi:10.1007/s00246-020-02513-w

    authors: Dayton JD,Ford K,Carroll SJ,Flynn PA,Kourtidou S,Holzer RJ

    更新日期:2021-01-04 00:00:00

  • HOXA1 gene is not potentially related to ventricular septal defect in Chinese children.

    abstract::The HOXA1 gene plays a fundamental role in embryonic morphogenesis. Recent studies in humans and mice have indicated that HOXA1 plays a previously unrecognized role in cardiovascular system development. Congenital heart disease (CHD), particularly ventricular septal defect (VSD), might be a clinically isolated manifes...

    journal_title:Pediatric cardiology

    pub_type: 杂志文章,多中心研究

    doi:10.1007/s00246-012-0418-1

    authors: Liu J,Wang B,Chen X,Li H,Wang J,Cheng L,Ma X,Gao B

    更新日期:2013-02-01 00:00:00

  • Idiopathic enlargement of the right atrium.

    abstract::A case of aneurysmal enlargement of the right atrium was found accidentally during a routine examination. The patient was asymptomatic and free of palpitations or proven rhythm disturbances. The results of echocardiography, magnetic resonance imaging, and cardiac catheterization excluded cardiac malformation, which co...

    journal_title:Pediatric cardiology

    pub_type: 杂志文章

    doi:10.1007/s002469900341

    authors: Kozelj M,Angelski R,Pavcnik D,Zorman D

    更新日期:1998-09-01 00:00:00

  • Aortic dimensions in girls and young women with turner syndrome: a magnetic resonance imaging study.

    abstract::This study aimed to determine the dimensions of the thoracic aorta and the predictors of aortic dimensions in girls and young women with Turner syndrome (TS). A cross-sectional study was performed at a secondary care center. The study compared 41 TS patients with 50 healthy age-matched control subjects. The mean age o...

    journal_title:Pediatric cardiology

    pub_type: 杂志文章

    doi:10.1007/s00246-009-9626-8

    authors: Cleemann L,Mortensen KH,Holm K,Smedegaard H,Skouby SO,Wieslander SB,Leffers AM,Leth-Espensen P,Pedersen EM,Gravholt CH

    更新日期:2010-05-01 00:00:00

  • Demographic characteristics and estimated prevalence of Fontan-associated plastic bronchitis.

    abstract::Plastic bronchitis (PB) is a poorly understood disease that can complicate any underlying pulmonary disease. However, it appears to most often occur in patients with surgically palliated congenital heart disease, particularly after the Fontan procedure. Few data exist about the prevalence and etiology of PB in this po...

    journal_title:Pediatric cardiology

    pub_type: 杂志文章

    doi:10.1007/s00246-012-0430-5

    authors: Caruthers RL,Kempa M,Loo A,Gulbransen E,Kelly E,Erickson SR,Hirsch JC,Schumacher KR,Stringer KA

    更新日期:2013-02-01 00:00:00

  • Increased left main coronary artery dimensions in children with sickle cell disease.

    abstract::For adults with sickle cell disease (SCD), cardiac changes are well described and may account for up to one-fourth of disease-related mortality. Much less is known about heart disease in pediatric SCD patients. This retrospective study analyzed a contemporary cohort of children with SCD followed at a single tertiary c...

    journal_title:Pediatric cardiology

    pub_type: 杂志文章

    doi:10.1007/s00246-012-0587-y

    authors: Doshi AR,Pauliks LB

    更新日期:2013-04-01 00:00:00

  • Congenital polyvalvular disease: a review.

    abstract::This review outlines the morphologic and pathogenetic characteristics of congenital polyvalvular disease. Two cases are used for exemplification. The macroscopic and histologic features of the valves as well as associated cardiac lesions and clinical syndromes are described, followed by a discussion of morphogenesis o...

    journal_title:Pediatric cardiology

    pub_type: 杂志文章,评审

    doi:10.1007/s002460010169

    authors: Bartram U,Bartelings MM,Kramer HH,Gittenberger-de Groot AC

    更新日期:2001-03-01 00:00:00

  • Natural and synthetic regulators of embryonic stem cell cardiogenesis.

    abstract::Debilitating cardiomyocyte loss underlies the progression to heart failure. Although there have been significant advances in treatment, current therapies are intended to improve or preserve heart function rather than regenerate lost myocardium. A major hurdle in implementing a cell-based regenerative therapy is the in...

    journal_title:Pediatric cardiology

    pub_type: 杂志文章

    doi:10.1007/s00246-009-9409-2

    authors: Willems E,Bushway PJ,Mercola M

    更新日期:2009-07-01 00:00:00

  • Catecholaminergic Ventricular Tachycardia, Pregnancy and Teenager: Are They Compatible?

    abstract::Arrhythmias in pregnancy are becoming more common given more available and effective medical, ablation and device treatment options. Several changes associated with pregnancy, increased blood volume, cardiac output, and heart rate secondary to an increased sympathetic state, facilitate more frequent occurrences of arr...

    journal_title:Pediatric cardiology

    pub_type: 杂志文章,评审

    doi:10.1007/s00246-015-1232-3

    authors: Friday KP,Moak JP,Fries MH,Iqbal SN

    更新日期:2015-10-01 00:00:00

  • Spectrum of cardiovascular anomalies in Williams-Beuren syndrome.

    abstract::This study is presented to identify and characterize the spectrum of the cardiovascular anomalies in children presenting with Williams-Beuren syndrome and cardiovascular anomalies at The Hospital for Sick Children, Toronto from 1966 to 1988. Forty-nine children were diagnosed and followed. The female to male ratio was...

    journal_title:Pediatric cardiology

    pub_type: 杂志文章

    doi:10.1007/BF02310569

    authors: Zalzstein E,Moes CA,Musewe NN,Freedom RM

    更新日期:1991-10-01 00:00:00

  • Anomalous origin of the left coronary artery from the pulmonary artery in a premature infant with preserved left ventricular function.

    abstract::Anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) is a rare condition. The majority of cases present with impaired left ventricular function. We report on a premature infant who was diagnosed at a gestational age near term with ALCAPA during routine cardiac examination. The patient showed...

    journal_title:Pediatric cardiology

    pub_type: 杂志文章

    doi:10.1007/s00246-004-0878-z

    authors: Grosse-Wortmann L,Wenzl T,Hoevels-Guerich HH

    更新日期:2006-03-01 00:00:00

  • Hybrid Approach for Recanalization and Stenting of Acquired Pulmonary Vein Occlusion.

    abstract::A 5-year-old child with a Fontan circulation presented with acquired left pulmonary vein occlusion related to a previous surgical repair. We managed this lesion using a hybrid technique to perforate, dilate and stent the obstructed vessel. This approach should be considered when percutaneous access to the pulmonary ve...

    journal_title:Pediatric cardiology

    pub_type: 杂志文章

    doi:10.1007/s00246-016-1376-9

    authors: Mainzer G,Rosenthal E,Austin C,Morgan G

    更新日期:2016-06-01 00:00:00

  • Surgical ligation of anomalous hepatic vein in a case of heterotaxy syndrome with massive intrahepatic shunting after modified fontan operation.

    abstract::In case of progressive cyanosis after modified Fontan procedure, intrahepatic shunting should be considered. Ligation of the hepatic vein is safe and effective in managing this condition, and it is important to ensure that the pressure difference between superior vena cava and the portal vein system remains minimal af...

    journal_title:Pediatric cardiology

    pub_type: 杂志文章

    doi:10.1007/s002469900505

    authors: Hishitani T,Ogawa K,Hoshino K,Nakamura Y

    更新日期:1999-11-01 00:00:00

  • Pseudohypertrophic muscular dystrophy with pulmonary valve stenosis: an unusual association.

    abstract::A patient with pulmonary valve stenosis associated with pseudohypertrophic muscular dystrophy is reported. The anomalies were detected by two-dimensional echocardiography and elevated serum enzymes, conformed by right ventriculography and muscles biopsy. The association between these two pathologies is unknown. ...

    journal_title:Pediatric cardiology

    pub_type: 杂志文章

    doi:10.1007/s00246-001-0051-x

    authors: Xie CH,Xia CS

    更新日期:2002-03-01 00:00:00

  • Myocardial blood flow and coronary flow reserve in children with "normal" epicardial coronary arteries after the onset of Kawasaki disease assessed by positron emission tomography.

    abstract::Myocardial blood flow (MBF) was investigated in children (14.2 +/- 5.01 years) with "resolved" coronary involvement after the onset of Kawasaki disease and angiographically normal epicardial coronary arteries. Ten asymptomatic children with a history of Kawasaki disease had electrocardiography, echocardiography, and p...

    journal_title:Pediatric cardiology

    pub_type: 杂志文章

    doi:10.1007/s00246-003-0472-9

    authors: Hauser M,Bengel F,Kuehn A,Nekolla S,Kaemmerer H,Schwaiger M,Hess J

    更新日期:2004-03-01 00:00:00

  • Immunosuppressive therapy of chronic myocarditis in children: three cases and the design of a randomized prospective trial of therapy.

    abstract::Three infants, each with a clinical picture of dilated cardiomyopathy, underwent endomyocardial biopsy. Immunohistologic analysis revealed chronic myocarditis. In one infant, a postviral etiology of chronic myocarditis could be assessed on the basis of molecular techniques. Therapy with azathioprine and prednisone res...

    journal_title:Pediatric cardiology

    pub_type: 杂志文章

    doi:10.1007/s002469900292

    authors: Schmaltz AA,Demel KP,Kallenberg R,Neudorf U,Kandolf R,Klingel K,Bültmann B

    更新日期:1998-05-01 00:00:00

  • Angiotensin-converting enzyme inhibitor nephrotoxicity in neonates with cardiac disease.

    abstract::Angiotensin-converting enzyme inhibitors (ACEi) are commonly used for pediatric cardiology patients. However, studies examining their safety for neonates with cardiac disease are scarce. The current study aimed to test the hypothesis that ACEi-mediated nephrotoxicity occurs in neonates and may be underappreciated in t...

    journal_title:Pediatric cardiology

    pub_type: 杂志文章

    doi:10.1007/s00246-013-0813-2

    authors: Lindle KA,Dinh K,Moffett BS,Kyle WB,Montgomery NM,Denfield SD,Knudson JD

    更新日期:2014-03-01 00:00:00

  • A viable therapeutic option: mechanical circulatory support of the failing Fontan physiology.

    abstract::A blood pump specifically designed to augment flow from the great veins through the lungs would ameliorate the poor physiology of the failing univentricular circulation and result in a paradigm shift in the treatment strategy for Fontan patients. This study is the first to examine mechanical cavopulmonary assistance w...

    journal_title:Pediatric cardiology

    pub_type: 杂志文章

    doi:10.1007/s00246-013-0649-9

    authors: Throckmorton AL,Lopez-Isaza S,Downs EA,Chopski SG,Gangemi JJ,Moskowitz W

    更新日期:2013-08-01 00:00:00

  • Relationship of Right Ventricular Size and Function with Respiratory Status in Duchenne Muscular Dystrophy.

    abstract::The relationship between pulmonary function and right ventricle (RV) in Duchenne muscular dystrophy (DMD) has not been evaluated. Using cardiac magnetic resonance (CMR), we describe the relationship of RV size and function with spirometry in a DMD cohort. Fifty-seven boys undergoing CMR and pulmonary function testing ...

    journal_title:Pediatric cardiology

    pub_type: 杂志文章

    doi:10.1007/s00246-016-1362-2

    authors: Mehmood M,Ambach SA,Taylor MD,Jefferies JL,Raman SV,Taylor RJ,Sawani H,Mathew J,Mazur W,Hor KN,Al-Khalidi HR

    更新日期:2016-06-01 00:00:00

  • Growth of an atrial septal defect: missing the window for transcatheter closure.

    abstract::We describe a patient diagnosed with a small atrial septal defect (3-4 mm) that had grown to 24 mm in diameter over a six-year period. Timing of transcatheter intervention may be affected by growth of the atrial septal defect and this reports the first case of an atrial septal defect outgrowing the possibility of tran...

    journal_title:Pediatric cardiology

    pub_type: 杂志文章

    doi:10.1007/s00246-001-0068-1

    authors: Tortoriello TA,McMahon C,Kovalchin JP,Bricker JT,Grifka RG

    更新日期:2002-09-01 00:00:00

  • Surgical cutdown of the right carotid artery for aortic balloon valvuloplasty in infancy: midterm follow-up.

    abstract::A vascular approach for balloon aortic dilatation in infants is of major concern due to the high risk of femoral artery injury. To overcome this problem, a surgical right carotid artery (RCA) approach has been advocated. No reports are available on RCA after neonatal cutdown. Since 1990, RCA cutdown has been performed...

    journal_title:Pediatric cardiology

    pub_type: 杂志文章

    doi:10.1007/s002460010202

    authors: Borghi A,Agnoletti G,Poggiani C

    更新日期:2001-05-01 00:00:00