OBJECTIVES In developing countries, congenital heart disease is often unrecognised, leading to serious morbidity and mortality. Guatemala is one of the few developing countries where expert paediatric cardiac treatment is available and affordable, and therefore early detection could significantly improve outcome. We assessed regional congenital heart disease detection rates in Guatemala, and de...

Special considerations for the management of adult congenital heart disease include pregnancyrelated cardiovascular disease, pulmonary arterial hypertension, and arrhythmias. Improvements in the treatment of congenital heart disease mean that more women with congenital heart disease are reaching childbearing age. In BC the Cardiac Obstetrics clinic at St. Paul’s Hospital provides coordinated ca...

Since Robert Gross inaugurated pediatric cardiac surgery in 1938 and since the advent of open-heart surgery on cardiopulmonary bypass in the 1950s, mortality from congenital heart disease has plummeted. However, many of the more complex forms of congenital heart disease still cannot be physiologically corrected; rather, patients are surgically palliated, permitting survival but leaving signific...

background: brain type natriuretic peptide (bnp) is a cardiac hormone that is secreted mainly by the ventricles in response to volume expansion and pressure load. it can predict post-operative complications after heart surgery in adults. we sought to investigate the prognostic value of bnp in children after heart surgery. methods: we measured the bnp serum levels in 96 children with congenital ...

maternal diabetes has teratogenic effects on the evolution of the fetal cardiovascular system; as a consequence, cardiovascular malformations are the most common anomalies in infants of diabetic mothers. the present study focuses on the association of all types of diabetes in mothers with the incidence of congenital cardiovascular malformations in their infants. in this retrospective case-contr...

Ventricular septal defects are one of the most common congenital cardiac malformations and can be associated with many types of congenital and acquired heart disease.

Advances in diagnostic methods and in the surgical and medical care of infants and children with congenital heart disease have resulted in one of the most successful rehabilitation programs that medicine has witnessed.1'2 In the United States alone, there are presently between 500,000 and 600,000 adults with congenital heart disease. Each year, about 20,000 open operations for congenital heart ...

OBJECTIVE To identify the referral factors for fetal echocardiography which are associated with congenital cardiac defects in the fetus. STUDY DESIGN Cross-sectional descriptive study. PLACE AND DURATION OF STUDY Radiology Department, CMH, Rawalpindi, from January 2007 to November 2010. METHODOLOGY All patients referred for fetal echocardiography with one or more risk factors for the deve...