Accuracy of pulse oximetry screening for detecting critical congenital heart disease in the newborns in rural hospital of Central India

Congenital cardiovascular malformations are the most common category of birth defects and responsible for mortality in the first twelve months of life. Critical congenital heart disease (CCHD) will be present in approximately one quarter of these children, which requires catheter or surgery intervention in the first year of life. The aim is to determine the accuracy of pulse oximetry for detecting clinically unrecognized CCHD in the newborns. This article reports the following methods : Pulse oximetry was performed on clinically normal newborns within first 4 hours of life. If screening oxygen saturation (SpO2) was below 90%, echocardiography was then performed. Inclusion criteria: All newborns who were admitted in postnatal ward & NICU. Exclusion criteria: Out born babies and babies with a prenatal diagnosis of duct dependent circulation.peer-reviewe

Heart Murmur in Neonates: How Often Is It Caused by Congenital Heart Disease

Abstract Objective: Congenital heart disease (CHD) is the most common form of cardiovascular diseases in children. This study was performed from September 2006 to August 2007 in Ardebil, Westnorthern Iran. The aim was to determine the prevalence of heart murmur in newborns and its correlation with CHD. Methods: In a 1-year cross sectional descriptive-analytic study, 2928 newborns were screened for heart murmur during routine neonatal physical examination. All babies with murmur underwent echocardiography. Findings: Murmur was detected in 91 (3.1%) neonates, of whom 47 (51.6%) had a congenital heart disease. The most common (17.6%) abnormality was ventricular septal defect. Patent ductus arteriosus was found in 10 (11%) patients. Conclusion: Remarkable high (round 50 %) rate of CDH in newborns presenting with heart murmur, urges to observe these neonates closely to establish the diagnosis of congenital heart disease and early referral to pediatric cardiologist

Diagnosis and management of life-threatening cardiac malformations in the newborn

SummaryApproximately 1–2 per 1000 newborn babies have a cardiac defect that is potentially life-threatening usually because either the systemic or the pulmonary blood flow is dependent on a patent ductus arteriosus. A significant proportion of newborns with such cardiac defects are being discharged from well-baby nurseries without a diagnosis and therefore risk circulatory collapse and death. This risk is greatest for defects with duct-dependent systemic circulation, notably aortic arch obstruction, but is also significant in transposition of the great arteries, for example. The solution to this problem, apart from improving prenatal detection rates, is to introduce effective neonatal screening including routine pulse oximetry

Birth Defects Res A Clin Mol Teratol

CC999999/Intramural CDC HHS/United States2015-11-01T00:00:00Z24083317PMC4628831691

Case number 11 : the complex heart

WB, a four-month-old Caucasian baby boy from Mosta was admitted to the paediatric ward in Mater Dei following an incidental finding of dextrocardia, failure to thrive and developing signs of respiratory distress, all indicating possible chronic heart failure. Following examination and testing, baby WB was found to have a double outlet right ventricle, transposition of the great vessels, a VSD with blood mixing, and an element of heart failure. WB is termed to be having a complex heart. The patient is currently not fit for operation and is being managed on feeds to facilitate his growth.peer-reviewe