2 research outputs found
Repetitive Delay in Diagnosis of Ventricular Septal Defect
Objective:Although ventricular septal defect (VSD) is the most common
congenital heart disease, it is usually diagnosed late. The
presentation of the disease is variable; sometimes it is so quiet and
silent that might even improve and heal spontaneously, and in some
certain cases if the appropriate, on time and early treatment is not
done, this would lead to irreparable complications and mortality even
in the early life period. This study reviews the diagnostic process,
treatment and follow-up of the patients. It is hoped that the results
of the present study be used to improve the patients' condition.
Methods: This was a cross-sectional study done on 145 patients with VSD
during 54 months in Isfahan. The disease was identified through color
Doppler echocardiogram, cardiac catheterization and angiography if
necessary. The required data were collected at the time of definite
diagnosis. Findings: Mean age at initial and definite diagnosis of the
disease was 17 months and 44 months, respectively. Heart murmur led to
initial diagnosis in 85% of the cases. In 27.5% VSD was associated with
other cardiac anomalies. Pulmonary artery hypertension existed in 16.5%
of the cases. Fifty nine surgeries were performed on 40 patients.
Conclusion: In routine physical examination of the infants, the
probability of heart disease should be considered; conducting
echocardiogram in suspected cases would lead to early diagnosis and
eventually timely treatment. Appropriate follow-up of the patients will
provide optimal care and treatment at proper time
Relationship between echocardiographic findings and laboratory serum biomarkers in patients with and without low cardiac output
Abstract BACKGROUND: Cardiac dysfunction is seen in many patients and could be evaluated with echocardiography and serum biomarkers. The aim of this study was evaluation of the relationship between echocardiographic findings and laboratory serum biomarkers in children with and without low cardiac output