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 Pediatric Cardiology

Congenital heart disease

Congenital heart disease

Heart, section through the middle
Heart, section through the middle
Cardiac catheterization
Cardiac catheterization
Heart, front view
Heart, front view
Ultrasound, normal fetus - heartbeat
Ultrasound, normal fetus - heartbeat
Ultrasound, normal fetus - heartbeat
Ultrasound, normal fetus - heartbeat
Patent ductus arteriosis (PDA) - series
Patent ductus arteriosis (PDA) - series

Definition:

Congenital heart disease refers to a problem with the heart's structure and function due to abnormal heart development before birth. Congenital means present at birth.

Causes, incidence, and risk factors:

Congenital heart disease (CHD) is a broad term that can describe a number of different problems affecting the heart. According to the American Heart Association, approximately 35,000 babies are born each year with some type of congenital heart defect. Congenital heart disease is responsible for more deaths in the first year of life than any other birth defects. Many of these defects need to be followed carefully. Some heal over time, others will require treatment.

While congenital heart disease is present at birth, the symptoms may not be immediately obvious. Defects such as coarctation of the aorta may not cause problems for many years. Other problems, such as a small ventricular septal defect (VSD), may never cause any problems and some people with a VSD have normal physical activity and a normal life span.

Some congenital heart diseases can be treated with medication alone, while others require one or more surgeries. The risk of death from congenital heart disease surgery has dropped from approximately 30% in the 1970s to less than 5% in most cases today.

Congenital heart disease is often divided into two types: cyanotic (blue discoloration caused by a relative lack of oxygen) and non-cyanotic. The following lists cover the most common of the congenital heart diseases:

Cyanotic:

Non-cyanotic:

These problems may occur alone or together. The majority of congenital heart diseases occurs as an isolated defect and is not associated with other diseases. However, they can also be a part of various genetic and chromosomal syndromes such as Down syndrome, trisomy 13, Turner's syndrome, Marfan syndrome, Noonan syndrome, Ellis-van Creveld syndrome.

No know cause can be identified for most congenital heart defects. Congenital heart diseases continue to be investigated and researched. Drugs such as retinoic acid for acne, chemicals, alcohol, and infections (such as rubella) during pregnancy can contribute to some congenital heart problems.

Symptoms:

Symptoms depend on the specific condition.

Signs and tests:

Diagnostic tests depend on the specific condition.


Review Date: 6/27/2006
Reviewed By: Anne J. L. Chun, M.D., Assistant Professor of Pediatrics, Division of Pediatric Cardiology, New York University School of Medicine, New York, NY. Review provided by VeriMed Healthcare Network.

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