Logo Medical Science Monitor

Call: +1.631.470.9640
Mon - Fri 10:00 am - 02:00 pm EST

Contact Us

Logo Medical Science Monitor Logo Medical Science Monitor Logo Medical Science Monitor

20 May 2004

Diagnostic problems in congenital heart defects in neonates – our experience

Iwona Maruniak-Chudek, Klaudiusz Bober, Janusz Świetliński, Bohdan Kowala, Małgorzata Zdąbłasz, Danuta Więcek- Włodarska, Barbara Goc, Lesław Szydłowski, Agata Włoch

Med Sci Monit 2004; 10(2): 23-27 :: ID: 11850


Background: We analyzed the group of neonates with congenital heart defects (CHD) treated in NICU between 2000-2001, with attention focused on initial diagnosis of referring neonatologist and risk factors of failure to diagnose CHD. Material/Methods: Among 1987 neonates hospitalized, 288 (14.5%) were diagnosed with CHD. The prematures with PDA were excluded from the study group. 102 (35%) patients were admitted on the first day of life, 153 (53%) between 2–7 day and the rest of them (12%) were older than 7 days. The range of birth weight was: 700–5000 grams; 32 (11%) – below 2000 g. 64 (22 %) were born prematurely. The referring neonatologist suspected CHD in 189 cases (Group A – 65.6%), the initial diagnosis in remaining patients was different (Group B).Results: The Group B patients had lower gestational age, birth weight, Apgar score, more often suffered from other diseases and multiple congenital anomalies, more frequently required intensive care procedures. Twelve Group B neonates had ductal dependent cardiac lesions. The most commonly misdiagnosed babies had ductal dependent systemic flow heart defects – 10 cases. 78 neonates (27%)required cardiac surgery. In 129 (44.8%) neonates heart defect was the only reason for hospitalization in NICU. Thirteen (4.5%) neonates died during the treatment in NICU.Conclusions: Neonates with CHDs were often referred with different initial diagnosis, which in cases with ductal dependent heart lesions created the situation of life hazard. Cardiologist consultation (with ECHO) should be one of the first procedures performed at severely ill neonate. Other diseases or organs defects in premature infants with CHDs and the necessity of multidisciplinary treatmentwere frequently connected with failure to early diagnose of CHD.

Keywords: congenital heart defect, diagnostic problems, neonate

Add Comment 0 Comments


01 April 2024 : Editorial  

Editorial: Forty Years of Waiting for Prevention and Cure of HIV Infection – Ongoing Challenges and Hopes for Vaccine Development and Overcoming Antiretroviral Drug Resistance

Dinah V. Parums

DOI: 10.12659/MSM.944600

Med Sci Monit 2024; 30:e944600


In Press

05 Apr 2024 : Clinical Research  

Comparative Analysis of Transoral Endoscopic Parathyroidectomy Vestibular Approach and Focused Open Surgery...

Med Sci Monit In Press; DOI: 10.12659/MSM.944128  


05 Mar 2024 : Clinical Research  

Muscular Function Recovery from General Anesthesia in 132 Patients Undergoing Surgery with Acceleromyograph...

Med Sci Monit In Press; DOI: 10.12659/MSM.942780  

05 Mar 2024 : Clinical Research  

Effects of Thermal Insulation on Recovery and Comfort of Patients Undergoing Holmium Laser Lithotripsy

Med Sci Monit In Press; DOI: 10.12659/MSM.942836  

05 Mar 2024 : Clinical Research  

Role of Critical Shoulder Angle in Degenerative Type Rotator Cuff Tears: A Turkish Cohort Study

Med Sci Monit In Press; DOI: 10.12659/MSM.943703  

Most Viewed Current Articles

17 Jan 2024 : Review article  

Vaccination Guidelines for Pregnant Women: Addressing COVID-19 and the Omicron Variant

DOI :10.12659/MSM.942799

Med Sci Monit 2024; 30:e942799


14 Dec 2022 : Clinical Research  

Prevalence and Variability of Allergen-Specific Immunoglobulin E in Patients with Elevated Tryptase Levels

DOI :10.12659/MSM.937990

Med Sci Monit 2022; 28:e937990


16 May 2023 : Clinical Research  

Electrophysiological Testing for an Auditory Processing Disorder and Reading Performance in 54 School Stude...

DOI :10.12659/MSM.940387

Med Sci Monit 2023; 29:e940387


01 Jan 2022 : Editorial  

Editorial: Current Status of Oral Antiviral Drug Treatments for SARS-CoV-2 Infection in Non-Hospitalized Pa...

DOI :10.12659/MSM.935952

Med Sci Monit 2022; 28:e935952


Your Privacy

We use cookies to ensure the functionality of our website, to personalize content and advertising, to provide social media features, and to analyze our traffic. If you allow us to do so, we also inform our social media, advertising and analysis partners about your use of our website, You can decise for yourself which categories you you want to deny or allow. Please note that based on your settings not all functionalities of the site are available. View our privacy policy.

Medical Science Monitor eISSN: 1643-3750
Medical Science Monitor eISSN: 1643-3750