With the advent of echocardiography, and cardiac CT and MRI, the role of chest x-rays in evaluating congenital heart disease has been largely been relegated to one of historical and academic interest, although they continue to crop up in radiology exams. In most instances a definite diagnosis cannot be made, however, the differential can be narrowed to a few likely diagnoses. A systematic approach to interpreting pediatric chest radiographs is required. A detailed understanding of the normal contours of the cardiomediastinum on chest radiography is essential if abnormalities are to be detected, as well as knowing the range of normal for pulmonary vasculature marking.
Paediatric Congenital Heart Defects Case Presentation
A new study found that while surgery to correct congenital heart disease CHD within 10 years after birth may restore young hearts to healthy function, it also may be associated with an increased risk of hypertension -- high blood pressure -- within a few months or years after surgery. The medical records study covering thousands of children was led by researchers at Johns Hopkins Medicine. The researchers showed that children who had cardiac repair surgeries were 13 times more likely to develop hypertension as adults when compared with the general population. The hypertension study used the same data registry from a investigation of CHD repair and long-term risk of end-stage kidney disease. Parikh said that clinical outcome studies in recent years provide evidence that surgical repair of heart problems during the first decade of life leaves behind some pathological changes that can continue in the cardiovascular system. In an attempt to more precisely measure the problem of hypertension after childhood heart surgery, Parikh and his colleagues looked at medical records from seven linked Canadian patient databases.
HESI Case Studies–Pediatrics-Congenital Heart Disease (Billy Adams)
A birth defect , also known as a congenital disorder , is a condition present at birth regardless of its cause. Birth defects may result from genetic or chromosomal disorders , exposure to certain medications or chemicals, or certain infections during pregnancy. Treatment varies depending on the defect in question. Much of the language used for describing congenital conditions antedates genome mapping , and structural conditions are often considered separately from other congenital conditions. Many metabolic conditions are now known to have subtle structural expression, and structural conditions often have genetic links.
Researchers from the Children's Hospital of Philadelphia, Nursing and Clinical Care Services, Philadelphia, PA have recently observed that an organized, focused approach for nutrition therapy using a standardized pathway improves weight change outcomes before hospital discharge for infants who require neonatal cardiac surgery. The study is published in the Journal of Pediatrics. Amy Jo Lisanti and colleagues conducted the present study to evaluate the effect of a standardized feeding approach using a clinical nutrition pathway on weight-for-age Z score WAZ over hospital length of stay HLOS for infants with congenital heart disease CHD.