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Archives of Disease in Childhood - Fetal and Neonatal Edition 2001;84:F141-F145; doi:10.1136/fn.84.3.F141
Copyright © 2001 BMJ Publishing Group Ltd & Royal College of Paediatrics and Child Health.
Arch Dis Child Fetal Neonatal Ed 2001;84:F141-F145 ( May )

Leading article

Management of the neonate with symptomatic congenital heart disease

The first 150 words of the full text of this article appear below.

    Introduction

Although considerable effort has been invested in the development of screening programmes to detect congenital heart disease before and after birth, a large proportion of infants with congenital heart defects remain undetected by these programmes and come to the attention of the medical profession only after they develop symptoms.1 These symptomatic infants can present in extremis and die rapidly. A study of 1590 babies with congenital heart disease who presented in the northern region of the United Kingdom was published in this journal in 1999: one in 10 presented with cardiac symptoms before the first neonatal screening examination and more than half were considered to have a normal cardiovascular system at this examination.1 Of these, almost 40% presented with symptoms or died before the routine 6 week check. These observations are consistent with data from abroad, including the large Baltimore-Washington Study, in which it was observed that, of all infants with cardiovascular malformations . . . [Full text of this article]


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This article has been cited by other articles:

  • Valmari, P. (2007). Should pulse oximetry be used to screen for congenital heart disease?. Arch. Dis. Child. Fetal Neonatal Ed. 92: F219-F224 [Abstract] [Full Text]  
  • Theilen, U, Shekerdemian, L (2005). The intensive care of infants with hypoplastic left heart syndrome. Arch. Dis. Child. Fetal Neonatal Ed. 90: F97-F102 [Abstract] [Full Text]  
  • Katumba-Lunyenya, J L (2002). Neonatal/infant echocardiography by the non-cardiologist: a personal practice, past, present, and future. Arch. Dis. Child. Fetal Neonatal Ed. 86: F55-57 [Full Text]  

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