Abstract

VEGA GUTIERREZ, Emilia et al. Incidence and treatment of congenital heart disease in San Miguel del Padrón. Rev Cubana Med Gen Integr [online]. 2012, vol.28, n.3, pp. 220-234. ISSN 0864-2125.

Introduction: Nowadays, cardiovascular birth defects are often the cause of death in the first years of life, and the detection of these in the fetal stage, provides prospective parents, the knowledge that enables them to make a decision, regarding whether to continue pregnancy. Objective: To analyze incidence and treatment of congenital heart disease in the municipality of San Miguel del Padrón, from January 2007 to December 2010. Methods: We carried out a descriptive study on the prenatal and postnatal diagnosis of congenital heart disease in the municipality of San Miguel del Padrón, from 1st January 2007 to December 31st, 2010. We detected a total of 65 congenital heart diseases. Mothers and relatives of 59 cases had a survey of since they were living in this territory. This survey aimed to link etiology with genetic risk factors and environmental factors. In addition, we investigated the individual judgment about the genetic management by the service as well as satisfaction and usefulness of genetic counseling. Results: This research demonstrated once again that congenital heart disease remains within the leading causes of infant mortality. Its incidence in the following study was due to environmental factors of maternal origin, among which highlighted the use of teratogens, mainly alcohol and the lack of vitamins and minerals. The received genetic counseling was a great help for 54 (91 %) families, which considered necessary this expertise to improve the quality of care. Conclusions: Congenital heart disease showed a high incidence in our study in the prenatal and postnatal care. Complex heart diseases accounted for approximately over half of the diagnostic ultrasound before birth, compared to those detected afterwards. The most frequent were: ventricular septal defect, ASD and the coincidence of both. Genetic counseling was relevant for understanding and decision making of families.

Keywords : congenital heart disease; prenatal and postnatal diagnosis; genetics advising.

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