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Revista Cubana de Pediatría
versión On-line ISSN 1561-3119
Resumen
GONZALEZ OJEDA, Guillermo Ramón et al. Mortality from congenital and acquired heart disease in children of Villa Clara province. Rev Cubana Pediatr [online]. 2022, vol.94, n.1 Epub 08-Abr-2022. ISSN 1561-3119.
Introduction:
Children cardiovascular diseases constitute a heterogeneous group of congenital and acquired conditions that represent an important cause of pediatric morbidity and mortality.
Objective:
Describe clinically and epidemiologically pediatric patients who died of cardiovascular diseases between 2005 and 2017.
Methods:
A retrospective cross-sectional descriptive study was conducted in the 117 pediatric patients who died with a diagnosis of cardiovascular diseases in the Villa Clara province, between 2005 and 2017, with a predominance of documentary analysis as a research method.
Results:
A mortality rate of 1.6 per 1000 live births was obtained, with a tendency to decrease over time, with a predominance of those who died with white skin (70.09%), and without differences in sex. Congenital heart disease (75.21%) was more frequent, such as aortic coarctation and transposition of large vessels. Among the acquired heart diseases, myocarditis was the most frequent (79.30%). 48.70% of patients were diagnosed in the first week of life and 63.25% of patients received medical treatment. The most frequent causes of death were congenital heart disease itself and multi-organ dysfunction due to sepsis in the congenital group and in those acquired cardiogenic shock.
Conclusions:
Congenital heart disease predominated, mainly aortic coarctation. Most patients received only medical treatment and the main direct causes of death were congenital heart disease itself and multi-organ dysfunction.
Palabras clave : congenital heart disease; acquired heart disease; mortality.