<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0034-7531</journal-id>
<journal-title><![CDATA[Revista Cubana de Pediatría]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Cubana Pediatr]]></abbrev-journal-title>
<issn>0034-7531</issn>
<publisher>
<publisher-name><![CDATA[Centro Nacional de Información de Ciencias MédicasEditorial Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0034-75312022000100010</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Mortalidad por cardiopatías congénitas y adquiridas en niños de Villa Clara]]></article-title>
<article-title xml:lang="en"><![CDATA[Mortality from congenital and acquired heart disease in children of Villa Clara province]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[González Ojeda]]></surname>
<given-names><![CDATA[Guillermo Ramón]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Indi]]></surname>
<given-names><![CDATA[Elisio Pedro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Carmona Pérez]]></surname>
<given-names><![CDATA[Ariel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Llanes Camacho]]></surname>
<given-names><![CDATA[María del Carmen]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Anoceto Armiñana]]></surname>
<given-names><![CDATA[Eliecer]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[González Saura]]></surname>
<given-names><![CDATA[Alberto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Pediátrico Universitario &#8220;José Luís Miranda&#8221; Servicio de Cardiología ]]></institution>
<addr-line><![CDATA[Santa Clara Villa Clara]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Centro Pediátrico Fundaçao Renato Grande  ]]></institution>
<addr-line><![CDATA[ Bissau]]></addr-line>
<country>Guiné-Bissau</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital Pediátrico Provincial &#8220;José Martí&#8221;  ]]></institution>
<addr-line><![CDATA[ Sancti Spiritus]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Hospital Provincial Ginecobstétrico Universitario &#8220;Mariana Grajales&#8221; Servicio de Anatomía Patológica ]]></institution>
<addr-line><![CDATA[Santa Clara Villa Clara]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Hospital Pediátrico Universitario &#8220;José Luís Miranda&#8221; Servicio de Cirugía ]]></institution>
<addr-line><![CDATA[Santa Clara Villa Clara]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2022</year>
</pub-date>
<volume>94</volume>
<numero>1</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S0034-75312022000100010&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S0034-75312022000100010&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S0034-75312022000100010&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción: Las enfermedades cardiovasculares de la infancia constituyen un grupo heterogéneo de afecciones congénitas y adquiridas que representan una causa importante de morbilidad y mortalidad pediátricas.  Objetivo:  Describir clínica y epidemiológicamente a los pacientes pediátricos fallecidos por enfermedades cardiovasculares entre los años 2005 y 2017.  Métodos:  Estudio descriptivo transversal retrospectivo en los 117 pacientes pediátricos fallecidos con diagnóstico de enfermedades cardiovasculares en la provincia de Villa Clara, entre los años 2005 y 2017, con predominio del análisis documental como método de investigación.  Resultados:  Se obtuvo una tasa de mortalidad de 1,6 por cada 1000 nacidos vivos con tendencia a disminuir en el tiempo, con predominio de los fallecidos con piel blanca (70,09 %), y sin diferencias en cuanto al sexo. Fueron más frecuentes las cardiopatías congénitas (75,21 %) como coartación aórtica y transposición de grandes vasos. Entre las cardiopatías adquiridas fue la miocarditis la más frecuente (79,30 %). Se diagnosticaron en la primera semana de vida 48,70 % de los pacientes y recibieron tratamiento médico 63,25 % de los pacientes. Las causas de muerte más frecuentes fueron la propia cardiopatía congénita de base y la disfunción multiorgánica por sepsis en el grupo de las congénitas y en las adquiridas el shock cardiogénico.  Conclusiones:  Predominaron las cardiopatías congénitas fundamentalmente la coartación aórtica. La mayoría de los pacientes recibieron solo tratamiento médico y las principales causas directas de muerte fueron la propia cardiopatía congénita y la disfunción multiorgánica.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  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.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[cardiopatías congénitas]]></kwd>
<kwd lng="es"><![CDATA[cardiopatías adquiridas]]></kwd>
<kwd lng="es"><![CDATA[mortalidad]]></kwd>
<kwd lng="en"><![CDATA[congenital heart disease]]></kwd>
<kwd lng="en"><![CDATA[acquired heart disease]]></kwd>
<kwd lng="en"><![CDATA[mortality]]></kwd>
</kwd-group>
</article-meta>
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