OBJECTIVE: To assess the level of preparedness and resources needed in Minnesota for the implementation of newborn screening for critical congenital heart diseases (CCHDs). METHODS: A cross sectional survey of all birth centers in Minnesota was performed to assess the capacity to deliver care essential for the CCHD screening program. Compliance with the screening algorithm, nursing workload, an...

Background Neonates with complex congenital heart disease (CCHD) often require transcatheter or surgical intervention in the first month of life. Transthoracic 2D/Doppler echocardiography (2DE) is the diagnostic modality of choice, but occasionally may be inadequate for surgical planning. Unresolved pre-operative questions may require complete delineation of extracardiac vascular anatomy and/or...

GEREÇ VE YÖNTEM Bu ileriye dönük, deneysel ve plasebo kontrollü çal›flma Akdeniz Üniversitesi hayvan laboratuvar›nda gerçeklefltirildi. %45’lik N H O3 ile %18’lik H C l plasebo ile karfl›laflt›r›ld›. Solüsyonlar her biri 10 s›çandan oluflan 3 gruba a¤›zdan verildi. Solüsyonlar verilmeden önceki ve sonraki pH ve kalsiyum de¤erleri ölçülerek, meydana gelen metabolik de¤ifliklikler izlendi. Ayr›ca...

Hypoxemic erythrocytotic residents of high altitudes lack coronary atherosclerosis and have low cholesterol levels. It was postulated that hypoxemic erythrocytotic adults with cyanotic congenital heart disease (CCHD) might be analogous. The incidence of coronary atherosclerosis in this patient population has not been established, and hypocholesterolemia has not previously been recognized. Accor...

Routine, pre-discharge, newborn pulse oximetry screening (POS) has consistently been shown to identify babies with critical congenital heart defects (CCHD) that would otherwise be missed by antenatal ultrasound and physical examination.1 The addition of POS these existing tests increases the proportion CCHD identified from 50–70% over 90%.2, 3 As a result, is now recommended in many countries4 ...

Diminished glomerular filtration rate, proteinuria, and large hypercellular congested glomeruli with segmental sclerosis are found in late survivors with cyanotic congenital heart disease (CCHD). Hyperuricemia is common, acute gouty arthritis is less common than uric acid levels would predict, and overt tophaceous deposits of uric acid are exceptional. The role of the kidney in causing the basi...