Approach To The Neonates With Suspected Congenital Heart Disease

OBJECTIVE: This study is designated to evaluate the neonateswith signs and symptoms implicating congenital heart disease.
STUDY DESIGN: Among the admissions to the Neonatal Clinic in Þiþli Etfal Hospital from October 1996 to October 1998, the patients with dyspnea, cyanosis, tachicardia, cardiac murmur, hepatomegaly and any congenital anomaly were assessed with respect for congenital he art disease by telecardiography and electrocardiography. When appropriate pediatric cardiology consultation and echocardiography were performed.
RESULTS: A total of 34 babies were followed up with the suspicion of congenital heart disease, 18 of them (52.9%) were boys. 10 babies (29.4%) weighed 16ss than 2500 grams. Consanguineous marriage was detected in 7 cases (20.5%). 6 babies (17.6%) had cyanosis and cardiac murmurs were auscultated in 26 (76.4%). Cardiomegaly was noted in 16 patients (47%) and increased pulmJ!nary vascularity
in 3 (9% ). 18 babies had distinctive electrocardiographic signs. Echocardiography was performed in 19 patients. The incidence of congenital heart disease was estimated ta be 0.6%.
CONCLUSIONS: Neonates with the suspicion of congenital heart disease should be evaluated with physical examination, telecardiography, electrocardiography. Selected cases should be referred to pediatric cardiology specialty centers. This is the best approach for the clinics with limited facilities.

Doðumsal Kalp Hastalýðý Ön Tanýsý ile Ýzlenen Yenidoðanlarýn Deðerlendirilmesi

AMAÇ: Bu çalýþmada doðumsal kalp hastalýðýný düþündüren belirti ve bulgulara sahip yenidoðanlarýn deðerlendirilmesi amaçlandý.
MATERYAL VE METOD: Ekim 1996-Ekim 1998 tarihleri arasýnda Þiþli Etfal Eðitim ve Araþtýrma Hastanesi Yenidoðan
Kliniðine yatýrýlan hastalardan dispne, siyanoz, taþikardi, kalpte üfürüm, hepatomegali ve herhangi bir konjenital anomali saptananlar doðumsal kalp hastalýðý yönündentelekardiyografý ve elektrokardiyografi ile deðerlendirildi. Uygun hastalarda pediatrik kardiyoloji konsültasyonu istendi, ekokardiyografi yapýldý.
BULGULAR: 34 bebek doðumsal kalp hastalýðý ön tanýsý ile izlendi. I 8' i (%52. 9) erkekti. 1 O olgu (%29.4) 2500 gramýn altýndaydý, 7 olguda (%20.5) akraba evliliði öyküsü vardý. 6 bebekte (%17.6) siyanoz saptandý, 26 bebekte (%76.4) kalpte üfürüm duyuldu. Telekardiyografý ile 16 hastada kardiyomegali, 3 hastada pulmoner vaskülarizasyonda artýþ görüldü. 18 bebekte EKG bulgusu saptandý. 19 hastaya ekokardiyografi yaptýrýldý. Doðumsal kalp hastalýðý sýklýðý %0.6 olarak hesaplandý.
SONUÇ: Doðumsal kalp hastalýðý düþünülen bebeklerin fizik muayene,Jelekardiyografý ve EKG ile deðerlendirilip seçilmiþ olgularýn pediatrik kardiyoloji merkezlerine sevki kýsýtlý olanaklara sahip klinikler için en uygun yaklaþýmdýr.