Congenital heart disease in children and infants - Treatment


1. Causes of congenital heart defects

2. Classification UPU

3. Symptoms of congenital heart defects

4. Complications

5. Treatment of congenital heart disease

6. forecast

7. How to help your child?

8. Prevention

Congenital heart disease (CHD) - anatomical defects formed in the heart, its valve unit or in vessels at the stage of fetal development.Such defects can occur as a single event or a combination of several evils.

UPU often manifests itself in the first days and months after the birth of a baby, but can occur and hidden.According to statistics, for every 8 births there is one case of congenital heart defects in newborns.Unfortunately, it is this disease is the leading cause of death of infants.

Causes of congenital heart defects

small percentage of cases of birth defects caused by genetic factors, but still the main culprits for their development are external negative effects on the developing fetus in the first trimester of pregnancy.These negati

ve impacts are borne viral disease mother, alcoholism or drug addiction of one or both parents, the use of certain medicinal products, the impact of radiation and so on. The significant role is also played by the general state of health of the mother and the child's father.

can list several major unfavorable factors, the presence of which increases the risk of congenital heart disease in children:

- the presence of endocrine disease in spouses;

- maternal age greater than 35 years;

- stillborn in history;

- early toxicosis and the threat of failure of pregnancy in the first trimester;

- the birth of children with congenital heart disease in close relatives.

Since CHD is formed in the fetus during the period from 2 nd to 8 th week of development, the first trimester of pregnancy requires particularly careful care of the health of the expectant mother.

Classification UPU

To date, according to the "International Classification of Diseases", there are over 100 varieties of the UPU, which differ in their effects on hemodynamics.There are flaws with the characteristic "cyanotic" skin and those in which the skin becomes pale hue.

classification of vices system on the effects on pulmonary blood flow divides them into four main groups, of which the vices without changing pulmonary blood flow defects with hypervolemia or hypovolemia pulmonary circulation (with or without cyanosis) and combined the vices in which a violation of the various happeningheart and vascular departments.

Symptoms of congenital heart defects

Despite the variety of types of congenital heart disease in newborns, there are several most common phenomena: VSD - ventricular septal defect (found in 20 percent of cases);ASD - atrial septal defect, coarctation or aortic stenosis, transposition of the great vessels, PDA - patent ductus arteriosus, and pulmonary stenosis.

big role in the treatment of congenital heart disease in newborns plays a defect detection at an early stage, literally in the first days of life.Recognize this deviation can help the following symptoms:

  • periodic or continuous blue or blanching of the skin of the newborn, particularly in the area of ​​the lips and ears.Watch this reaction can when crying or feeding the child.
  • noise when listening to the heart.
  • Diagnosing a child's heart failure.
  • Evidence of changes in the echo cardiographic study X-rays and an electrocardiogram.

When latent disease the child may appear quite healthy during the first five years of life.Over time, if you exercise will manifest different symptoms of AMS, particularly shortness of breath, pale or blue skin, and so forth. To clear picture of help complete examination of the heart.


consequences of congenital heart defects in children may be the development of heart failure, high pulmonary hypertension, bacterial endocarditis, early pneumonia, syncope, myocardial infarction, stenokardicheskie syndrome and others.

treatment of congenital heart disease

Techniquethe treatment of congenital heart disease may be different depending on its type.procedure is catheterization, drug therapy (used mostly for the treatment of adults) may be used, transplantation and open surgery.

Application catheter technology makes it possible to carry out the treatment of congenital heart defects, avoiding radical surgery: a catheter inserted through a vein under X-ray control is adjusted to the heart closer to the site of the defect special tools and carry out the operation.This technique facilitates an earlier patient recovery after a mini-surgery.

In most cases, resorted to the standard surgery.In severe cases, treatment of congenital heart disease is carried out in several stages.And only when defects are not curable, appoint a heart transplant.Therapeutic treatment often used for "pale vices."


Early detection of defect and timely application of curative treatment creates quite optimistic forecasts.

How to help your child?

In identifying congenital heart disease in child care should be taken to create favorable conditions for the development of the baby:

  • the correct mode of the day with a feasible and regular exercise and frequent exposure to fresh air;
  • frequent feeding small portions;
  • feeding infants breast milk.


big role in the prevention of congenital heart disease in newborns plays attention to the health of future parents.If possible, before pregnancy should undergo a full inspection, provide treatment of chronic diseases.During pregnancy, especially in the first trimester of her, to avoid infections, medication without a prescription.Because of the incomplete investigation of factors influencing the occurrence of defects in newborns, there is no absolute recommendations can protect their education, all that remains - is to take care of their health and compliance with all recommendations of the doctor in the antenatal period.


This article is available exclusively in the educational purposes and is not research material or professional medical advice.

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