A retrospective review of right-sided hearts at a South African tertiary hospital
| Autor: | Antoinette Cilliers, Nadia Beringer |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Pediatrics
medicine.medical_specialty Adolescent Demographics Dextrocardia Tertiary Care Centers South Africa Pregnancy Risk Factors Cause of Death Prenatal Diagnosis Prevalence Humans Medicine Lost to follow-up Child Retrospective Studies Paediatric patients Retrospective review business.industry Infant Newborn Infant General Medicine Prognosis medicine.disease Cardiac malformations Paediatric cardiology Child Preschool Female Cardiology and Cardiovascular Medicine business |
| Zdroj: | Cardiovascular Journal of Africa. 30:5-8 |
| ISSN: | 1680-0745 1995-1892 |
| DOI: | 10.5830/cvja-2018-051 |
| Popis: | BACKGROUND A right-sided heart (RSH) has three main causes: dextrocardia, dextroposition and dextroversion. It may be associated with cardiac malformation, extra-cardiac abnormalities and adverse patient outcomes. The aim of this study was to determine the prevalence, demographics, associated cardiac malformations (ACM) and outcome of paediatric patients diagnosed with a RSH at a South African tertiary hospital. METHODS A retrospective review was performed over a 22-year period. RESULTS RSH comprised 1% of the paediatric cardiology referrals. Dextrocardia was the most frequent cause (58.1%) and the majority of these patients had ACM (81.5%). More than a third (40.9%) were diagnosed with dextroposition, secondary to extra-cardiac factors. Dextroversion was the least common cause (1.1%). Over a quarter of all patients were confirmed dead at the time of the study; most had been diagnosed with dextrocardia. Two-thirds of the patients were lost to follow up. CONCLUSIONS A RSH is an unusual occurrence. Dextrocardia, the most common cause, is frequently associated with ACM and extra-cardiac abnormalities. It is therefore important to timeously elucidate the cause of a RSH. |
| Databáze: | OpenAIRE |
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