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Signs of congenital heart disease: Dangerous side effects of ignoring warning symptoms of heart disease in men.
Late onset of congenital heart disease (CHD) is extremely common in low- and middle-income countries for multiple reasons. “Late onset” means delayed onset beyond the appropriate age for intervention or surgical repair according to guidelines. Up to 85% of CHDs have a delayed onset in low- and middle-income countries, compared to 8–29% in developed countries. Even 10% to 15% of cases of CHD are not diagnosed until adulthood.
On the article, Dr. Kuntal Roy Chowdhury, Department of Cardiology, CMRI, Kolkata Learn more about how ignoring the warning symptoms of CHD can lead to serious health complications and what you need to do to stay safe.
Factors behind the delay in announcing CHD
Late onset of congenital heart disease (CHD) is multifactorial. Common reasons for presentation delays are financial constraints and lack of awareness. Other factors such as late diagnosis, ignorance, late referral, and fear of heart disease also contribute.
Effects of delayed onset of CHD
The delayed onset of various CHDs results in a variety of undesirable outcomes, complicating decision-making, surgical repair or intervention, and postoperative recovery. In the long term, it can cause irreversible damage and even lead to death. CHD with left-to-right shunts (i.e., ventricular septal defects, patent ductus arteriosus, aortopulmonary windows), also known as cardiac “holes”, are very common. If these holes are not diagnosed and repaired in a timely manner, they can cause a serious increase in lung pressure (pulmonary hypertension).
Pulmonary hypertension poses unique challenges in maneuverability assessment, surgical planning, postoperative recovery, and long-term outcomes. Even today in India, it is heartbreaking to witness patients with simple heart disease develop inoperable pulmonary hypertension and die prematurely.
On the other hand, children with cyanotic heart disease may suffer from unavoidable risks such as headaches, stroke, brain abscess, venous thrombosis, polycythemia and hypoxia, including cyanotic cardiomyopathy and nephropathy. there is. Timely correction of cyanotic CHD allows organs to develop properly and improves quality of life. Children with univentricular physiology are the most delicate subset that requires early intervention to protect univentricular candidates. The late onset is thought to be due to severe malnutrition, repeated chest infections, and heart failure, and is associated with clinical and economic obstacles.
Diagnosis and treatment of CHD
It is absolutely important to emphasize early diagnosis and timely treatment of CHD to avoid harmful complications due to late onset. A multifaceted approach is important, including public and physician awareness at the local level, financial support for treatment and early diagnosis and referral. Early diagnosis can be achieved through fetal echocardiography, pulse oximetry screening, and the availability of echocardiography. Common symptoms of CHD include bluish discoloration of the lips and fingertips, “suck-rest-suck” cycles, repeated chest infections, failure to thrive, shortness of breath on exertion, and heart palpitations. Parents should not ignore these and have their child properly evaluated. Treatment of CHD may include intervention with device closure, surgical treatment, or medical management.
Effects of timely treatment of CHD
The past few decades have seen remarkable advances in the field of congenital and pediatric cardiac therapy. As a result, early and late outcomes for all simple and complex heart diseases have been significantly improved. If treated in a timely manner, simple and complex heart disease can be surgically cured with a mortality risk of approximately 2-5% and 10-15%, respectively. Many simple and complex CHDs can lead to near-normal lives if treated in a timely manner. Activity restriction after CHD surgery is only necessary for selected high-risk patients and should not be generalized. Social life, including pregnancy, is possible for most patients with corrected biventricular CHD, but careful evaluation is required before pregnancy. Nevertheless, CHD patients should adhere to follow-up visits as directed by their doctor.
conclusion
Misconceptions among the public and physicians about CHD symptoms, availability of treatment options, and short- and long-term outcomes need to be proactively addressed. The basis of CHD treatment is timely treatment. Everyone needs to understand that the baby is born with severe her CHD. [Obstructed Total anomalous pulmonary venous connection] Interventions and surgery may be required even within hours of birth.
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