Navegando por Palavras-chave "heart defects"
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- ItemAcesso aberto (Open Access)Avaliação do sopro cardíaco na infância(Sociedade Brasileira de Pediatria, 2003-06-01) Kobinger, Maria Elisabeth B.a. [UNIFESP]; Universidade Federal de São Paulo (UNIFESP); Universidade de São Paulo (USP)OBJECTIVE: to discuss clinical and laboratorial evaluation of heart murmurs in children, an important problem faced by pediatricians in their practice. SOURCES OF DATA: this review was based on a critical analysis of the current literature, as well as pediatrics and pediatric cardiology textbooks, which were found to be an important source of information on the subject. SUMMARY OS THE FINDINGS: it is important for pediatricians to know how to obtain precise information regarding the patient's medical history and to perform extensive physical examination of a child with heart murmur. The diagnosis of innocent heart murmur is essentially clinical and it can help the pediatrician to identify situations which are associated with cardiovascular diseases. CONCLUSIONS: in our series, short-term video-EEG monitoring established a reliable diagnosis in most patients due to correlation between clinical and EEG data. This procedure was well tolerated by children, including infants and those with psychiatric disorders.
- ItemAcesso aberto (Open Access)Perfil das crianças submetidas à correção de cardiopatia congênita e análise das complicações respiratórias(Sociedade de Pediatria de São Paulo, 2012-01-01) Oliveira, Priscila Mara N. [UNIFESP]; Held, Priscila Antonichelli de; Grande, Rosângela Aparecida A.; Ribeiro, Maria Ângela Gonçalves de Oliveira; Bobbio, Tatiana Godoy; Schivinski, Camila Isabel S.; Universidade Federal de São Paulo (UNIFESP); Pontifícia Universidade Católica de Campinas Hospital Celso Pierro; Universidade Estadual de Campinas (UNICAMP); Universidade do Estado de Santa Catarina; UdescOBJECTIVE: To describe the profile of children that undergo surgical correction of congenital heart disease (CHD) in a university hospital and to compare patients with and without postoperative respiratory complications. METHOD: This observational analytical study reviewed the records of children that underwent corrective surgery for CHD a Brazilian University Hospital during 11 months. The following demographic variables were collected: age, sex, body mass index, comorbidities, and CHD types. Demographic variables and data about the intra- and postoperative care were compared for patients with and without postoperative respiratory complications. The Mann-Whitney and the Fisher exact tests were used, and the level of significance was set at p<0.05. RESULTS: The sample consisted of 55 children (49% boys) whose median age was 37.5 months. Three or more CHD were found in 29.1%, and 53% of all cases had comorbidities. The analysis of postoperative respiratory complications revealed that 31% of the patients had atelectasis and pleural effusion and 5.5% had laryngitis, pneumomediastinum or lung injury. Non-respiratory complications were identified in 24% of the patients. Survival was 89%. Children with postoperative respiratory complications received mechanical ventilation for a longer time and had a prolonged hospital stay (p<0.001). CONCLUSION: The association between respiratory complications, longer mechanical ventilation and longer hospital stay reinforced the need to avoid such complications to reduce costs of a prolonged hospital stay.