caa a22 4500 388116528 CHVBK 20180307125408.0 cr unu---uuuuu 161130e199903 xx s 000 0 eng 10.1017/S1047951100008386 doi S1047951100008386 pii (NATIONALLICENCE)cambridge-10.1017/S1047951100008386 Detection of cardiovascular abnormalities in the nursery of a general hospital in the Amazon region: correlation with potential risk factors [Elektronische Daten] Congenital heart diseases have been studied much more extensively in children than in neonates. In this study, we report on the findings from 57 neonates seen from June of 1995 through June 1996 in the nursery of a large public hospital in Belém, Para, Brazil. All were routinely examined by a paediatrician just after birth, and, when indicated, these babies were referred to the cardiology unit of our Hospital for assessment by a paediatric cardiologist. Most of the diagnoses were made by means of Doppler and cross-sectional echocardiography with color flow mapping. Several abnormalities of the cardiovascular system were diagnosed. The most frequent was patency of the arterial duct. But, since many ducts closed spontaneously, ventricular septal defect was the most frequent lesion seen even in the nursery. Four defects (patent arterial duct, ventricular septal defect, atrial septal defect and pulmonary stenosis) together accounted for two thirds of all cardiac abnormalities. Associated non-cardiac anomalies were more frequent in those with simple lesions within the heart. All the babies with complex heart disease, and the majority of those designated as having significant lesions, died before they could be discharged. Several risk factors were investigated. Among maternal drugs, misoprostol emerged as having a possible teratogenic effect. Copyright © Cambridge University Press 1999 Congenital heart disease nationallicence risk factors in congenital heart disease nationallicence cardiovascular abnormalities in the nursery nationallicence paediatric cardiology nationallicence Ferreira Sheila Maria Almeida Gomes Fundação Luiz Décourt, Cardiology Department, Brazil Ferreira Alberto Gomes Fundação Luiz Décourt, Cardiology Department, Brazil Maria de Lourdes Contente Gomes, Instituto Evandro Chagas, Virology Department, Belém, Pará Alexandre da Costa Linhares, Instituto Evandro Chagas, Virology Department, Belém, Pará Décourt Luiz Vénere Emeritus Professor of University of São Paulo, São Paulo, Brazil Cardiology in the Young Cambridge University Press 9/2(1999-03), 163-168 1047-9511 9:2<163 1999 9 CTY https://doi.org/10.1017/S1047951100008386 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1017/S1047951100008386 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Ferreira Sheila Maria Almeida Gomes Fundação Luiz Décourt, Cardiology Department, Brazil NATIONALLICENCE 700 1- Ferreira Alberto Gomes Fundação Luiz Décourt, Cardiology Department, Brazil NATIONALLICENCE 700 1- Maria de Lourdes Contente Gomes Instituto Evandro Chagas, Virology Department, Belém, Pará NATIONALLICENCE 700 1- Alexandre da Costa Linhares Instituto Evandro Chagas, Virology Department, Belém, Pará NATIONALLICENCE 700 1- Décourt Luiz Vénere Emeritus Professor of University of São Paulo, São Paulo, Brazil NATIONALLICENCE 773 0- Cardiology in the Young Cambridge University Press 9/2(1999-03), 163-168 1047-9511 9:2<163 1999 9 CTY CC0 http://creativecommons.org/publicdomain/zero/1.0 nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-cambridge