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Incidence of Congenital Heart Disease in Neonate by Color Doppler Echocardiography

Journal of the Korean Pediatric Society 1998;41(3):363-368.
Published online March 15, 1998.
Incidence of Congenital Heart Disease in Neonate by Color Doppler Echocardiography
Tae Chan Kwon1, Joon Sik Kim1, Sang Lak Lee1, Myung Sung Kim1, Geun Soo Park1, Chun Soo Kim1, In Joo Kim2, Bin Ahn2
1Department of Pediatrics, Keimyung University School of Medicine and Institute for Medical Science, Korea
2Department of Pediatrics in Shinsegae Hospital, Taegu, Korea
Color Doppler 심초음파로 진단한 신생아기 선천성 심장병의 발생빈도
권태찬1, 김준식1, 이상락1, 김명성1, 박근수1, 김천수1, 김인주2, 안빈2
1계명대학교 의과대학 소아과학교실 및 의과학연구소
2신세계병원 소아과
Tae Chan Kwon, Email: 1
: Many reports exist about the frequency of congenital heart disease(CHD) in the world, but according to the definition of CHD and subjects of study group, many differences existed between the reports. We conducted this study to evaluate the incidence and frequency of CHD by color Doppler echocardiography in neonate, and to suggest a preliminary model of incidence of neonatal CHD in Korea.
: During July 1992 to June 1995, we conducted echocardiography in 285 babies who were suspected as having a CHD.
: Among the 16,672 neonate born alive at Dong San Hospital, 121 patients with CHD were identified by color Doppler echocardiography(7.26/1,000 live birth). The incidence of CHD of neonate born at our hospital were as follows: Among 121 cases, ventricualr septal defect 37.2%, atrial septal defect 17.4%, patent ductus arteriosus 12.4%, tetraology of Fallot 4.1%, transposition of great artery 4.1%. The incidence of CHD of neonate born at another hospital were as follow: Among 169 cases, ventricular septal defect 53.8%, atrial septal defect 14.2%, tetralogy of Fallot 7.7%. pulmonary stenosis 5.3%, transposition of great artery4.1%. The incidence of isolated ventricular septal defect were as follow: Perimembranous defect 79.4%, muscular defect 14.7%, subpulmonic defect 5.9%.
: In this study, the incidence of CHD was 7.26 per 1000 live births. The incidence of tetralogy of Fallot in neonate was less than that of in children. and among VSD, the incidence of muscular type was relatively high.
Key Words: Incidence, Congenital heart disease, Neonate, Color Doppler echocardiography

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