Perfil de apresentação das cardiopatias em crianças e adolescentes naavaliação pré-operatória de cirurgia cardíaca e cateterismo intervencionista

Abstract

The clinical and epidemiological profile of 446 children and adolescents with congenital or acquired heart disease, aged from one month to 19 years, that were seen in the Preoperative Outpatients Clinic/Division of Paediatric Cardiology at a public hospital in the period from January/05 to December/08 were investigated. These patients were required to surgicalprocedures in 90.6% and interventional catheterization in 9.4%. Patients with congenital heart disease showed the age of diagnosis and intervention earlier in males. The cyanogenic heart diseases were diagnosed in the first months of life, while acyanogenic heart disease were diagnosed over the first three years of life. The most frequent congenital heart defects were atrial septal defect, ventricular septal defect, patent ductus arteriosus, atrioventricular septal defect and tetralogy of Fallot. The valvar disease secondary to rheumatic fever represented 95.2% from the total number of 21 patients with acquired heart diseases. Only 25,3% of the referred patients or parents reported having complete knowledge of the disease and the proposed procedure at the time of evaluation. The majority of the patients (81.3%) was undergoing to cardiac surgery at first time.