Talk:Congenital heart defect

The first three sections of this page look like they're identical to this webpage: [1]. That page was created before this one, and I don't know if that's public domain but I doubt it, and I can't find a place to report plagiarism, so I hope this works. --JollyJeanGiant 01:50, 17 September 2005 (UTC)[reply]

Credit is given to Wikipedia at the very bottom of http://www.nationmaster.com/encyclopedia/Heart-defects . In fine print, of course. I wouldn't really call this plagiarism. -- PFHLai 04:11, 17 September 2005 (UTC)[reply]

Persistent left superior vena cava (PLSVC)

I would like to remove Persistent left superior vena cava (PLSVC), and will do so in a weeks time if there is no objection. This is not a defect, but a normal anatomic variant. --Ekko 07:11, 6 June 2006 (UTC)[reply]

Major addition and changes

I have added a substantial amount of text that was previously at congenital heart disease, since it clearly was most relevant to this article. I removed the text which subdivided acyanotic heart defects into obstructions and shunts, since there seemed to be no easy way to work in the existing text, particulary the section on septal defects, given that restrictive paradigm. This is not to say that the added text is subdivided optimally (I don't believe it is), but I don't think the existing text in this article was appropriate either. The added text probably needs to be proofread by a native Briton, since it was taken from an American English article while the word "aetiology" cleary indicates that the Wikipedia standard of British English has been applied to this article, at least in part. Ataru 03:38, 7 October 2006 (UTC)[reply]

Persistent truncus arteriosus

Primary, persistent truncus arteriosus isn't cyanotic defect, is it? Kauczuk 11:38, 30 January 2007 (UTC)[reply]

Yes, it is. Think abbout it; it certainly gives a full mixing of oxygenated and de-oxygenated blood. --Ekko 05:15, 9 April 2007 (UTC)[reply]

Hemitruncus

Hemitruncus should be added to the page. This condition is also called "Anomalous origin of the right pulmonary artery from the aorta".

From [2]: Hemitruncus is a rare cardiac condition in which one branch pulmonary artery originates from the ascending aorta and the other branch pulmonary artery courses normally from the main pulmonary artery that arises from the right ventricle. In this condition, most commonly, the right pulmonary artery arises from the ascending aorta.

I can't find the exact statictics for this condition. It's said to be extremely rare. According to [3], there are only 13 reported cases at Children's Hospital Boston from 1982-2005(about 23 years).

--Krelll 04:28, 8 April 2007 (UTC)[reply]

i dont understand any of it

I came to this page to look what were congenital heart defects and I still don't get a clear picture, the info is not organized and is just thrown all over the article. Youlookadopted 00:50, 22 May 2007 (UTC)[reply]

Article Layout

As a pediatric cardiologist, I would like to offer a few recommendations... 1. I would subdivide the "broad categories" into 3: a. acyanotic (septal defects, e.g. atrial septal defect, ventricular septal defect, and atrioventriculat septal defect, plus patent ductus arteriosus b. cyanotic (e.g. truncus arteriosus, tetralogy of Fallot, transposition of the great arteries, tricuspid atresia, total anomalous pulmonary venous return, pulmonary stenosis/atresia, Ebstein's anomaly of the tricuspid valve) c. obstructive (e.g. hypoplastic left heart syndrome, aortic stenosis, coarctation of the aorta, interruption of the aortic arch) These make the most sense from a physiologic/pathophysiologic standpoint.

2. Remove Potts/Waterston shunts from the sex ratio list of "defects"; they are surgical palliations, and not defects.

3. Congenital heart defects are not amongst the most common defects; they are THE most common defect, with 4% of all newborns having a defect in some body system, CHD occurs in 0.8%.

4. That said, bicuspid aortic valve, which is the most common congenital defect, occurs in 1-2% of the general population. It occurs much more frequently than VSD. Therefore, the overall incidence of CHD is likely closer to 2-3%.

5. I recommend referencing the latest articles on the genetic basis for and noninherited risk factors for CHD from the American Heart Association as etiologies of CHD. Circulation. 2007 Jun 12;115(23):3015-38. Epub 2007 May 22. Circulation. 2007 Jun 12;115(23):2995-3014. Epub 2007 May 22.

6. Eliminate Brugada, diGeorge, and Marfan syndrome--these are not congenital heart defects.

7. GUCH (grown-up congenital heart disease) is a term typically used in the UK. It is also referred to as ACHD, or adult congenital heart disease. It is felt that, in the U.S., the number of children with congenital defects is approximately 800,000. The number of adults is felt to be equivalent, or possibly approaching 1,000,000.

8. I respectfully disagree with the statement, "most of the time, CHD is serious and requires surgery and/or medications." It is actually the converse--most of the time, the majority of defects are hemodynamically insignificant and require observation alone without medical/surgical intervention.

9. Some CHD can be found prenatally by fetal echocardiography.

10. Some CHD symptoms can occur later than "young age of a child or infant".

Pedcard 07:17, 24 August 2007 (UTC)[reply]

Yes! --Ekko 12:39, 24 August 2007 (UTC)[reply]

Sources for epidemiology section?

The figures given in the epidemiology section appear to be based on the US alone, but do not state this. (Nothing about the source of these numbers is given.) If global statistics can't be found, then this section should state the limits of the information along with the sources. - ObfuscatePenguin 22:16, 30 August 2007 (UTC)[reply]

Relation of congenital heart defects with sex

This whole section is utterly rubbish. If it's not possible to get scientific support of a more recent kind and in a more readable language, i propose that it's deleted. Also, I'm an academic blowhard with a small dong. --Ekko (talk) 22:51, 12 January 2008 (UTC)[reply]