Cardiovascular abnormalities in patients with oral cleft: a clinical-electrocardiographic-echocardiographic study
Autor(a) principal: | |
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Data de Publicação: | 2018 |
Outros Autores: | , , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Clinics |
Texto Completo: | https://www.revistas.usp.br/clinics/article/view/146256 |
Resumo: | OBJECTIVES: The present study aims to describe the clinical, electrocardiographic, and echocardiographic cardiological findings in a group of patients with oral clefts. METHODS: This is a prospective cross-sectional study on 70 children (age range from 13 days to 19 years) with oral clefts who attended the multidisciplinary program of a university hospital from March 2013 to September 2014. The patients were evaluated by a pediatric cardiologist and underwent detailed anamnesis, physical examination, electrocardiogram, and echocardiogram. RESULTS: Sixty percent of the patients were male; 55.7% presented with cleft lip and palate, and 40.0% presented with health complaints. Comorbidities were found in 44.3%. Relevant pregnancy, neonatal, family and personal antecedents were present in 55.7%, 27.1%, 67.2%, and 24.3% of the patients, respectively. Regarding the antecedents, 15.2% of the patients presented with a cardiac murmur, 49.0% with a familial risk of developing plurimetabolic syndrome, and 6% with family antecedents of rheumatic fever. Electrocardiographic evaluation showed one case of atrioventricular block. Echocardiograms were abnormal in 35.7% of the exams, including 5 cases of mitral valve prolapse — one of which was diagnosed with rheumatic heart disease. CONCLUSION: The finding of a family risk of developing plurimetabolic syndrome and a diagnosis of rheumatic heart disease indicates that patients with oral clefts may be more prone to developing acquired heart disease. Thus, our findings highlight the importance of anamnesis and methodological triangulation (clinical-electrocardiographic-echocardiographic) in the investigation of patients with oral clefts and emphasize that cardiological follow-up to evaluate acquired and/or rhythm heart diseases is necessary. This strategy permits comorbidity prevention and individualized planned treatment. |
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Clinics |
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Cardiovascular abnormalities in patients with oral cleft: a clinical-electrocardiographic-echocardiographic studyOral CleftCongenital Heart DiseaseRheumatic Heart DiseaseMitral Valve ProlapseOBJECTIVES: The present study aims to describe the clinical, electrocardiographic, and echocardiographic cardiological findings in a group of patients with oral clefts. METHODS: This is a prospective cross-sectional study on 70 children (age range from 13 days to 19 years) with oral clefts who attended the multidisciplinary program of a university hospital from March 2013 to September 2014. The patients were evaluated by a pediatric cardiologist and underwent detailed anamnesis, physical examination, electrocardiogram, and echocardiogram. RESULTS: Sixty percent of the patients were male; 55.7% presented with cleft lip and palate, and 40.0% presented with health complaints. Comorbidities were found in 44.3%. Relevant pregnancy, neonatal, family and personal antecedents were present in 55.7%, 27.1%, 67.2%, and 24.3% of the patients, respectively. Regarding the antecedents, 15.2% of the patients presented with a cardiac murmur, 49.0% with a familial risk of developing plurimetabolic syndrome, and 6% with family antecedents of rheumatic fever. Electrocardiographic evaluation showed one case of atrioventricular block. Echocardiograms were abnormal in 35.7% of the exams, including 5 cases of mitral valve prolapse — one of which was diagnosed with rheumatic heart disease. CONCLUSION: The finding of a family risk of developing plurimetabolic syndrome and a diagnosis of rheumatic heart disease indicates that patients with oral clefts may be more prone to developing acquired heart disease. Thus, our findings highlight the importance of anamnesis and methodological triangulation (clinical-electrocardiographic-echocardiographic) in the investigation of patients with oral clefts and emphasize that cardiological follow-up to evaluate acquired and/or rhythm heart diseases is necessary. This strategy permits comorbidity prevention and individualized planned treatment.Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo2018-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://www.revistas.usp.br/clinics/article/view/14625610.6061/clinics/2018/e108Clinics; Vol. 73 (2018); e108Clinics; v. 73 (2018); e108Clinics; Vol. 73 (2018); e1081980-53221807-5932reponame:Clinicsinstname:Universidade de São Paulo (USP)instacron:USPenghttps://www.revistas.usp.br/clinics/article/view/146256/139945Copyright (c) 2018 Clinicsinfo:eu-repo/semantics/openAccessLeite, Gisele C.P.Ururahy, Marcela A.G.Bezerra, João F.Lima, Valéria M.G.D.M.Costa, Maria I.F.Freire, Sandra S.C.Luchessi, André D.Maia, Jussara M.C.Brito, Maria E.F.Gil-da-Silva-Lopes, Vera L.Rezende, Adriana A.2019-05-14T11:48:50Zoai:revistas.usp.br:article/146256Revistahttps://www.revistas.usp.br/clinicsPUBhttps://www.revistas.usp.br/clinics/oai||clinics@hc.fm.usp.br1980-53221807-5932opendoar:2019-05-14T11:48:50Clinics - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
Cardiovascular abnormalities in patients with oral cleft: a clinical-electrocardiographic-echocardiographic study |
title |
Cardiovascular abnormalities in patients with oral cleft: a clinical-electrocardiographic-echocardiographic study |
spellingShingle |
Cardiovascular abnormalities in patients with oral cleft: a clinical-electrocardiographic-echocardiographic study Leite, Gisele C.P. Oral Cleft Congenital Heart Disease Rheumatic Heart Disease Mitral Valve Prolapse |
title_short |
Cardiovascular abnormalities in patients with oral cleft: a clinical-electrocardiographic-echocardiographic study |
title_full |
Cardiovascular abnormalities in patients with oral cleft: a clinical-electrocardiographic-echocardiographic study |
title_fullStr |
Cardiovascular abnormalities in patients with oral cleft: a clinical-electrocardiographic-echocardiographic study |
title_full_unstemmed |
Cardiovascular abnormalities in patients with oral cleft: a clinical-electrocardiographic-echocardiographic study |
title_sort |
Cardiovascular abnormalities in patients with oral cleft: a clinical-electrocardiographic-echocardiographic study |
author |
Leite, Gisele C.P. |
author_facet |
Leite, Gisele C.P. Ururahy, Marcela A.G. Bezerra, João F. Lima, Valéria M.G.D.M. Costa, Maria I.F. Freire, Sandra S.C. Luchessi, André D. Maia, Jussara M.C. Brito, Maria E.F. Gil-da-Silva-Lopes, Vera L. Rezende, Adriana A. |
author_role |
author |
author2 |
Ururahy, Marcela A.G. Bezerra, João F. Lima, Valéria M.G.D.M. Costa, Maria I.F. Freire, Sandra S.C. Luchessi, André D. Maia, Jussara M.C. Brito, Maria E.F. Gil-da-Silva-Lopes, Vera L. Rezende, Adriana A. |
author2_role |
author author author author author author author author author author |
dc.contributor.author.fl_str_mv |
Leite, Gisele C.P. Ururahy, Marcela A.G. Bezerra, João F. Lima, Valéria M.G.D.M. Costa, Maria I.F. Freire, Sandra S.C. Luchessi, André D. Maia, Jussara M.C. Brito, Maria E.F. Gil-da-Silva-Lopes, Vera L. Rezende, Adriana A. |
dc.subject.por.fl_str_mv |
Oral Cleft Congenital Heart Disease Rheumatic Heart Disease Mitral Valve Prolapse |
topic |
Oral Cleft Congenital Heart Disease Rheumatic Heart Disease Mitral Valve Prolapse |
description |
OBJECTIVES: The present study aims to describe the clinical, electrocardiographic, and echocardiographic cardiological findings in a group of patients with oral clefts. METHODS: This is a prospective cross-sectional study on 70 children (age range from 13 days to 19 years) with oral clefts who attended the multidisciplinary program of a university hospital from March 2013 to September 2014. The patients were evaluated by a pediatric cardiologist and underwent detailed anamnesis, physical examination, electrocardiogram, and echocardiogram. RESULTS: Sixty percent of the patients were male; 55.7% presented with cleft lip and palate, and 40.0% presented with health complaints. Comorbidities were found in 44.3%. Relevant pregnancy, neonatal, family and personal antecedents were present in 55.7%, 27.1%, 67.2%, and 24.3% of the patients, respectively. Regarding the antecedents, 15.2% of the patients presented with a cardiac murmur, 49.0% with a familial risk of developing plurimetabolic syndrome, and 6% with family antecedents of rheumatic fever. Electrocardiographic evaluation showed one case of atrioventricular block. Echocardiograms were abnormal in 35.7% of the exams, including 5 cases of mitral valve prolapse — one of which was diagnosed with rheumatic heart disease. CONCLUSION: The finding of a family risk of developing plurimetabolic syndrome and a diagnosis of rheumatic heart disease indicates that patients with oral clefts may be more prone to developing acquired heart disease. Thus, our findings highlight the importance of anamnesis and methodological triangulation (clinical-electrocardiographic-echocardiographic) in the investigation of patients with oral clefts and emphasize that cardiological follow-up to evaluate acquired and/or rhythm heart diseases is necessary. This strategy permits comorbidity prevention and individualized planned treatment. |
publishDate |
2018 |
dc.date.none.fl_str_mv |
2018-01-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.revistas.usp.br/clinics/article/view/146256 10.6061/clinics/2018/e108 |
url |
https://www.revistas.usp.br/clinics/article/view/146256 |
identifier_str_mv |
10.6061/clinics/2018/e108 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://www.revistas.usp.br/clinics/article/view/146256/139945 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2018 Clinics info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2018 Clinics |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo |
publisher.none.fl_str_mv |
Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo |
dc.source.none.fl_str_mv |
Clinics; Vol. 73 (2018); e108 Clinics; v. 73 (2018); e108 Clinics; Vol. 73 (2018); e108 1980-5322 1807-5932 reponame:Clinics instname:Universidade de São Paulo (USP) instacron:USP |
instname_str |
Universidade de São Paulo (USP) |
instacron_str |
USP |
institution |
USP |
reponame_str |
Clinics |
collection |
Clinics |
repository.name.fl_str_mv |
Clinics - Universidade de São Paulo (USP) |
repository.mail.fl_str_mv |
||clinics@hc.fm.usp.br |
_version_ |
1800222763671093248 |