Recognition of Undiagnosed Neonatal Heart Disease

Clin Perinatol. 2016 Mar;43(1):81-98. doi: 10.1016/j.clp.2015.11.006.

Abstract

Heart defects are the most common congenital malformation. Approximately 8000 infants per year in the United States require diagnosis in the newborn period to avoid severe injury or death. It is incumbent on the neonatologist and pediatrician to expeditiously detect the presence of symptomatic heart disease so that infants can be stabilized before cardiovascular decompensation. Evaluating infants and further categorizing them into the particular pathophysiology are necessary to stabilize them in anticipation of more definitive care by the pediatric cardiac team.

Keywords: Aortic transposition; Cyanosis; Foramen ovale; Hypoperfusion; Left heart obstructive lesions; Left-to-right shunt; Pulmonary hypertension of the newborn; Right-to-left shunt.

Publication types

  • Review

MeSH terms

  • Cyanosis / diagnosis
  • Cyanosis / etiology
  • Cyanosis / physiopathology
  • Failure to Thrive / diagnosis
  • Failure to Thrive / etiology
  • Failure to Thrive / physiopathology
  • Foramen Ovale, Patent / complications
  • Foramen Ovale, Patent / diagnosis
  • Foramen Ovale, Patent / physiopathology
  • Heart Defects, Congenital / complications
  • Heart Defects, Congenital / diagnosis*
  • Heart Defects, Congenital / physiopathology
  • Heart Septal Defects / complications
  • Heart Septal Defects / diagnosis
  • Heart Septal Defects / physiopathology
  • Humans
  • Infant, Newborn
  • Persistent Fetal Circulation Syndrome / complications
  • Persistent Fetal Circulation Syndrome / diagnosis*
  • Persistent Fetal Circulation Syndrome / physiopathology
  • Respiratory Distress Syndrome, Newborn / diagnosis
  • Respiratory Distress Syndrome, Newborn / etiology
  • Respiratory Distress Syndrome, Newborn / physiopathology
  • Transposition of Great Vessels / complications
  • Transposition of Great Vessels / diagnosis
  • Transposition of Great Vessels / physiopathology
  • Ventricular Outflow Obstruction / complications
  • Ventricular Outflow Obstruction / diagnosis
  • Ventricular Outflow Obstruction / physiopathology