Growth Parameters in Children with Congenital Acyanotic Heart Disease before and after Cardiac Catheterization at Sohag University Hospital
tamer, S., Hegab, A., Abd El-Aal, M., Ahmed, A. (2019). Growth Parameters in Children with Congenital Acyanotic Heart Disease before and after Cardiac Catheterization at Sohag University Hospital. EKB Journal Management System, 24(1), 129-134. doi: 10.21608/smj.2019.17010.1061
sylvia magdy tamer; Ahmed Monir Hegab; Mohamed Abd El-Aal; Alzahraa Alsayed Ahmed. "Growth Parameters in Children with Congenital Acyanotic Heart Disease before and after Cardiac Catheterization at Sohag University Hospital". EKB Journal Management System, 24, 1, 2019, 129-134. doi: 10.21608/smj.2019.17010.1061
tamer, S., Hegab, A., Abd El-Aal, M., Ahmed, A. (2019). 'Growth Parameters in Children with Congenital Acyanotic Heart Disease before and after Cardiac Catheterization at Sohag University Hospital', EKB Journal Management System, 24(1), pp. 129-134. doi: 10.21608/smj.2019.17010.1061
tamer, S., Hegab, A., Abd El-Aal, M., Ahmed, A. Growth Parameters in Children with Congenital Acyanotic Heart Disease before and after Cardiac Catheterization at Sohag University Hospital. EKB Journal Management System, 2019; 24(1): 129-134. doi: 10.21608/smj.2019.17010.1061

Growth Parameters in Children with Congenital Acyanotic Heart Disease before and after Cardiac Catheterization at Sohag University Hospital

Sohag Medical Journal
Article 18, Volume 24, Issue 1, January 2020, Page 129-134  XML PDF (278.35 K)
Document Type: Original Article
DOI: 10.21608/smj.2019.17010.1061
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Authors
sylvia magdy tamer email 1; Ahmed Monir Hegab2; Mohamed Abd El-Aal3; Alzahraa Alsayed Ahmed4
1pediatric department, faculty of medicine, sohag university,sohag
2pediatric Department, Faculty of Medicine, Sohag university, Sohag, Egypt.
3department of Pediatric , Faculty of Medicine, Sohag University, Sohag, Egypt.
4pediatric department, faculty of medicine, sohag university,sohag, Egypt.
Abstract
Background and objectives: Growth failure is common among children with congenital heart disease (CHD). This study aimed at the assessment of the effect of therapeutic cardiac catheterization on the growth status of children with CHD.

Patients and Method: This was a prospective observational study conducted at pediatric cardiac catheterization unit-Sohag university hospital, from October-2016 to September-2017, on children with congenital acyanotic heart diseases who were admitted for therapeutic cardiac catheterization. We assessed the growth parameters as a weight for age Z-score (WAZ), height for age Z-score (HAZ), body mass index and upper arm circumference before catheterization, at one month, three months and six months after catheterization. The growth status was considered normal when WAZ and HAZ were from < +2 SD to > -2 SD, underweight if WAZ was ≤ -2 SD and stunting if HAZ was ≤ -2 SD.

Results: One-hundred and two children with congenital acyanotic heart diseases were included. The mean age was 3.95 ±3.11 years. Sixty participants(58.8%) were females. Before catheterization,70 patients (68.6%) had normal growth status, 20 patients (19.6%) had underweight and 19 patients (18.6%) had stunting. The prevalence of underweight significantly diminished to3.92% (p < 0.001) at the 6th month after catheterization. However, no significant differences in the prevalence of stunting were found during the follow-up period.

Conclusion: Therapeutic cardiac catheterization had a significantly positive impact on weight gain shortly after catheterization. However, improvement in the height could not be detected in the first 6 months after catheterization and longer follow-up periods are required.
Keywords
Congenital heart disease; Cardiac Catheterization; Growth; children
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