Congenitalheartmalformation:Prevalence,severity,survival,andqualityoflife先天性心臟病流行病學(xué)(liúxínɡbìnɡxué)第一頁，共十七頁。先天性心臟病流行病學(xué)材料Thelowestvalues/1000livebirthsAuthor‰Region

Fyler2.10NewEngland,USAGardiner2.17Toronto,CanadaAkman3.20Bogalusa,USAMacMahon3.20Birmingham,UKMckeown4.20Birmingham,UKBosi4.60ItalyBierman4.70HawaiiPrevalenceofcongenitalheartmalformationatbirth第二頁，共十七頁。先天性心臟病流行病學(xué)材料thehighestvalues/1000births

author‰RegionFischer8.20Tyrol,AustriaKerrebijn8.26Leiden,NetherlandGrech8.80MaltaHoffmann8.82SanFrancisco,USAMeberg9.02NorwayNakazawa10.00JapanManetti12.30Florence,ItalyYerushalmi11.70California,USAPrevalenceofcongenitalheartmalformationatbirth第三頁，共十七頁。先天性心臟病流行病學(xué)材料Theoldestsurveys/1000livebirthsAuthorDatePrevalence(‰)Macmahon1940—493.23Carlgren1941–506.35Harris1944—505.90Pleydell1944—573.20Landtman1945–638.00Richards1946—535.50Gardiner1948—492.17Mustachi1949—515.88Prevalenceofcongenitalheartmalformationatbirth第四頁，共十七頁。先天性心臟病流行病學(xué)材料Recentdata/1000livebirthsAuthorDatePrevalence(‰)Grech1990-948.80Robida1984-9412.23Bosi1992-934.60Anderson1987-9010.20Cerboni1988-906.08Ferencz1981-894.23Pexieder1986-876.04Meberg1982-889.02Prevalenceofcongenitalheartmalformationatbirth第五頁，共十七頁。先天性心臟病流行病學(xué)材料PrevalenceofcongenitalheartmalformationatbirthRegionaldifferences/1000livebirthsRegionMeanRangedifferenceplaceEurope6.673.20Birmingham,UK12.30Florence,ItalyUSA5.763.20Bogalusa8.56SanFranciscoCanada3.972.17Toronto5.54AlbertaOthercountries8.976.08Guadeloupe第六頁，共十七頁。先天性心臟病流行病學(xué)材料YearlyfluctuationinBohemiandatafrom1980through1989YearNo.ofmalformationPrevalence/10006467.045476.395686.7719835486.735666.974956.164365.534555.824025.113674.80Prevalenceofcongenitalheartmalformationatbirth第七頁，共十七頁。先天性心臟病流行病學(xué)材料TheprevalencewashighestinOctober,andlowestinDecember,JuneandJuly.Thepeakoftheprevalencecoincidedwiththeepidemicsofinfluenzainearlypregnancy8and9monthspreviously.Therewasadefiniteseasonalvariation第八頁，共十七頁。先天性心臟病流行病學(xué)材料RatioofboystogirlsBoystogirlswithCHD:51.9%to48.1%Ahigherproportionofboyswasfoundwith:

DORV(2.68:1);HLHS(2.25:1)cTGA(2.11:1);Ahigherproportionofgirlswasfoundwith:PDA(1:1.66);Ebstein’smalformation(1:1.57)Commonarterialtrunk(1:1.22)第九頁，共十七頁。先天性心臟病流行病學(xué)材料DistributionofcongenitalheartmalformationVSD41.59%ASD8.67%Aorticstenosis7.77%Pulmonarystenosis5.81%cTGA5.39%Aorticcoarctation5.29%PDA5.07%

Greaterthan5%oftheoverallnumberofmalformation第十頁，共十七頁。先天性心臟病流行病學(xué)材料DistributionofcongenitalheartmalformationAVSD4.00%HLHS3.42%TOF3.36%DORV,commonarterialtrunkandpulmonaryatresia1.05----1.37%TAPVC0.80%Tricuspid0.78%Ebstein’malformation0.44%Interruptedaorticarch0.44%第十一頁，共十七頁。先天性心臟病流行病學(xué)材料Spontaneousclosurein576of2092recognizedventricularSeptaldefects,accountingfor27.5%ofthecases第十二頁，共十七頁。先天性心臟病流行病學(xué)材料Criticalheartmalformationinneonates,10mostfrequentNumberproportionoftotalMalformationsnumberseen(%)cTGA10284Pulatresia3974Coarctation3449HLHS3494Tricuspidatresia1377DORV2050VSD88CommonAT850TOF728Criticalheartdisease:whichthreatenlife,whichmanifestedbyseverveCongestiveheartfailure,deepcyanosis,orbothsymptoms第十三頁，共十七頁。先天性心臟病流行病學(xué)材料DeathrateofchildrenbornwithCHD第十四頁，共十七頁。先天性心臟病流行病學(xué)材料Survivalinmostfrequentcardiacmalformation

CHDNumbersurvival(%)atageof1515yrsVSD2097919089ASD436949393Aorticstenosis391908988PS292969696cTGA271625654Coarctation