Interventional cardiology: characterization of the hemodynamic service in congenital cardiopathies of a Brazilian school hospital
International Journal of Development Research
Interventional cardiology: characterization of the hemodynamic service in congenital cardiopathies of a Brazilian school hospital
Received 19th November, 2019; Received in revised form 13th December, 2019; Accepted 20th January, 2020; Published online 27th February, 2020
Copyright © 2020, Luiz Henrique Teixeira de Sabóia and Vânia Belintani Piatto. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Cardiac catheterization technology allows the diagnosis, follow-up and treatment of congenital or acquired diseases. An example of this is the improvement of methods performed especially for the pediatric aged group. Aim: To characterize the Congenital Cardiopathies´Hemodynamic Service of a Brazilian School Hospital regarding the variables - gender, age group, types of health care system (public or private), cardiac anomaly diagnosis and surgical intervention or percutaneous catheterization treatment. Material and Methods: Retrospective, descriptive study by analysis of the Brazilian Hemodynamics Service database, from 1999 to 2017, and variables for characterization were recorded. Results: A total of 667 catheterization reports were analyzed in 573 patients, which 328 (57%) are males and 245 (43%) are females. By the public health care system, 605 (91%) exams were performed and, by the private health care system, 62 (9%) exams were performed. Analyzes between number of patients (p=0.2639) and number of exams performed (p=1.0000) and types of health care system were not statistically significant. The percutaneous interventional procedure was therapeutic in 6.5% (42/667) among all those carried out. Pulmonary valve stenosis (15.5%) and Tetralogy of Fallot (14.0%) were among the most prevalent diagnoses in male gender, while complex congenital heart disease (19%) and ventricular septal defect (14%), in the female gender. Conclusion: The profile of this Brazilian Hemodynamic Service indicates predominance of procedures in both nurseling and childhood males and performed by the public health care system; the most frequent heart diseases were complex congenital heart disease, pulmonary valve stenosis, Tetralogy of Fallot and interventricular communication.