Abstract

Pulse oximetry screening for critical congenital heart disease in term and late pre-term newborn

Highlights

  • Neonatal screening for critical congenital heart disease (CCHD) aids in identifying infants for whom early diagnosis and therapy are beneficial

  • Pulse oximetry screening in term and late preterm neonates is effective for early diagnosis of CCHD

  • Detection has led to a decline in poor postoperative outcome due to CCHD2,3

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Summary

Introduction

Neonatal screening for critical congenital heart disease (CCHD) aids in identifying infants for whom early diagnosis and therapy are beneficial. Reported prevalence of congenital heart disease (CHD) at birth is 9 per 1000 live births with around 25% being considered critical[1]. Neonates with such unrecognized critical congenital heart disease (CCHD) can manifest with growth retardation, heart failure, cardiovascular collapse, hypoxicischemic encephalopathy and even death. Pulse oximetry is a noninvasive tool used to detect CCHD5,6. American Academy of Pediatrics recommends pulse oximetry screening of newborns in the case of potential CHD7. Neonatal screening for CCHD aids in identifying infants for whom early diagnosis and therapy are beneficial

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