ORIGINAL RESEARCH ARTICLE
INTERVENTIONAL CARDIOLOGY: CHARACTERIZATION OF THE HEMODYNAMIC SERVICE IN
CONGENITAL CARDIOPATHIES OF A BRAZILIAN SCHOOL HOSPITAL
*1
Luiz Henrique Teixeira de Sabóia and
2
Vânia Belintani Piatto
1
Medicine Graduate Student (Faculty of Medicine of São José do Rio Preto, SP, Brazil, FAMERP)
2
Professor of Department of Morphology (Faculty of Medicine of São José do Rio Preto, SP, Brazil, FAMERP)
ARTICLE INFO ABSTRACT
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.
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.
INTRODUCTION
Cardiology in congenital heart disease has shown incalculable
progress and, at the present time, there has been a real
transformation both in the diagnostic spectrum and in the
conduct in general. The evolution of the different exams
performed in clinical and semiological exams, in the
systematization of clinical knowledge, up to the endless help
of echocardiography, reaching, interventional catheterization,
the hemodynamic milestone in diagnostic/therapeutic
procedure, in addition to assisting open surgical intervention,
when necessary, for the elaboration of the most adequate
surgical plan in relation to the diagnosis of the anomaly
(Mourato et al., 2014). Specifically, in the field of
interventional catheterization, this progress occurred with
Rashkind's atrioseptostomy in 1966, in the transposition of the
great arteries (Rashkind & Cuaso, 1979). Currently, the
technique extends to other anomalies such as pulmonary
atresia with intact ventricular septum, tricuspid atresia, left
atrioventricular valve atresia, mitral stenosis, among others.
Furthermore, the method, in addition to widening the
panorama of anomalies, has increased effectiveness, both in
ISSN: 2230-9926 International Journal of Development Research
Vol. 10, Issue, 02, pp. 33791-33797, February, 2020
Article History:
Received xxxxxx, 2019
Received in revised form
xxxxxxxx, 2019
Accepted xxxxxxxxx, 2019
Published online xxxxx, 2019
Available online at http://www.journalijdr.com
Citation: Luiz Henrique Teixeira de Sabóia and Vânia Belintani Piatto. 2020. “Interventional cardiology: characterization of the hemodynamic service in
congenital cardiopathies of a Brazilian school hospital”, International Journal of Development Research, 10, (02), 33791-33797.
RESEARCH ARTICLE OPEN ACCESS
Article History:
Received 19
th
November, 2019
Received in revised form
13
th
December, 2019
Accepted 20
th
January, 2020
Published online 27
th
February, 2020
Key Words:
Cardiac catheterization;
Congenital heart defects;
Pediatrics.
*Corresponding author: Luiz Henrique
Teixeira de Sabóia