APPROACH TO CYANOTIC CONGENITAL HEART DISEASE IN CHILDREN: A SYSTEMATIC REVIEW

Objective: A growing number of research on the approach to children with cyanotic congenital heart diseasehave been undertaken nevertheless, there is no clear consensus on which approach is superior to the other. The goal of this systematic review was to systematically review the available evidence on the approach to children with cyanotic congenital heart disease.

Methods: Authors began with recognizing the important examination proof that spots light on the approach to children with cyanotic congenital heart disease. We led electronic writing look in the accompanying data sets: Ovid Medline (2015-present), Ovid Medline Daily Update, Ovid Medline in process and other non-filed references, Ovid Embase (2015-present), The Cochrane Library (latest issue) and Web of Science. Just examinations in English language were incorporated. The precise selection was acted in close collaboration with a clinical examination curator.

Results: We included 8studies (956 participants). Although all certainty of evidence was good, approach to children with cyanotic congenital heart disease was similar among all studies. Use of cardiac echography was the modality of diagnosis among all studies. All studies emphasized on the importance of early detection for early intervention.

Conclusion: Early detection and treatment of cyanotic congenital heart disease (CCHD) is critical for positive outcomes. CCHD is a general term for a variety of diseases with different etiologies, which affect the clinical manifestations of CCHD. Totally abnormal total pulmonary venous connection (TAPVC) and transposition of the great arteries (TGA) are common in neonates. TOF and related disorders are characterized by squatting, cyanotic episodes, and a calm, resting chest without evidence of congestive heart failure, whereas transposition physiology is characterized by congestive heart failure with cyanosis.