1
|
Chao C, Li GJ, Wang GL, Wu Q, Ni W, Xing QS. [Incidence and risk factors of congenital ventricular septal defect in Qingdao]. Zhonghua Yi Xue Za Zhi 2023; 103:1824-1829. [PMID: 37357187 DOI: 10.3760/cma.j.cn112137-20230220-00241] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Grants] [Subscribe] [Scholar Register] [Indexed: 06/27/2023]
Abstract
Objective: To analyze the incidence and risk factors of ventricular septal defect (VSD) in Qingdao. Methods: A prospective cohort study design was used to include pregnant women who underwent prenatal screening in Qingdao between August 2018 and June 2020 (the whole population coverage). VSD was diagnosed according to the pulse oxygen saturation and heart auscultation, and the final diagnosis was made according to the echocardiography of VSD positive newborns within postnatal day 7. Results: The study included 115 238 live births, among which 388 were diagnosed as VSD, with an incidence of 3.37‰. The results of multivariate logistic regression analysis showed that mother with postgraduate level (OR=1.61, 95%CI: 1.00-2.58, P=0.049) (compared with junior high school and below), preterm birth history (OR=2.90, 95%CI: 1.47-5.70, P=0.002), and pregnancy history of congenital heart disease (OR=5.98, 95%CI: 2.63-14.73, P<0.001) were risk factors for VSD. Compared with female infants, the overall risk of VSD in male infants was relatively low (OR=0.74, 95%CI: 0.60-0.91, P=0.005). Conclusions: The incidence of VSD in Qingdao is 3.37‰. The risk factors of VSD include higher maternal education level, pregnancy history of congenital heart disease and preterm birth history. Moreover, the overall risk of VSD in male infants is low.
Collapse
Affiliation(s)
- C Chao
- Birth Defect Prevention and Control Centre of Qingdao, Women and Children's Hospital, Qingdao University, Qingdao 266034, China
| | - G J Li
- Birth Defect Prevention and Control Centre of Qingdao, Women and Children's Hospital, Qingdao University, Qingdao 266034, China
| | - G L Wang
- Birth Defect Prevention and Control Centre of Qingdao, Women and Children's Hospital, Qingdao University, Qingdao 266034, China
| | - Q Wu
- Birth Defect Prevention and Control Centre of Qingdao, Women and Children's Hospital, Qingdao University, Qingdao 266034, China
| | - W Ni
- Birth Defect Prevention and Control Centre of Qingdao, Women and Children's Hospital, Qingdao University, Qingdao 266034, China
| | - Q S Xing
- Birth Defect Prevention and Control Centre of Qingdao, Women and Children's Hospital, Qingdao University, Qingdao 266034, China
| |
Collapse
|
2
|
Sun Y, Pan SL, Ji ZX, Luo G, Wan H, Chen TT, Zhang A, Chen R, Xing QS. [Integrated management during the perinatal period for total anomalous pulmonary venous connection]. Zhongguo Dang Dai Er Ke Za Zhi 2023; 25:502-507. [PMID: 37272177 DOI: 10.7499/j.issn.1008-8830.2211120] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
OBJECTIVES To evaluate the clinical effectiveness of integrated management during the perinatal period for fetuses diagnosed with total anomalous pulmonary venous connection (TAPVC) by prenatal echocardiography. METHODS Clinical data of 64 cases of TAPVC fetuses diagnosed by prenatal echocardiography and managed with integrated perinatal care in Qingdao Women and Children's Hospital from January 2017 to December 2021 were retrospectively analyzed. Integrated perinatal care included multidisciplinary collaboration among obstetrics, fetal medicine, ultrasound, pediatric cardiology, pediatric anesthesia, and neonatology. RESULTS Among the 64 TAPVC fetuses, there were 29 cases of supracardiac type, 27 cases of intracardiac type, 2 cases of infracardiac type, and 6 cases of mixed type. Chromosomal analysis was performed in 42 cases, and no obvious abnormalities were found. Among the 64 TAPVC fetuses, 37 were induced labor, and 27 were followed up until term birth. Among the 27 TAPVC cases, 2 cases accepted palliative care, 2 cases were referred to another hospital for treatment and lost to follow-up, while the remaining 23 cases underwent primary repair surgery. One case died within 6 months after the operation due to low cardiac output syndrome, while the other 22 cases were followed up for (2.1±0.3) years with good outcomes (2 cases underwent a second surgery within 1 year after the first operation due to anastomotic stenosis or pulmonary vein stenosis). CONCLUSIONS TAPVC fetuses can achieve good outcomes with integrated management during the perinatal period.
Collapse
Affiliation(s)
- Yi Sun
- Heart Center, Women and Children's Hospital, Qingdao University/Qingdao Women and Children's Hospital, , Qingdao) Shandong, China 266034
| | - Si-Lin Pan
- Heart Center, Women and Children's Hospital, Qingdao University/Qingdao Women and Children's Hospital, , Qingdao) Shandong, China 266034
| | - Zhi-Xian Ji
- Heart Center, Women and Children's Hospital, Qingdao University/Qingdao Women and Children's Hospital, , Qingdao) Shandong, China 266034
| | - Gang Luo
- Heart Center, Women and Children's Hospital, Qingdao University/Qingdao Women and Children's Hospital, , Qingdao) Shandong, China 266034
| | | | | | | | - Rui Chen
- Heart Center, Women and Children's Hospital, Qingdao University/Qingdao Women and Children's Hospital, , Qingdao) Shandong, China 266034
| | - Quan-Sheng Xing
- Heart Center, Women and Children's Hospital, Qingdao University/Qingdao Women and Children's Hospital, , Qingdao) Shandong, China 266034
| |
Collapse
|
3
|
He GW, Maslen CL, Chen HX, Hou HT, Bai XY, Wang XL, Liu XC, Lu WL, Chen XX, Chen WD, Xing QS, Wu Q, Wang J, Yang Q. Identification of Novel Rare Copy Number Variants Associated with Sporadic Tetralogy of Fallot and Clinical Implications. Clin Genet 2022; 102:391-403. [PMID: 35882632 DOI: 10.1111/cge.14201] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/23/2022] [Revised: 07/20/2022] [Accepted: 07/22/2022] [Indexed: 11/28/2022]
Abstract
Tetralogy of Fallot (TOF) is the most common cyanotic congenital heart disease. Highly penetrant copy number variants (CNVs) and genes related to the etiology of TOF likely exist with differences among populations. We aimed to identify CNV contributions to sporadic TOF cases in Han Chinese. Genomic DNA was extracted from peripheral blood in 605 subjects (303 sporadic TOF and 302 unaffected Han Chinese [Control] from cardiac centers in China and analyzed by genome-wide association study (GWAS). The GWAS results were compared to existing Database of Genetic Variants. These CNVs were further validated by qPCR. Bioinformatics analyses were performed with Protein-Protein Interaction (PPI) network and KEGG pathway enrichment. Across all chromosomes 119 novel "TOF-specific CNVs" were identified with prevalence of CNVs of 21.5% in chromosomes 1-20 and 37.0% including Chr21/22. In chromosomes 1-20, CNVs on 11q25 (encompasses genes ACAD8, B3GAT1, GLB1L2, GLB1L3, IGSF9B, JAM3, LOC100128239, LOC283177, MIR4697, MIR4697HG, NCAPD3, OPCML, SPATA19, THYN1, and VPS26B) and 14q32.33 (encompasses genes THYN1, OPCML, and NCAPD3) encompass genes most likely to be associated with TOF. Specific CNVs found on the chromosome 21 (6.3%) and 22(11.9%) were also identified in details. PPI network analysis identified the genes covering the specific CNVs related to TOF and the signaling pathways. This study for first time identified novel TOF-specific CNVs in the Han Chinese with higher frequency than in Caucasians and with 11q25 and 14q32.33 not reported in TOF of Caucasians. These novel CNVs identify new candidate genes for TOF and provide new insights into genetic basis of TOF.
Collapse
Affiliation(s)
- Guo-Wei He
- Institute of Cardiovascular Diseases & Department of Cardiovascular Surgery, TEDA International Cardiovascular Hospital, Tianjin University & Chinese Academy of Medical Sciences, Tianjin, China.,Department of Surgery, Oregon Health and Science University, Portland, Oregon, USA
| | - Cheryl L Maslen
- Knight Cardiovascular Institute, Oregon Health & Science University, Portland, Oregon, USA
| | - Huan-Xin Chen
- Institute of Cardiovascular Diseases & Department of Cardiovascular Surgery, TEDA International Cardiovascular Hospital, Tianjin University & Chinese Academy of Medical Sciences, Tianjin, China
| | - Hai-Tao Hou
- Institute of Cardiovascular Diseases & Department of Cardiovascular Surgery, TEDA International Cardiovascular Hospital, Tianjin University & Chinese Academy of Medical Sciences, Tianjin, China
| | - Xiao-Yan Bai
- Institute of Cardiovascular Diseases & Department of Cardiovascular Surgery, TEDA International Cardiovascular Hospital, Tianjin University & Chinese Academy of Medical Sciences, Tianjin, China
| | - Xiu-Li Wang
- Institute of Cardiovascular Diseases & Department of Cardiovascular Surgery, TEDA International Cardiovascular Hospital, Tianjin University & Chinese Academy of Medical Sciences, Tianjin, China
| | - Xiao-Cheng Liu
- Institute of Cardiovascular Diseases & Department of Cardiovascular Surgery, TEDA International Cardiovascular Hospital, Tianjin University & Chinese Academy of Medical Sciences, Tianjin, China
| | - Wan-Li Lu
- Institute of Cardiovascular Diseases & Department of Cardiovascular Surgery, TEDA International Cardiovascular Hospital, Tianjin University & Chinese Academy of Medical Sciences, Tianjin, China
| | - Xin-Xin Chen
- Guangzhou Women and Children Medical Center, Guangzhou Medical University, Guangzhou, China
| | - Wei-Dan Chen
- Guangzhou Women and Children Medical Center, Guangzhou Medical University, Guangzhou, China
| | - Quan-Sheng Xing
- Qingdao Women and Children's Hospital, Qingdao University, Qingdao, China
| | - Qin Wu
- Qingdao Women and Children's Hospital, Qingdao University, Qingdao, China
| | - Jun Wang
- Institute of Cardiovascular Diseases & Department of Cardiovascular Surgery, TEDA International Cardiovascular Hospital, Tianjin University & Chinese Academy of Medical Sciences, Tianjin, China
| | - Qin Yang
- Institute of Cardiovascular Diseases & Department of Cardiovascular Surgery, TEDA International Cardiovascular Hospital, Tianjin University & Chinese Academy of Medical Sciences, Tianjin, China
| |
Collapse
|
4
|
Pan SL, Chen R, Duan SH, Wan H, Luo G, Du ZH, Ge W, Xing QS. [A case of giant left atrial appendage aneurysm: from prenatal diagnosis to postnatal surgery]. Zhonghua Er Ke Za Zhi 2020; 58:845-846. [PMID: 32987467 DOI: 10.3760/cma.j.cn112140-20200317-00252] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Affiliation(s)
- S L Pan
- Heart Center, Qingdao Women and Children's Hospital, Qingdao 266034, China
| | - R Chen
- Heart Center, Qingdao Women and Children's Hospital, Qingdao 266034, China
| | - S H Duan
- Heart Center, Qingdao Women and Children's Hospital, Qingdao 266034, China
| | - H Wan
- Department of Ultrasound, Qingdao Women and Children's Hospital, Qingdao 266034, China
| | - G Luo
- Heart Center, Qingdao Women and Children's Hospital, Qingdao 266034, China
| | - Z H Du
- Heart Center, Qingdao Women and Children's Hospital, Qingdao 266034, China
| | - W Ge
- Department of Radiology, Qingdao Women and Children's Hospital, Qingdao 266034, China
| | - Q S Xing
- Heart Center, Qingdao Women and Children's Hospital, Qingdao 266034, China
| |
Collapse
|
5
|
Xing YH, Ni W, Wu Q, Li WJ, Li GJ, Wang WD, Tong JN, Song XF, Wing-Kin Wong G, Xing QS. Prolonged viral shedding in feces of pediatric patients with coronavirus disease 2019. J Microbiol Immunol Infect 2020; 53:473-480. [PMID: 32276848 PMCID: PMC7141453 DOI: 10.1016/j.jmii.2020.03.021] [Citation(s) in RCA: 174] [Impact Index Per Article: 43.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/20/2020] [Revised: 03/24/2020] [Accepted: 03/25/2020] [Indexed: 12/15/2022]
Abstract
OBJECTIVE To determine the dynamic changes of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) RNA in respiratory and fecal specimens in children with coronavirus disease 2019 (COVID-19). METHODS From January 17, 2020 to February 23, 2020, three paediatric cases of COVID-19 were reported in Qingdao, Shandong Province, China. Epidemiological, clinical, laboratory, and radiological characteristics and treatment data were collected. Patients were followed up to March 10, 2020, and dynamic profiles of nucleic acid testing results in throat swabs and fecal specimens were closely monitored. RESULTS Clearance of SARS-CoV-2 in respiratory tract occurred within two weeks after abatement of fever, whereas viral RNA remained detectable in stools of pediatric patients for longer than 4 weeks. Two children had fecal SARS-CoV-2 undetectable 20 days after throat swabs showing negative, while that of another child lagged behind for 8 days. CONCLUSIONS SARS-CoV-2 may exist in children's gastrointestinal tract for a longer time than respiratory system. Persistent shedding of SARS-CoV-2 in stools of infected children raises the possibility that the virus might be transmitted through contaminated fomites. Massive efforts should be made at all levels to prevent spreading of the infection among children after reopening of kindergartens and schools.
Collapse
Affiliation(s)
- Yu-Han Xing
- Department of Paediatrics, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, China
| | - Wei Ni
- Qingdao Women and Children's Hospital, Qingdao University, Qingdao, Shandong Province, China
| | - Qin Wu
- Qingdao Women and Children's Hospital, Qingdao University, Qingdao, Shandong Province, China
| | - Wen-Jie Li
- Qingdao Women and Children's Hospital, Qingdao University, Qingdao, Shandong Province, China
| | - Guo-Ju Li
- Qingdao Women and Children's Hospital, Qingdao University, Qingdao, Shandong Province, China
| | - Wen-Di Wang
- Qingdao Women and Children's Hospital, Qingdao University, Qingdao, Shandong Province, China
| | - Jian-Ning Tong
- Qingdao Women and Children's Hospital, Qingdao University, Qingdao, Shandong Province, China
| | - Xiu-Feng Song
- Qingdao Women and Children's Hospital, Qingdao University, Qingdao, Shandong Province, China
| | - Gary Wing-Kin Wong
- Department of Paediatrics, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, China.
| | - Quan-Sheng Xing
- Qingdao Women and Children's Hospital, Qingdao University, Qingdao, Shandong Province, China.
| |
Collapse
|
6
|
Luo G, Liu A, Wang KL, Yao W, Ji ZX, Xing QS, Pan SL. [Application of arterial duct stent in ductus-dependent hypoplastic right heart syndrome]. Zhonghua Er Ke Za Zhi 2020; 58:319-323. [PMID: 32234140 DOI: 10.3760/cma.j.cn112140-20190907-00571] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Abstract
Objective: To summarize the experience of arterial duct (AD) stenting in children with ductus-dependent hypoplastic right heart syndrome (HRHS). Methods: Seven children including 4 cases of pulmonary atresia with intact ventricular septum (PA-IVS) with HRHS and 3 cases of critical pulmonary stenosis (CPS)-IVS with HRHS underwent AD stenting in Qingdao Women and Children's Hospital between January 2012 and January 2019. During the same period, 9 patients of PA-IVS with HRHS received Blalock Taussig (B-T) shunt. Two groups of children on the operation time, hospital stay time, intensive care time and mortality were compared.T test or Mann-Whitney U test was used for comparison between the two groups. Results: There was no significant difference in the age (18 (7-100) vs. 17 (1-142) d, U=31.000, P>0.05) and weight ((3.8±1.1) vs. (3.7±1.3) kg, t=0.272, P>0.05) between the AD stenting group and the B-T group.The operation time ((108±7) vs. (160±49) min, t=-4.304), intensive care time ((3.4±1.0) vs. (6.3±4.5) d, t=-8.692) and total hospitalization time ((10.3±1.0) vs. (26.3±1.0) d, t=-7.822) in the AD stenting group were differed significantly compared with the B-T group (all P<0.05). The transcutaneous oxygen saturation improved significantly (0.723±0.125 vs. 0.926±0.005, t=-6.044, P<0.05) after AD stenting. The diameter of AD stent ranged from 3.5 to 4.0 mm, and the length of AD stent was 16-21 mm. There were no complications such as vascular injury, acute thrombus, catheter spasm and death in the AD stenting group. The mortality of children in the B-T group was 3 in 9 cases. Three cases in the AD stenting group received pulmonary valvulotomy and bilateral Glenn operation at 6, 9 and 9 months after AD stenting, respectively. Conclusions: AD stenting is a feasible, effective, safe and minimally invasive procedure for children with ductus-dependent HRHS. It can even be used as an alternative to B-T shunt.
Collapse
Affiliation(s)
- G Luo
- Heart Center,Qingdao Women and Children's Hospital, Qingdao 266034,China
| | - A Liu
- Heart Center,Qingdao Women and Children's Hospital, Qingdao 266034,China
| | - K L Wang
- Heart Center,Qingdao Women and Children's Hospital, Qingdao 266034,China
| | - W Yao
- Department of Pharmacy, Affiliated Hospital of Qingdao University, Qingdao 266000, China
| | - Z X Ji
- Heart Center,Qingdao Women and Children's Hospital, Qingdao 266034,China
| | - Q S Xing
- Heart Center,Qingdao Women and Children's Hospital, Qingdao 266034,China
| | - S L Pan
- Heart Center,Qingdao Women and Children's Hospital, Qingdao 266034,China
| |
Collapse
|
7
|
Wen R, Sun Y, Xing QS. A patient with SARS-CoV-2 infection during pregnancy in Qingdao, China. J Microbiol Immunol Infect 2020; 53:499-500. [PMID: 32198004 PMCID: PMC7128446 DOI: 10.1016/j.jmii.2020.03.004] [Citation(s) in RCA: 30] [Impact Index Per Article: 7.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/07/2020] [Accepted: 03/09/2020] [Indexed: 11/12/2022]
Affiliation(s)
- Rong Wen
- Qingdao Women and Children's Hospital, No.7 Tongfu Road, Shibei, Qingdao, 266034, China.
| | - Yue Sun
- Qingdao Women and Children's Hospital, No.7 Tongfu Road, Shibei, Qingdao, 266034, China.
| | - Quan-Sheng Xing
- Qingdao Women and Children's Hospital, No.7 Tongfu Road, Shibei, Qingdao, 266034, China.
| |
Collapse
|
8
|
Xing QS, Sun Y, Luo G, Zhang A, Chen TT, Pan SL. Intrauterine Intervention of Pulmonary Atresia at 26 th Gestational Week. Chin Med J (Engl) 2019; 131:2880-2881. [PMID: 30511697 PMCID: PMC6278177 DOI: 10.4103/0366-6999.246074] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022] Open
Affiliation(s)
- Quan-Sheng Xing
- Heart Center, Qingdao Women and Children's Hospital, Qingdao University, Qingdao, Shandong 266034, China
| | - Yue Sun
- Fetal Medicine Center, Qingdao Women and Children's Hospital, Qingdao University, Qingdao, Shandong 266034, China
| | - Gang Luo
- Heart Center, Qingdao Women and Children's Hospital, Qingdao University, Qingdao, Shandong 266034, China
| | - Ai Zhang
- Fetal Medicine Center, Qingdao Women and Children's Hospital, Qingdao University, Qingdao, Shandong 266034, China
| | - Tao-Tao Chen
- Department of Obstetric Ultrasound, Qingdao Women and Children's Hospital, Qingdao University, Qingdao, Shandong 266034, China
| | - Si-Lin Pan
- Heart Center, Qingdao Women and Children's Hospital, Qingdao University, Qingdao, Shandong 266034, China
| |
Collapse
|
9
|
Abstract
OBJECTIVE To investigate the related factors and pathogens of ventilator-associated pneumonia (VAP) after heart surgery so as to provide evidences for clinical prevention and therapy. METHODS In total 1,688 cases were collected from January 2004 to January 2011. Overall 105 patients developed VAP. Retrospectively analyzed these patients after heart surgery to determine the clinical data, pathogens and treatment measures. RESULTS The frequency of ventilator-associated pneumonia was 6.2% (105/1 688), and mortality was 25.7% (27/105), 198 pathogen strains were isolated by bacterial culture, in which Gram negative bacteria accounted for 69.2% (137/198), Gram positive bacteria 27.8% (55/198), and fungi 3.0% (6/198). The independent risk factors for VAP after cardiac surgery were: age >70 (p < .01), emergent surgery (p < .01), perioperative blood transfusions (p < 0.01), reintubation (p < .01) and days of mechanical ventilation (MV) (p < .01). Median length of stay in the ICU for patients who developed VAP or not was, respectively, (24.7 ± 4.5) days versus (3.2 ± 1.5) days (p < .05), and mortality was, respectively, 25.7% versus 2.9% in both populations (p < .05). CONCLUSION Age >70, emergent surgery, perioperative blood transfusions, reintubation and days of MV are the risk factors for VAP in patients following cardiac surgery. P. aeruginosa, P. klebsiella, S. aureus, and Acinetobacter baumannii were the main pathogens of VAP. According to the cause of VAP, active prevention and treatment measures should be developed and applied to shorten the time of MV and improve chances of survival.
Collapse
Affiliation(s)
- Wei Sheng
- 1Department of Cardiovascular Surgery, Qingdao Municipal Hospital, Medical College of Qingdao University, Qingdao, Shandong, China
| | | | | | | | | | | | | |
Collapse
|