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Corresponding Author

Aya Abd El Ghafar Elhaw

Document Type

Original Article

Abstract

Background: Every year, roughly eight out of every one thousand newborns are born with congenital heart disease (CHD), which is the most frequent form of congenital disability reported.

Aim and objectives: To evaluate the validity of combining (Electrocardiogram( ECG), BL/ P, and pulse oximetry), as a screening method for the primary identifying critical CHD (CCHD) in apparent healthy full-term neonates.

Patient and methods: This trial was a prospective observational study done on 100 full-term, apparent healthy neonates, and ages of gestation ranging from thirty-seven weeks to forty-two weeks from the beginning of the pregnancy were selected from deliveries at Alzahraa University Hospital Cairo, Egypt. Data were collected from May 2021 to March 2022.

Results: There was a statistically significant relation between echo-abnormality and the left axis of QRS. The difference between peripheral oxygen saturation (SPO2) pre- and post-ductal showed higher values in neonates with abnormal echo than those with normal echo. The total combination of clinical examination, ECG, and SPO2 increased the sensitivity by 83.3 0%, specificity of 96.6 %, area under the curve (AUC) of 0.950 than each one alone.

Conclusion: There was a high relationship between echo-abnormality and SPO2 post ductal, ECG, and clinical examination (murmur, respiratory rate, heart rate). This combination can improve the clinician's capacity to promptly recognize life-threatening congenital heart disease. Creating a national program that will prioritize screening for coronary heart disease is necessary to address this issue.

Keywords

CHD, Pulse Oximetry, ECG

Subject Area

Pediatrics & its Subspecialty.

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