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Getting to the Heart of the Matter: Epidemiology of Cyanotic Heart Defects

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Abstract

Congenital heart defects (CHDs) are the most common type of birth defect, making significant contributions to infant morbidity and mortality, but not all CHDs contribute equally to such outcomes. Although cyanotic CHDs constitute some of the most serious CHDs, its epidemiology is poorly understood. We present a comprehensive systematic review of the literature on the epidemiology of cyanotic CHD, with emphasis on the most current knowledge on identified risk/etiologic factors. Literature for this review was identified by searching the PubMed database from the National Center for Biotechnology Information at the US National Library of Medicine as well as bibliographies of identified papers. The 100 reports that contributed to this review describe risk factors such as infant sex, race, and ethnicity, environmental exposures, and maternal and paternal age. Several studies reported differences in prevalence rates by race and ethnicity and elevated sex ratios, and they identified some risk factors, including advanced maternal age. Investigators have made significant progress in the effort to describe the etiology of cyanotic CHDs, but discrepancies, such as the variation in prevalence rates by race and ethnicity and the impact of environmental exposures, still need to be addressed.

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Acknowledgments

This project was supported by the Florida Department of Health, Florida Birth Defects Registry (Florida Department of Health grant CO035). Dr. Salihu was supported through a Young Clinical Scientist Award by the Flight Attendant Medical Research Institute (FAMRI).

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Authors and Affiliations

  1. The University of South Florida Birth Defects Surveillance Program, Department of Pediatrics, College of Medicine, University of South Florida, Department of Pediatrics, Tampa, FL, 33606, USA

    Jennifer L. Kornosky

  2. Department of Epidemiology and Biostatistics, College of Public Health, University of South Florida, Tampa, FL, 33612, USA

    Jennifer L. Kornosky

  3. Department of Epidemiology and Biostatistics, College of Public Health, University of South Florida, Tampa, FL, 33612, USA

    Hamisu M. Salihu

  4. Department of Obstetrics and Gynecology, College of Medicine, University of South Florida, Tampa, FL, 33612, USA

    Hamisu M. Salihu

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  1. Jennifer L. Kornosky
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Correspondence to Jennifer L. Kornosky.

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Kornosky, J.L., Salihu, H.M. Getting to the Heart of the Matter: Epidemiology of Cyanotic Heart Defects. Pediatr Cardiol 29, 484–497 (2008). https://doi.org/10.1007/s00246-007-9185-9

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