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Re: Re: CHD & learning disability in kids

Part II



http://www.bcchildrens.ca/NR/rdonlyres/657E8759-5976-44E0-AFE6-9A0A55709CB7/11162/HeartChapter705.pdf. -- this is a parent-friendly free download to help parents of children growing up with a congenital heart defect. It is produced by the Heart and Stroke Foundation and the title of this is: Heart & Soul: Your Guide to Congenital Heart Defects. This states: “. . . Children with complex heart defects or who have been cyanotic for a long time may be smaller and lighter than their peers,and may
have learning disabilities.(See Cyanosis-Blueness of the Skin,page 2-11)


http://www.ncbi.nlm.nih.gov/sites/entrez?db=pubmed&uid=15711194&cmd=showdetailview&indexed=google
Current Opinion in Cardiology 2005 Mar;20(2):94-9.
“Central nervous system outcomes in children with complex congenital heart disease.” By Wernovsky G, Shillingford AJ, Gaynor JW. -- this is written by a doctor who edited a book on Hypoplastic Left Heart Syndrome (Wernovsky). In the abstract, it is stated, “. . . RECENT FINDINGS: As the number of survivors of surgery for complex congenital heart disease continues to rise, it is recognized that there is an increased incidence of adverse neurological outcomes in the survivors. In particular, a pattern similar to that seen in premature infants is emerging, including learning disabilities, behavioral abnormalities, inattention and hyperactivity.”

http://pediatrics.aappublications.org/cgi/content/full/108/6/1325
Pediatrics Vol. 108 No. 6 December 2001, pp. 1325-1331

Functional Limitations in Young Children With Congenital Heart Defects After Cardiac Surgery

Catherine Limperopoulos, OT, MSc*, Annette Majnemer, OT, PhD*,{ddagger},||, Michael I. Shevell, MD, CM, FRCP(C){ddagger},||, Bernard Rosenblatt, MD, CM, FRCP(C)*,{ddagger},||, Charles Rohlicek, MD, CM, PhD, FRCP(C)||, Christo Tchervenkov, MD, CM, FRCS(C)§ and H.Z. Darwish, MD, FRCP(C)¶

From the introduction: “. . . Overall, existing evidence would suggest that global developmental deficits are common across the developmental spectrum, particularly in gross and fine motor skills, language, reasoning, and behavioral difficulties.6,7,8,9,10 Educational difficulties and a need for special classroom placement or individualized instruction as a result of learning disabilities and attentional problems also seem to be common in this high-risk population.11,12,13 It is critical to define developmental deficits across all domains to target which rehabilitation professionals are needed for specific interventional purposes. However, the extent and nature of neurodevelopmental deficits/impairments and concomitant functional implications in this population requires additional definition.”

http://circ.ahajournals.org/cgi/content/full/103/21/2637
(Circulation. 2001;103:2637.)
© 2001 American Heart Association, Inc.

Clinical Cardiology: New Frontiers
Challenges Posed by Adults With Repaired Congenital Heart Disease
Joseph K. Perloff, MD; Carole A. Warnes, MD

From the Ahmanson/UCLA Adult Congenital Heart Disease Center, Los Angeles, Calif (J.K.P.) and the Adult Congenital Heart Disease Clinic, Mayo Clinic, Rochester, Minn (C.A.W.).

From the article . . . “Neurological Sequelae
The incidence of neurological sequelae has declined substantially as surgical techniques have improved. Only a small percentage of patients sustain permanent neurological sequelae (seizures, motor disorders) or disorders of higher cortical function (mental retardation, learning disabilities).37 38 However, total circulatory arrest in infancy may be followed by impaired motor coordination,39 and the impact of cardiopulmonary bypass on the developmental outcome of children who undergo open heart surgery for closure of secundum atrial septal defect compares unfavorably with the developmental outcome after device closure.40 Cognitive ability after a Fontan operation is lower than that of the general population.41”

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Re: Re: Re: CHD & learning disability in kids - by Je9 - Nov 17, 2007 6:28pm
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