Prevalence of congenital heart defects in term children in the first month of life in the Arkhangelsk region

The article presents an analysis of the incidence of congenital heart defects in children of the first month of life in one of the cities of the Arkhangelsk region for 5 years. The results of echocardiography of full-term infants in the first month of life, carried out in 2018-2022, were analyzed. The total number of full-term children in the first month of life who underwent echocardiography during the reporting period was 1112 people. The incidence of all CHD was 3.1%, while the most common CHD was atrial septal defect and accounted for 47% of all identified CHD. In second place in terms of prevalence is the defect of the interventricular septum, in the third place is the patent ductus arteriosus. Coarctation of the aorta was detected in 5.9% of patients; it was not critical and required only dynamic monitoring. Stenosis of the pulmonary artery was not detected during this period of time, but moderate stenosis of the branches of the pulmonary arteries (right and left) was detected in 0.36% of patients due to narrowing of their trunks. The prevalence of complex combined heart defects was 1.8% (tetralogy of Fallot with severe pulmonary artery stenosis, double outlet vessels from the right ventricle).