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      Is maternal smoking during pregnancy associated with an increased risk of congenital heart defects among offspring? A systematic review and meta-analysis of observational studies

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      Journal: The Journal of Maternal-Fetal & Neonatal Medicine
      Publisher: Informa UK Limited

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          Abstract

          To investigate the association between maternal smoking during pregnancy and risk of congenital heart defects (CHDs) among offspring.

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          Congenital heart disease in the general population: changing prevalence and age distribution.

          Ariane J Marelli, Andrew S Mackie, Raluca Ionescu-Ittu … (2007)
          Empirical data on the changing epidemiology of congenital heart disease (CHD) are scant. We determined the prevalence, age distribution, and proportion of adults and children with severe and other forms of CHD in the general population from 1985 to 2000. Where healthcare access is universal, we used administrative databases that systematically recorded all diagnoses and claims. Diagnostic codes conformed to the International Classification of Disease, ninth revision. Severe CHD was defined as tetralogy of Fallot, truncus arteriosus, transposition complexes, endocardial cushion defects, and univentricular heart. Prevalence of severe and other CHD lesions was determined in 1985, 1990, 1995, and 2000 using population numbers in Quebec. Children were subjects <18 years of age. The prevalence was 4.09 per 1000 adults in the year 2000 for all CHD and 0.38 per 1000 (9%) for those with severe lesions. Female subjects accounted for 57% of the adult CHD population. The median age of all patients with severe CHD was 11 years (interquartile range, 4 to 22 years) in 1985 and 17 years (interquartile range, 10 to 28 years) in 2000 (P<0.0001). The prevalence of severe CHD increased from 1985 to 2000, but the increase in adults was significantly higher than that observed in children. In the year 2000, 49% of those alive with severe CHD were adults. The prevalence in adults and median age of patients with severe CHD increased in the general population from 1985 to 2000. In 2000, there were nearly equal numbers of adults and children with severe CHD.
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            Task force 1: the changing profile of congenital heart disease in adult life.

            Carole Warnes, Richard R. Liberthson, Gordon Danielson … (2001)
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              Genetic basis for congenital heart defects: current knowledge: a scientific statement from the American Heart Association Congenital Cardiac Defects Committee, Council on Cardiovascular Disease in the Young: endorsed by the American Academy of Pediatrics.

              Mary Pierpont, Craig Basson, D Woodrow Benson … (2007)
              The intent of this review is to provide the clinician with a summary of what is currently known about the contribution of genetics to the origin of congenital heart disease. Techniques are discussed to evaluate children with heart disease for genetic alterations. Many of these techniques are now available on a clinical basis. Information on the genetic and clinical evaluation of children with cardiac disease is presented, and several tables have been constructed to aid the clinician in the assessment of children with different types of heart disease. Genetic algorithms for cardiac defects have been constructed and are available in an appendix. It is anticipated that this summary will update a wide range of medical personnel, including pediatric cardiologists and pediatricians, adult cardiologists, internists, obstetricians, nurses, and thoracic surgeons, about the genetic aspects of congenital heart disease and will encourage an interdisciplinary approach to the child and adult with congenital heart disease.
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                Author and article information

                Journal
                Title: The Journal of Maternal-Fetal & Neonatal Medicine
                Abbreviated Title: The Journal of Maternal-Fetal & Neonatal Medicine
                Publisher: Informa UK Limited
                ISSN (Print): 1476-7058
                ISSN (Electronic): 1476-4954
                Publication date Created: May 16 2016
                Publication date Created: March 19 2017
                Publication date (Electronic): May 16 2016
                Publication date (Print): March 19 2017
                Volume: 30
                Issue: 6
                Pages: 645-657
                Article
                DOI: 10.1080/14767058.2016.1183640
                PubMed ID: 27126055
                SO-VID: 8c1b6e58-c606-4e7f-b929-a0ec7618dcc0
                Copyright © © 2017
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