The congenital heart disease (CHD) clinic directory is an online directory on American College of Cardiology’s (ACC) CardioSmart Website. The directory is designed to help patients, families and providers find specialty CHD care. With nearly 200 CHD centers and practices providing pediatric cardiology or specialty adult CHD services listed, it should be easier to connect with the right provider. Users can search providers by name, center, location or specialty — and easily determine if their chosen provider is a Fellow of the ACC.
The digital Mended Little HeartGuide was developed to empower families to feel confident as they care for their child with congenital heart disease. The CHD journey can be frightening and challenging, but parents and caregivers can do very well if they have the right information and resources. Mended Little Hearts and St. Jude Medical partnered to create a one-of-a-kind, digital resource guide for parents and caregivers of children with congenital heart disease. Medical professionals and parents worked together on this guide to provide accurate and honest information that addresses the tough feelings, questions and concerns parents and caregivers may have.
A key issue in parenting when you have congenital heart defect (CHD) is being able to balance the day-to-day demands of being a parent and living with CHD.
Some days it may be hard to figure out who to put first – your child or yourself. However as hard as it may be, it’s important to take care of your own physical and emotional needs first. As a parent this may not sound “right,” but everyone will benefit in the long run if you are in better health and have more energy.
CHD can be unpredictable, but so can your child’s needs. When CHD overrules parenthood, call friends, family members or a sitter to help. Parenting changes with older children, but it’s still important to ask others for support.
It’s also important to do whatever it takes to find time to relax. Here are some simple ways to make relaxation a top priority:
- Visit with friends
- Go see a movie
- Take time to read
Your parenting style may be different from your sister’s or your friend’s, but that doesn’t mean you’re not a great parent. Maintaining realistic expectations can make meeting the challenges of parenting with CHD easier.
Additional information about parenting with a CHD and reproductive health for young women living with a CHD is available from the Congenital Heart Public Health Consortium through the HealthyChildren.org Website.
Thanks to new and better treatments children with a congenital heart defect (CHD) have better chances of survival. The Pediatric Congenital Heart Association has developed a series of questions that families can use when talking with their cardiac care team. The guided questions tool is available online. Visit conqueringchd.org for more information about CHD and links to additional resources.
February 7-14, 2017 is Congenital Heart Defect Awareness Week!
Congenital Heart Defect Awareness Week promotes awareness about congenital heart defects (CHDs). CHDs are the most common birth defect – affecting nearly one in 100 births every year in the United States. Heart defects are lifelong conditions. About 1 million children and 1.4 million adults in the United States were living with a CHD in 2010.
Join CDC in this nationwide effort to raise awareness of heart defects, their causes, and their impact.
The American College of Cardiology’s Adult Congenital and Pediatric Cardiology Section is inviting congenital heart disease community members to comment on two proposed candidate metrics aimed at ensuring young adults with congenital heart disease are appropriately guided into life- long specialized care. The quality metrics were developed under the auspices of Keila Lopez, MD and the Adult Congenital Heart Disease team of the ACC’s ACPC Quality Working Group. Ariane Marelli, MD, MPH, FACC and Jeffrey Anderson, MD, MBA, FACC co-chair the ACPC Quality Working Group.
The two proposed candidate metrics for Transition or Transfer of Young Adult patients with Congenital Heart Disease are below:
The ACPC site with the quality metrics and comment survey is available here
Comments provided will be shared with members on the Adult Congenital Heart Disease Quality Metrics Team as part of the process to refine the metrics before submission to the ACPC Council for approval. Please update your disclosure and provide comments by February 15, 2017.
In accordance with the 2008 ACC/AHA Classification Care Metrics: Performance Measures and Quality Metrics (Bonow R, et al, JACC, vol 52, No.24, pp. 2113- 2117), the proposed quality metrics are being proposed for quality metrics and designated for use in internal quality improvement programs only. It is not appropriate for any other use, e.g., pay for performance, physician ranking, or public reporting programs.
ACC’s disclosure system may be accessed at: http://disclosures.acc.org/
An ACC.org username is required and can be created here.
Registered users can retrieve their password electronically, or email email@example.com with questions.
The American Heart Association published the scientific statement “Management of Pregnancy in Patients with Complex Congenital Heart Disease” (Circulation, 2017). The statement acknowledges that for many women with complex congenital heart disease, carrying a pregnancy carries a moderate to high risk for both the mother and her fetus. The authors also reinforce the importance that all practitioners who will be manage the care for women with a CHD have current information not only on preconception counseling and diagnostic evaluation to determine maternal and fetal risk but also on how to manage them once they are pregnant and when to refer them to a regional center with
expertise in pregnancy management.
Topic #2 of 6: Planning a Healthy Pregnancy (sharable version attached)
Women living with a congenital heart defect (CHD) can have healthy pregnancies. Plan ahead and follow these steps.
- See health care professionals who treat pregnant women with CHDs. You should have a congenital cardiologist, a high-risk obstetrician, an anesthesiologist and a social worker on your medical team.
- Go to your appointments. Your cardiology health care professionals will tell you how often appointments with them are needed. Most women with a CHD see their congenital cardiologist at least once each trimester.
- Take vitamins with folic acid, eat healthy foods, exercise, get enough rest, don’t smoke, and don’t drink alcohol. Also, only take drugs prescribed by your doctors.
During pregnancy, the congenital cardiologist may want to perform special tests.
- Most women with a CHD have ultrasounds of their heart, called “echocardiograms.” These are usually done early in the pregnancy and in the third trimester.
- An ultrasound – fetal echocardiogram – of the baby’s heart should also be performed around 18-20 weeks of pregnancy to check for a CHD in the baby.
During the pregnancy, plans for labor and delivery will be made.
- The anesthesiologist will talk with you about pain control options because some of these medicines can affect the heart rate and blood pressure.
- A vaginal delivery is recommended for most women with a CHD but this is an individual decision and varies depending on the patient and the type of CHD. The obstetrician and congenital cardiologist will let you know what type of delivery will be recommended for you.
Additional information about reproductive health for (young) women living with a CHD is available from the Congenital Heart Public Health Consortium through the HealthyChildren.org Website.
CDC researchers found that the cost of hospitalizations linked to birth defects in the US totaled $22.9 billion or 5.2% of total health care costs in 2013, while representing only 3% of all hospitalizations. The findings were published in the agency’s Morbidity and Mortality Weekly Report. Costs were particularly high for hospitalizations related to congenital heart defects, which cost more than $6 billion in 2013. Key findings are summarized on the CDC website.
Birth defects are the leading cause of infant death in the United States, accounting for about 1 in 5 infant deaths. In this study, researchers looked at the number of infant deaths related to birth defects per 1,000 live births for infants whose deliveries were paid by Medicaid or private health insurance. CDC researchers estimated that approximately 12 infant deaths related to birth defects occurred for every 10,000 babies born in the United States from 2011-2013.
Death rates related to birth defects were higher for babies whose deliveries were paid by Medicaid compared to private insurance. Further study is needed to identify the underlying reasons for these differences. Strategies to ensure that all pregnant women and their infants have access to high quality health care might reduce the difference in infant mortality between deliveries paid by Medicaid and those paid by private insurance. We invite you to read the full article.
· The three most common categories of birth defects listed as a cause of death: central nervous system (CNS) defects, congenital heart defects (CHD) and chromosomal abnormalities.
· Approximately 15% of all infant deaths and 70% of infant mortality attributable to birth defects (IMBD) occurred in the neonatal period. CNS defects, CHD, and chromosomal abnormalities accounted for 57% of neonatal and 76% of postneonatal IMBD.
· Among preterm births, postneonatal mortality for deliveries covered by Medicaid was 40% higher for CHD and 81% higher for chromosomal abnormalities, compared with those covered by private insurance.
You can find the Morbidity and Mortality Weekly Report (MMWR) article on this subject matter by clicking on: https://www.cdc.gov/mmwr/volumes/66/wr/mm6603a4.htm?s_cid=mm6603a4_e.
What You Can Do
Spread the word about this study! We encourage you to share these links with your colleagues and friends. Feel free to post them on your own home page as well. Please share on your social media channels or share/retweet/favorite from @CDC_NCBDDD.
For More Information:
Birth Defects: https://www.cdc.gov/ncbddd/birthdefects/facts.html
This research was done in collaboration with The March of Dimes. We thank them for their continued support and partnership.