CARDIOVASCULAR ALTERATIONS IN PATIENTS WITH LIP SCREENING: CLINICAL-ECOCARDIOGRAPHIC STUDY
cleft lip and / or palate, cardiovascular malformations, echocardiogram.
Objective: to describe the clinical-epidemiological and cardiological profile of a group of patients with oral slit (FO) of Rio Grande do Norte. Project: analysis of clinical evaluation data with pediatric cardiologist and complementary exams. Scenario: Multidisciplinary Attendance Program for Patients with Fissures Labiopalatais of Hospital Universitário Onofre Lopes. Patients: FO patients seen in the Program and evaluated by a pediatric cardiologist, from March / 2013 to September / 2014. Interventions: clinical, electrocardiographic and echocardiographic evaluation. Main results: patients were evaluated for age, gender, type of FO, clinical evidence of probability of heart disease (complaints, comorbidities, antecedents) and echocardiographic findings. Results: Of 81 patients included, we observed an age range varying from neonate to 35 years; 50 (61.7%) were male and 45 (55.6%) of the patients had a cleft lip and palate. 42 (51.9%) patients had more than one consultation with a pediatric cardiologist, with 31 (38.3%) having complaints at the time of the consultation. Comorbidities were present in 38 (46.9%) patients. Positive gestational history was observed in 47 (58%) patients, neonatal in 25 (30.9%), family in 54 (66.7%), and personal in 22 (27.2%). Among the family history, the most frequent were Arterial Hypertension (24 / 20,1%), Dyslipidemia (19/16%) and Diabetes Mellitus (15 / 12,6%); and personal, respiratory (20 / 57.1%) and neurological (4 / 11.4%). There was one case of atrioventricular block. Echocardiogram was performed in 74 (91.4%) patients, of which 46 (62.2%) were normal and 28 (37.8%) were altered. A case of mitral valve prolapse by rheumatic carditis was confirmed. Conclusions: A complete cardiologic evaluation (clinical, electrocardiographic and echocardiographic) is suggested as one of the diagnostic criteria complementary to patients with FO, due to the susceptibility to cardiovascular malformations in this group of patients. In this way, improvements in the care of patients with FO are obtained by intervening in their evolutionary history and prognosis, with a positive impact on their overall health, and therefore on public health.