Frequency of attention deficit hyperactivity disorder (ADHD) in patients with congenital heart disease
Code: G-96405
Authors: Aazam Sadat Heydari Yazdi © ℗, Hassan Mottaghi Moghaddam Shahri, Mahboubeh Eslamzadeh
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Abstract:
Background
It is established that children with CHD are more susceptible for suffering deficiencies in intellectual functioning, developmental problems, and academic performance difficulties. Neurodevelopmental disabilities, particularly executive function impairments, are currently the most prevalent long-term morbidity in the population with CHD. The aim of this study was to investigate the frequency of ADHD in children with CHD referred to Imam Reza hospital between 2002 and 2018.
Methods
This was a retrospective cohort study, which was performed between 2002-2018 on patients with CHD referred to pediatric cardiology clinic of Imam Reza hospital, Mashhad, Iran. Using the census method, all files for which ADHD diagnosis has been made according to DSM-IV or DSM-V criteria should be included in the study. Diagnosis of CHD was performed clinically and using an echocardiographic machine by an experienced pediatric cardiologist. Heart diseases were divided into two important (major) and non-important (minor) categories based on the need for follow-up and intervention. Demographic, clinical and para-clinical data of patients as well as the type of
Results
During the period of study, 136 patients were enrolled in the study. The mean age of participants in the study was 59.12± 45.84 months at time of diagnosis. Abnormal EEG was reported in three cases (2.2%). There was significant correlation between prematurity and developmental delay (P=0.01). The mean of age was significantly different in patients with minor rather than patients with major cardiac disorder (P
Conclusions
ADHD has received more attention in recent years and is more commonly seen in congenital heart disease. This study demonstrated that children born with CHD are at increased risk of suffering from ADHD.
Keywords
congenital heart disease, Attention deficit hyperactivity disorder, neurocognitive disorder, pediatric