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Poverty and Cardiac Disease in Children
Hugh D. Allen, MD;
Kathryn A. Taubert, PhD;
Richard J. Deckelbaum, MD;
David Driscoll, MD;
Ann Dunnigan, MD;
Samuel S. Gidding, MD;
Paul Herndon, MD;
Rae-Ellen W. Kavey, MD;
Charles Mullins, MD;
A. Rebecca Snider, MD;
William B. Strong, MD;
Reginald Washington, MD
Am J Dis Child. 1991;145(5):550-553.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings. |
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Almost 80 million children live in the United States. At least eight of every 1000 infants born each year have congenital heart defects.1 When mortality and spontaneous defect improvement are factored into live birth data, Roberts and Cretin2 estimated that by 1995 there will be 300 000 children under the age of 21 years with congenital heart disease; 38% will have had one or more surgical procedures. Other children will develop acquired heart disease, such as cardiomyopathies, rheumatic fever, acquired immunodeficiency syndrome with its myocarditis, Kawasaki disease, and arrhythmias. The projected incidence estimate for supraventricular tachycardia alone is between one and four per 1000.3 Familial hypercholesterolemia will affect the future of an unknown but probably large number of children. Therefore, at least one-half million children in the United States have some form of cardiac problem.
One quarter to one third4,5 of the more than 4 million
. . . [Full Text PDF of this Article]
Author Affiliations
From the Committee on Congenital Cardiac Defects, the Committee on Atherosclerosis and Hypertension in Childhood, and the Committee on Rheumatic Fever, Endocarditis, and Kawasaki Disease of the Council on Cardiovascular Disease in the Young of the American Heart Association, Dallas, Tex.
Footnotes
Accepted for publication November 19, 1990.
Reprint requests to Office of Scientific Affairs, American Heart Association, 7320 Greenville Ave, Dallas, TX 75231 (Dr Taubert).
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