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What are the most dangerous heart diseases in children?
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Reviewed by: Dr. Hisham Khalil, Consultant Interventional Cardiologist

The most dangerous heart diseases in children: There are many children who are born or suffer from serious heart diseases that may threaten their lives. These diseases can be congenital, that is, the child is born with them as a result of abnormalities in the formation of the heart. They can also be acquired as a result of various other factors such as infections or genetic diseases. Heart diseases in children are among the great challenges, but early detection and appropriate treatment can make a lot of difference in the lives of these children. In the following lines with Al-Mousa Specialist Hospital, we will explain more details about the most dangerous heart diseases in children and give

The most dangerous types of heart diseases in children

There are a number of types of the most dangerous heart diseases in children, the most prominent of which are the following:

Congenital heart disease

Among them are defects of the ventricular and atrial septum, the presence of a hole between the chambers of the heart, aortic stenosis, that is, a narrowing of the aortic valve that pumps blood from the heart to the rest of the body, and tetralogy of Fallot, which consists of a group of congenital defects that affect the structure of the heart and cause a lack of oxygen reaching the body. Congenital heart diseases also include transposition of the large arteries, through the inversion of the main arteries that transport blood to and from the heart, and left heart hypoplasia syndrome, which is incomplete development of the left side of the heart.

Acquired heart disease

Among them are the following:

  • Rheumatic fever, which is an inflammation of the heart due to a bacterial infection, which leads to damage to the heart valves.
  • Kawasaki disease, which is an inflammation of the blood vessels, affects the coronary arteries that supply the heart.
  • Cardiomyopathy, which is a weakness in the heart muscle, which affects the ability of the heart muscle to pump blood.
  • Arrhythmia, which is an electrical disturbance in the heart that causes an acceleration or deceleration of the heartbeat.

There are a number of diseases, such as high blood pressure, high cholesterol, obesity, or diabetes, that increase the risk of heart disease. Early detection of heart disease in children also plays a major role in improving the chances of treatment and recovery. Therefore, parents must pay attention to the symptoms that appear in the child, such as difficulty breathing, fatigue and exhaustion, cold extremities, or irregular heartbeat. When these symptoms appear, a doctor must be consulted immediately to conduct the necessary tests.

What is congenital heart disease?

Congenital heart diseases are a group of deformities or defects that occur in the heart during pregnancy. These defects affect the structure and functions of the heart, which consequently leads to serious health problems. The causes of congenital diseases are unknown, but there are a number of factors that increase the risk of developing them, including:

  • Genetic factors.
  • Some diseases that affect the mother during pregnancy, such as German measles and diabetes.
  • Taking some medications or chemicals during pregnancy without consulting a doctor.
  • Consanguineous marriage may also increase the possibility of recessive genes causing these defects.

Congenital heart disease is usually diagnosed through a number of methods, including physical examination, تخطيط القلب, cardiac ultrasound, and various other examinations such as chest X-ray or cardiac catheterization.

Book your consultation now at مركز القلب والأوعية الدموية At Al Mousa Specialist Hospital.

Signs of the most serious heart disease in children

There are a number of signs and symptoms that indicate one of the most dangerous heart diseases in children. There are general and specific signs specific to some diseases. If any of these signs appear, a doctor must be consulted immediately to conduct the necessary tests. The most prominent of these signs are as follows:

  • Difficulty breathing, especially during breastfeeding or physical exertion, and you may find the child breathing quickly or with difficulty.
  • Constant fatigue and exhaustion, even with rest. You find your child tired, refusing to play, and feeling lethargic.
  • Pale skin color, especially around the mouth and nails. You will find the child pale and bluish in color.
  • Coldness in the extremities, especially in the feet and hands. The extremities are cold and wet.
  • The baby does not gain weight normally, and the baby's growth may be delayed.
  • Rapid or irregular heartbeat.
  • Swelling in the legs or feet due to weak heart muscle.
  • Difficulty in breastfeeding. You will find that the baby gets tired quickly during breastfeeding, and needs to stop frequently.
  • Excessive sweating, especially while breastfeeding or playing.
  • Chest pain for older children, especially when doing physical exertion.

Methods of treating heart disease in children

Treating heart disease In children, it depends on the type of defect or disease and its severity. Some children may not need treatment, but there are others who need medications, procedures, or surgery. In general, the methods of treating the most serious heart diseases in children are as follows:

  • Periodic monitoring. In some mild cases, the child does not need any treatment, but he does need periodic monitoring by a specialist doctor. During this monitoring, the children’s signs and symptoms are monitored and the necessary tests are performed to ensure that the condition does not develop.
  • The use of medications to treat some heart diseases, such as diuretics, medications to control and regulate the heart rhythm, and medications to strengthen the heart muscle, in addition to other medications such as medications to lower blood pressure or prevent the formation of clots.
  • There are some procedures that help treat heart diseases in children, such as catheterization, which helps repair some congenital heart defects without the need for surgery, by inserting a thin tube through a blood vessel in the leg or arm that is directed to the heart. Through the catheter, some holes are closed or narrow valves are widened. Electrocautery can also be used to treat some types of arrhythmia, and electrical energy is used to cauterize a small area in the heart.
  • Some children also need surgery to correct congenital heart defects or to treat some acquired diseases. The surgery can be open, in which the chest is opened to reach the heart, or it can be minor, in which small incisions are used in the chest and special tools are inserted to make some repairs.
  • In some severe cases, heart transplantation is used to save the child's life.

Frequently asked questions

How do I know that my child has a heart problem?

There are a number of signs that indicate a problem with the child’s heart, including difficulty breathing, especially during breastfeeding, constant fatigue and exhaustion, and you find him suffering from pale skin color or turning blue, coldness in the extremities, and failure to gain weight normally. The child also suffers from an irregular heartbeat, swelling in the legs or feet, difficulty in breastfeeding, excessive sweating, and pain in the chest. When you notice any of these signs, you should immediately consult a doctor for diagnosis and to conduct the necessary tests.

What are the ways to deal with a child with heart disease?

Dealing with a child with a heart disease requires special care and additional attention. First, you must understand the nature of the child’s heart disease. It is important to adhere to the doctor’s instructions carefully, and learn about medications, diet, and physical activity. It is important to monitor the child to monitor any signs that indicate a deterioration in the condition, and you must go to the doctor if any of these signs appear. It is also important to provide a supportive environment for the child, provide adequate rest and sleep, and not expose him to psychological stress.

Does the heart muscle heal in children?

In fact, not all heart diseases in children can be cured, but many of the most serious heart diseases in children can be treated and improved. Some simple birth defects may heal on their own over time. There are some cases that require medical or surgical intervention, and there are some cases that cannot be completely cured. Their symptoms can be controlled and the child’s life improved, through appropriate treatment and regular follow-up with the treating physician.

We appreciate the meaning of your suffering if you have a child suffering from one of the most serious heart diseases in children. That is why we reassure you that through Al Mousa Specialist Hospital you will find a group of doctors with experience and competence in dealing with these diseases and treating them with the latest medical technologies. Book your appointment now and begin a safe treatment journey for your little child.

Sources and references 

Types of Heart Disease in Children and Teens

Congenital Heart Disease

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