What is congenital heart disease screening for infants and young children?

Congenital heart disease is a very serious disease, but if the disease is discovered early and treated when the infant is young, the body's recovery and wound healing will be faster and the treatment effect will be better. However, not everyone can detect it early, so it is very important to screen for heart disease. So how should we screen for congenital heart disease in infants and young children?

1. Myocardial enzyme examination (blood test): It is one of the important means of diagnosis and differential diagnosis of acute myocardial infarction. Clinically, acute myocardial infarction can be diagnosed based on the serial changes in serum enzyme concentrations and the increase in specific isoenzymes.

2. Multi-row CT (256-slice ultra-fast spiral CT) examination: used for early diagnosis of coronary heart disease and screening of suspected patients. It can provide a general understanding of the coronary artery lesions, but is not sensitive to smaller blood vessels.

3. Exercise treadmill electrocardiogram: The subject is asked to exercise on a treadmill to increase the load on the heart. During this process, if the test subject experiences chest pain and the monitored electrocardiogram shows obvious changes and meets the corresponding diagnostic criteria, it can provide a basis for the diagnosis of the disease.

4. Conventional electrocardiogram: that is, resting electrocardiogram, which is the most commonly used non-invasive examination method. This examination method has a higher detection rate when the patient's symptoms occur. If the examination is performed during the onset period, it may show a normal electrocardiogram.

5. Cardiac ultrasound: It can check the heart morphology, ventricular function, etc. It has unique advantages in the diagnosis of rheumatic heart disease, congenital heart disease, cardiomyopathy and heart failure.

6. Coronary angiography: It is the "gold standard" for the diagnosis of coronary heart disease. However, interventional technology is required to establish a pathway from the patient's femoral artery or radial artery to the coronary artery, and to inject contrast agent into the coronary artery to visualize the main branches of the coronary arteries of the heart in order to determine whether the coronary artery is narrowed, and the location, degree, and range of the stenosis. It is an invasive examination and has certain risks, but the probability of occurrence is very low.

7. Dynamic electrocardiogram: It can continuously record the ECG signals, improve the detection rate of non-sustained arrhythmias, transient arrhythmias, and transient myocardial ischemia, and expand the scope of application of the electrocardiogram.

The article introduces many screening methods for congenital heart disease. If you are worried that your child may have congenital heart disease, you can undergo these tests. If congenital heart disease is not serious, there will be no obvious symptoms, so it is recommended that a heart examination be done after the child is born to ensure that there is no congenital heart disease, so as not to delay the best treatment time.