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Clinical and epidemiological features of heart-hand syndrome, an updated analysis in China

Yin, Yaobin LU ; Ji, Jianguang LU orcid ; Zhao, Junhui ; Chen, Shanlin and Tian, Wen (2020) In BMC Musculoskeletal Disorders 21(1).
Abstract

Background: The purpose of this study was to prospectively recruit patients treated with limb malformation and to explore the prevalence and the clinical and epidemiological features of Heart-Hand Syndrome (HHS) in China. Methods: The consecutive patients treated for congenital upper limb malformation in Beijing Ji Shui Tan Hospital from October 1st, 2016 to October 1st, 2019 were prospectively recruited. We reviewed the patients’ medical records and identified patients with abnormal electrocardiogram (ECG) and/or abnormal ultrasonic cardiogram as well as their basic demographic and clinical characteristics. Results: A total 1653 (1053 male and 600 female) patients with congenital upper extremity malformations were prospectively... (More)

Background: The purpose of this study was to prospectively recruit patients treated with limb malformation and to explore the prevalence and the clinical and epidemiological features of Heart-Hand Syndrome (HHS) in China. Methods: The consecutive patients treated for congenital upper limb malformation in Beijing Ji Shui Tan Hospital from October 1st, 2016 to October 1st, 2019 were prospectively recruited. We reviewed the patients’ medical records and identified patients with abnormal electrocardiogram (ECG) and/or abnormal ultrasonic cardiogram as well as their basic demographic and clinical characteristics. Results: A total 1653 (1053 male and 600 female) patients with congenital upper extremity malformations were prospectively recruited. Among them, 200 (12.1%) had abnormal ultrasonic cardiogram (181patients, 10.9%) and/or abnormal ECG (19 patients, 1.1%). The commonest type of abnormal heart structure was atrial septal defect (69/181 38.1%), and the commonest abnormal ECG was wave patterns (7/19, 36.8%). HHS patients had a higher comorbidity rate (11%) than non-HHS patients (6.9%). Patients with HHS were classified into four groups by the types of congenital upper extremity malformations, among which the most common group was thumb type (121/200, 60.5%). Conclusions: HHS occurred frequently among patients with congenital upper extremity malformation in China, particularly for those with multiple congenital malformations. The commonest type of hand malformations of HHS patients was thumb malformation.

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author
; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Classification, Clinical epidemiology, Congenital malformations, Heart-hand syndrome (HHS)
in
BMC Musculoskeletal Disorders
volume
21
issue
1
article number
777
publisher
BioMed Central (BMC)
external identifiers
  • scopus:85096560182
  • pmid:33238988
ISSN
1471-2474
DOI
10.1186/s12891-020-03813-1
language
English
LU publication?
yes
id
56d7dc12-3d0f-46f1-a689-21bfb51c2a7f
date added to LUP
2020-12-03 11:41:38
date last changed
2024-04-03 19:02:26
@article{56d7dc12-3d0f-46f1-a689-21bfb51c2a7f,
  abstract     = {{<p>Background: The purpose of this study was to prospectively recruit patients treated with limb malformation and to explore the prevalence and the clinical and epidemiological features of Heart-Hand Syndrome (HHS) in China. Methods: The consecutive patients treated for congenital upper limb malformation in Beijing Ji Shui Tan Hospital from October 1st, 2016 to October 1st, 2019 were prospectively recruited. We reviewed the patients’ medical records and identified patients with abnormal electrocardiogram (ECG) and/or abnormal ultrasonic cardiogram as well as their basic demographic and clinical characteristics. Results: A total 1653 (1053 male and 600 female) patients with congenital upper extremity malformations were prospectively recruited. Among them, 200 (12.1%) had abnormal ultrasonic cardiogram (181patients, 10.9%) and/or abnormal ECG (19 patients, 1.1%). The commonest type of abnormal heart structure was atrial septal defect (69/181 38.1%), and the commonest abnormal ECG was wave patterns (7/19, 36.8%). HHS patients had a higher comorbidity rate (11%) than non-HHS patients (6.9%). Patients with HHS were classified into four groups by the types of congenital upper extremity malformations, among which the most common group was thumb type (121/200, 60.5%). Conclusions: HHS occurred frequently among patients with congenital upper extremity malformation in China, particularly for those with multiple congenital malformations. The commonest type of hand malformations of HHS patients was thumb malformation.</p>}},
  author       = {{Yin, Yaobin and Ji, Jianguang and Zhao, Junhui and Chen, Shanlin and Tian, Wen}},
  issn         = {{1471-2474}},
  keywords     = {{Classification; Clinical epidemiology; Congenital malformations; Heart-hand syndrome (HHS)}},
  language     = {{eng}},
  number       = {{1}},
  publisher    = {{BioMed Central (BMC)}},
  series       = {{BMC Musculoskeletal Disorders}},
  title        = {{Clinical and epidemiological features of heart-hand syndrome, an updated analysis in China}},
  url          = {{http://dx.doi.org/10.1186/s12891-020-03813-1}},
  doi          = {{10.1186/s12891-020-03813-1}},
  volume       = {{21}},
  year         = {{2020}},
}