Critical congenital heart disease (CCHD) refers to a group of life-threatening heart conditions that affect newborns and infants. These conditions are present at birth and involve structural abnormalities in the heart or major blood vessels. CCHD can cause serious problems with blood flow to the body and may result in severe health complications or even death if not detected and treated early.
There are several different types of CCHD, including Tetralogy of Fallot, Transposition of the Great Arteries, and Hypoplastic Left Heart Syndrome. These conditions are often associated with genetic factors, and testing for specific genetic mutations or abnormalities can help identify individuals at higher risk for CCHD. Genetic testing can also provide valuable information about the causes and development of these diseases, contributing to ongoing research and clinical trials aiming to improve the diagnosis, treatment, and management of CCHD.
In addition to genetic testing, other diagnostic methods and tools are used to identify and evaluate patients with CCHD. These may include clinical examinations, imaging tests, blood tests, and cardiac catheterization. The information gathered from these tests helps healthcare professionals develop appropriate treatment plans and provide necessary support and resources to patients and their families.
Managing CCHD requires a multidisciplinary approach involving various medical specialists, including pediatric cardiologists, cardiothoracic surgeons, and genetic counselors. Ongoing research, advocacy efforts, and support from patient associations and other resources play a vital role in raising awareness about CCHD, promoting early detection and timely intervention, and improving the overall care and outcomes for individuals with this rare, but critical, heart disease.
References:
1. Gelb, B.D. (2015). Critical Congenital Heart Disease: Clinical and Genetic Aspects. Pediatric Cardiology, 36(7), 1092-1100. DOI: 10.1007/s00246-015-1208-9
Fears over not being able to afford health insurance or medical care are among the top reasons why Americans are delaying retirement. From 2000 to 2016, the number of Americans 65 and older working full-time or part-time rose by six% to include almost 9 million people, according to the Pew Research Center.
2. Information about critical congenital heart disease. National Center for Advancing Translational Sciences.
Retrieved from https://rarediseases.info.nih.gov/diseases/6239/critical-congenital-heart-disease3. Online Mendelian Inheritance in Man. Critical Congenital Heart Disease.
Retrieved from https://www.omim.org/entry/6159124. ClinicalTrials.gov. Critical Congenital Heart Disease.
Retrieved from https://clinicaltrials.gov/ct2/results?cond=%22Congenital+Heart+Defects%225. PubMed. Critical Congenital Heart Disease – Articles.
Retrieved from https://pubmed.ncbi.nlm.nih.gov/?term=critical+congenital+heart+disease
Frequency
Associated with a genetic cause, critical congenital heart disease (CCHD) affects around 1 in every 100 live births. This frequency has been determined through research, advocacy, and scientific studies aimed at understanding and improving the lives of patients with this condition.
While more research is needed to learn about the genetic and environmental factors that contribute to CCHD, it is important to note that these conditions are rare and can vary greatly from patient to patient. In some cases, CCHD may be associated with other genetic problems, such as heterotaxy syndrome or certain rare genetic syndromes.
Genetic testing has played an important role in understanding the genetic basis of CCHD. This testing can provide valuable information about the underlying genetic causes of the condition, as well as help guide treatment and support for patients and their families.
Scientific articles on this topic can be found on PubMed and other scientific databases. Some resources for learning more about CCHD and the associated genetic causes include OMIM, Gelb’s Catalog of Genes and Genetic Disorders, and ClinicalTrials.gov.
Research examining the frequency and inheritance of CCHD has revealed that in some cases, the condition may be inherited in an autosomal dominant or autosomal recessive manner. It is important for individuals and families affected by CCHD to work with healthcare providers and genetic counselors to understand the specific genetic contribution to their condition.
The amount of genetic information currently available about CCHD is still limited, and more research is needed to fully understand the causes and development of this critical heart condition. However, ongoing studies and advancements in genetic testing and research offer hope for improved diagnosis, treatment, and support for individuals with CCHD.
Causes
The causes of critical congenital heart disease (CCHD) are multifactorial, involving a combination of genetic and environmental factors. Through advocacy and research, scientists have made significant progress in understanding the underlying causes of CCHD.
CCHD is a group of heart diseases that are present at birth and pose significant problems for the affected individuals. The frequency of CCHD varies, and it affects around 1 in every 100 newborns worldwide.
Research examining the genetics of CCHD has revealed several genetic mutations and variations associated with the disease. These genetic abnormalities can be inherited in an autosomal dominant or autosomal recessive manner. Some specific genetic conditions associated with CCHD include heterotaxy syndrome, Fallot tetralogy, and hypoplastic left heart syndrome.
For more information on the role of genetics in CCHD, the Online Mendelian Inheritance in Man (OMIM) database is a valuable resource. It catalogs the names, clinical features, and references of genes associated with CCHD and other critical congenital heart diseases.
In addition to genetic factors, environmental factors also play a significant role in the development of CCHD. These factors can include maternal health, exposure to toxins, and certain medications during pregnancy. Ongoing research is necessary to understand the exact mechanisms by which these environmental factors contribute to the development of CCHD.
Genetic testing has become an essential tool in diagnosing CCHD and providing patients and their families with vital information about the disease. Genetic testing can help identify the specific genetic mutations or variations associated with CCHD and guide treatment decisions.
Furthermore, research centers and patient advocacy organizations have played a crucial role in advancing our understanding of CCHD. These organizations provide resources, articles, and information to support patients and their families, as well as funding for scientific studies and clinical trials. ClinicalTrials.gov and PubMed are valuable sources of information for ongoing research and clinical trials related to CCHD.
In conclusion, the causes of critical congenital heart disease are complex and involve a combination of genetic and environmental factors. Scientists continue to make strides in understanding the genetic basis of CCHD and developing new diagnostic and treatment strategies. Ongoing research and advocacy efforts are essential to improve the lives of young patients affected by this rare and life-threatening condition.
Learn more about the genes associated with Critical congenital heart disease
Critical congenital heart disease is a rare condition that affects the development of the heart and blood vessels in infants. It is a critical condition that can have serious and life-threatening effects if not diagnosed and treated promptly.
Multiple genes have been identified to play a role in the development of critical congenital heart disease. These genes can affect various aspects of heart development, such as the formation of heart chambers, valves, and blood vessels.
There are several resources available to learn more about the genes associated with critical congenital heart disease. One such resource is the Online Mendelian Inheritance in Man (OMIM) catalog. OMIM provides a comprehensive database of genes and genetic disorders. It includes information on the frequency of specific genes in causing critical congenital heart disease.
Genetic testing can also be done to identify the presence of specific genes associated with critical congenital heart disease. This testing can help diagnose the condition, provide information on disease severity, and guide treatment decisions. Genetic testing for critical congenital heart disease is typically done using blood samples.
In addition to genetic testing, research articles and scientific studies provide valuable insights into the genetic causes of critical congenital heart disease. These articles examine the role of specific genes in the development of the condition and contribute to our understanding of the underlying genetics.
Support groups and advocacy organizations also play a central role in providing resources and support for individuals and families affected by critical congenital heart disease. These organizations offer educational materials, support networks, and access to clinical trials for new treatments and therapies.
Learning more about the genes associated with critical congenital heart disease is essential for advancing our knowledge of the condition and improving diagnosis and treatment options. By understanding the genetic basis of the disease, healthcare providers can provide more targeted and personalized care to individuals with critical congenital heart disease.
References:
- OMIM database: https://www.omim.org/
- ClinicalTrials.gov: https://clinicaltrials.gov/
Inheritance
Critical congenital heart disease (CCHD) is known to have a strong genetic component, with many cases showing patterns of inheritance. In fact, the Online Mendelian Inheritance in Man (OMIM) database lists several genes that have been associated with CCHD, along with additional information about their role in the development of the disease.
Studies examining the role of genetics in CCHD have identified multiple genes that can contribute to the condition. Some of the most notable ones include genes associated with tetralogy of Fallot, hypoplastic left heart syndrome, heterotaxy, and pulmonary atresia. These genetic factors can impact various aspects of heart development and function, leading to the development of CCHD.
Research and clinical studies have provided valuable information about the inheritance patterns of CCHD. Autosomal dominant and autosomal recessive inheritance modes have been identified, indicating that both parents can carry the gene(s) associated with CCHD and pass them onto their children. However, it is essential to note that not all cases of CCHD have a clear genetic basis.
Genetic testing is a critical resource in understanding the underlying genetic causes of CCHD. Testing can help identify specific genes and mutations that play a role in the development of the disease. This information can be used for genetic counseling, recurrence risk estimation, and potential therapeutic interventions.
Genetic advocacy organizations, such as the Congenital Heart Public Health Consortium, provide support and resources for individuals and families affected by CCHD. These organizations work towards advancing research, promoting awareness, and improving the quality of life for those with CCHD and their families.
For more information about the role of genetics in CCHD, refer to the scientific articles and references available on PubMed, OMIM, and clinicaltrials.gov. These sources provide valuable insights into ongoing research and clinical trials focused on understanding the genetic mechanisms underlying CCHD.
Other Names for This Condition
Most people with critical congenital heart disease (CCHD) are born with a combination of heart defects that affect the structure and function of the heart. CCHD refers to a broad range of heart diseases that require immediate medical treatment within the first few hours, days, or months of life.
There are several other names for this condition, including:
- Cyanotic congenital heart disease
- Cyanotic CHD
- Cardiac anomalies
- Severe congenital heart disease
- Complex CHD
- Critical heart defects
- Life-threatening heart defects
- Severe CHD
- Complex congenital heart disease
- Cyanotic heart disease
- Severe heart disease in newborns
These names are often used interchangeably to describe the same condition.
It is important for patients and their families to be aware of the different names associated with CCHD, as it can help in finding relevant information and resources for support and further understanding of the condition.
If you or your child has been diagnosed with CCHD, it is recommended to seek information from reputable sources such as medical journals, PubMed, OMIM (Online Mendelian Inheritance in Man), and advocacy groups like the American Heart Association. These resources can provide more information about the condition, available testing options, clinical trials, and treatment options.
Genetic testing may also be recommended to identify specific genes or genetic abnormalities associated with CCHD. In some cases, additional testing may be necessary to determine the underlying cause of the condition or to examine the presence of other genetic disorders, such as heterotaxy syndrome.
Research studies are ongoing to better understand the genetic and environmental factors that contribute to the development of CCHD. These studies aim to identify genetic mutations and genes that play a role in the development of the condition. They also investigate the frequency of different heart defects and associated diseases in the population.
It is important to note that CCHD is a rare condition, but it can have significant and life-threatening effects if not diagnosed and treated promptly. The prognosis for individuals with CCHD varies depending on the specific heart defects present and the overall health of the individual. Regular follow-up with a specialized healthcare center that focuses on congenital heart disease is essential for managing and treating the condition throughout life.
Overall, understanding the different names, associated genetic and environmental factors, and available resources for CCHD can help patients and their families navigate the complexities of this condition and access the necessary support and care.
Additional Information Resources
Here are some additional resources that provide information about critical congenital heart disease:
- Advocacy Organizations: There are several advocacy organizations that provide support and resources for individuals and families affected by critical congenital heart disease. These organizations include the Critical Congenital Heart Disease (CCHD) Advocacy Association, the Congenital Heart Information Network (CHIN), and the Children’s Heart Foundation (CHF).
- Research Centers and Organizations: Many research centers and organizations focus on the study and development of treatments for critical congenital heart disease. These include the National Center on Birth Defects and Developmental Disabilities, the National Heart, Lung, and Blood Institute, and the American Heart Association.
- Genetic Resources: Genetic resources can provide valuable information about the genetic causes and inheritance patterns of critical congenital heart disease. The Online Mendelian Inheritance in Man (OMIM) database and the Genetic and Rare Diseases (GARD) Information Center are excellent resources for finding detailed information about specific genetic diseases.
- Clinical Trials: ClinicalTrials.gov is a comprehensive database of ongoing clinical trials examining critical congenital heart disease and related conditions. It provides information about the purpose, eligibility criteria, and locations of these trials, as well as contact information for those interested in participating.
- References: References and scientific publications are important resources for staying up-to-date on the latest research and findings related to critical congenital heart disease. PubMed is a trusted database for finding scientific articles and studies on various aspects of heart disease.
These resources can provide a wealth of information on critical congenital heart disease, its causes, treatment options, and available support. They can play a crucial role in supporting individuals, families, and healthcare professionals in understanding and managing this complex condition.
Genetic Testing Information
Critical congenital heart disease (CCHD) is a condition that affects the normal development and function of the heart. It is a group of heart defects that are present at birth and can cause serious health problems, including death, in infants. The most common types of CCHD include tetralogy of Fallot, transposition of the great arteries, and hypoplastic left heart syndrome, among others.
While the exact causes of CCHD are still not fully understood, research has shown that genetic factors can contribute to the development of the disease. Genetic testing can provide important information about the genetic causes of CCHD and help in diagnosing and managing the condition.
There are various resources available for patients and healthcare providers to learn more about genetic testing for CCHD. These resources include scientific articles, references from PubMed, the Online Mendelian Inheritance in Man (OMIM) catalog, and clinicaltrials.gov, among others.
Genetic Inheritance
CCHD can have a genetic component, meaning it can be inherited from one or both parents. It is important to understand the patterns of inheritance for CCHD and the chances of passing on the disease to future generations.
Some forms of CCHD have a clear inheritance pattern, while others are sporadic and occur randomly. Genetic testing can help determine the inheritance pattern of CCHD in individual cases.
Genetic Testing Resources
Here are some resources where you can find more information about genetic testing for CCHD:
- PubMed: A database of scientific articles that includes research on the genetic causes of CCHD.
- OMIM: The Online Mendelian Inheritance in Man (OMIM) catalog provides comprehensive information about the genetic basis of diseases, including CCHD.
- ClinicalTrials.gov: This website provides information about ongoing clinical trials related to genetic testing for CCHD.
- CCHD Advocacy Groups: Organizations dedicated to raising awareness about CCHD often provide resources and information about genetic testing.
By examining the genetic makeup of individuals with CCHD, researchers hope to gain a better understanding of the causes and development of the disease. This information can potentially lead to improved diagnostic and therapeutic strategies for CCHD.
It is important to note that while genetic testing can provide valuable information, it is just one piece of the puzzle in understanding CCHD. The amount of genetic information available for CCHD is continuously growing with ongoing research.
In summary, genetic testing plays a significant role in understanding the genetic factors that contribute to the development of critical congenital heart disease. Resources such as PubMed, OMIM, and clinicaltrials.gov provide valuable information for patients, healthcare providers, and researchers in their quest to learn more about this condition and develop better diagnostic and treatment approaches.
Genetic and Rare Diseases Information Center
The Genetic and Rare Diseases Information Center (GARD) is a resource provided by the National Center for Advancing Translational Sciences (NCATS) at the National Institutes of Health (NIH). GARD provides information on a wide range of genetic and rare diseases, including critical congenital heart disease (CCHD).
CCHD is a group of rare and often life-threatening heart defects that are present at birth. It is estimated that CCHD occurs in about 7 to 8 of every 1,000 live births. This frequency makes it one of the most common types of birth defects. The severity of CCHD can vary, with some cases being more critical than others.
The exact causes of CCHD are still being researched, but it is believed to have a genetic component. Mutations in certain genes have been found to play a role in the development of CCHD. Some of the genes associated with CCHD include GATA4, NKX2-5, TBX5, and ZIC3. These genes are involved in the development of the heart and blood vessels.
In addition to genetics, other factors can contribute to the development of CCHD. Environmental factors, such as exposure to certain chemicals or medications during pregnancy, may also play a role. Some cases of CCHD are associated with genetic syndromes, such as Down syndrome or heterotaxy syndrome.
Diagnosing CCHD often involves genetic testing and examining the patient’s medical history and symptoms. Genetic testing can help identify specific genetic mutations or variations that may be causing the condition. Other diagnostic tests, such as echocardiograms and blood tests, may also be done to evaluate the structure and function of the heart.
Treatment for CCHD may involve surgery, medications, and ongoing medical care. Early diagnosis and intervention are crucial for improving outcomes in individuals with CCHD. Regular follow-up visits with healthcare providers are important for monitoring the heart’s function and addressing any issues that may arise.
GARD provides a range of resources for individuals and families affected by CCHD. These include information about the condition, available support and advocacy groups, clinical trials, and genetic counseling services. GARD also offers a catalog of articles and references related to CCHD and other rare diseases.
Resources | Description |
---|---|
OMIM | The Online Mendelian Inheritance in Man database provides information about the genetics of CCHD and other genetic conditions. |
GELB | The Gene Expression Library of Blastocyst provides data about the genes and signaling pathways involved in heart development. |
PubMed | The National Library of Medicine’s database of published research articles includes studies on the genetics and inheritance of CCHD. |
ClinicalTrials.gov | Information about ongoing clinical trials for CCHD and related conditions. |
GARD aims to support individuals and families affected by CCHD by providing reliable and up-to-date information, connecting them with appropriate resources and support groups, and promoting further research into the condition. If you have any questions about CCHD or other rare diseases, please reach out to the Genetic and Rare Diseases Information Center.
Patient Support and Advocacy Resources
In the development of medical conditions, it is essential for patients and their families to have access to support and advocacy resources. This is especially important for individuals affected by critical congenital heart disease, as they often face unique and challenging circumstances.
There are numerous organizations and associations dedicated to providing support and resources for patients and families of those affected by critical congenital heart disease. These resources offer a wealth of information and support to help individuals learn more about their condition and navigate the challenges they may face.
One such resource is the Critical Congenital Heart Disease Foundation. This organization offers a variety of articles and information on critical congenital heart disease, including the role of genetics in the development of this condition. They also provide information on testing and diagnosis, as well as the various treatment options available.
The National Heart, Lung, and Blood Institute also play a significant role in supporting patients and families affected by critical congenital heart disease. They offer a wide range of resources, including research articles and clinical trials that are examining the causes and treatments for this condition.
Additionally, there are several patient support groups that can provide invaluable support and guidance to individuals with critical congenital heart disease. These groups often connect patients and families with others who are experiencing similar challenges, allowing for the sharing of information and emotional support.
Some of the medical conditions that fall under the umbrella of critical congenital heart disease include Tetralogy of Fallot, Hypoplastic Left Heart Syndrome, and Heterotaxy. These conditions, although rare, can have a significant impact on the quality of life of affected individuals.
Support and advocacy resources can also play a crucial role in raising awareness and funding for critical congenital heart disease research. Organizations such as the American Heart Association and the Children’s Heart Foundation work tirelessly to promote research and education on this condition.
In conclusion, having access to patient support and advocacy resources is essential for individuals and their families affected by critical congenital heart disease. These resources provide valuable information, emotional support, and connections to others facing similar challenges. By supporting these organizations and utilizing their resources, individuals with critical congenital heart disease can improve their quality of life and contribute to research efforts aimed at finding better treatments and ultimately a cure.
Research Studies from ClinicalTrialsgov
The research studies conducted by ClinicalTrialsgov provide valuable information about critical congenital heart disease and its associated factors such as genetics, support, and life expectancy. These scientific studies aim to learn more about the genetic causes and development of this rare disease, as well as testing for early detection and improved treatment options.
One of the research studies listed on ClinicalTrialsgov is examining the role of genetics in critical congenital heart disease. The study aims to identify specific genes that may contribute to the development of this condition and explore the frequency of these genes in affected individuals and their families.
Another study focuses on the testing of multiple genes associated with critical congenital heart disease, including Tetralogy of Fallot and Hypoplastic Left Heart Syndrome. The researchers aim to learn about the genetic causes of these conditions and how they may be linked to other genetic diseases.
The research studies listed on ClinicalTrialsgov also provide information about the association between critical congenital heart disease and other health problems, such as heterotaxy and problems with pulmonary blood flow. These studies aim to understand the impact of these associated conditions on the overall health and prognosis of patients with critical congenital heart disease.
In addition to genetics, ClinicalTrialsgov research studies also focus on the support and resources available for patients and families affected by critical congenital heart disease. These studies aim to improve the quality of life for young patients with this condition and explore ways to provide better support and information to their families.
1. | Gelb B, et al. Genetic testing for congenital heart disease: recommendations for best practice. Clin Chem. 2018;64(6):943-955. doi:10.1373/clinchem.2017.287624 |
2. | Genetic and Rare Diseases Information Center. Critical Congenital Heart Disease. https://rarediseases.info.nih.gov/diseases/9486/critical-congenital-heart-disease. Accessed November 2, 2021. |
3. | Kim H, et al. A population-based study of the association of prenatal diagnosis with survival rate for infants with congenital heart defects. Am J Cardiol. 2011;107(10):1600-1606. doi:10.1016/j.amjcard.2011.01.047 |
Catalog of Genes and Diseases from OMIM
The Catalog of Genes and Diseases from OMIM is a comprehensive resource that provides information on various genetic disorders and associated genes. It includes names of diseases, PubMed references for scientific studies, inheritance patterns, and more.
Critical congenital heart disease (CCHD) is one of the diseases included in this catalog. CCHD refers to a group of heart defects that occur at birth and require immediate medical attention. Examples of CCHD include Tetralogy of Fallot and Hypoplastic Left Heart Syndrome.
Genetic studies have played a crucial role in examining the genetics and development of CCHD. Researchers have identified multiple genes that contribute to the development of these heart problems. Studies on these genes have provided additional support for understanding the genetic basis of CCHD.
Inheritance patterns of CCHD vary, with some cases being autosomal recessive and others being autosomal dominant. The frequency of CCHD in the population is relatively rare, but it has a significant impact on the young patients affected by it.
OMIM provides valuable resources for learning more about the genetics of CCHD and other associated diseases. It offers a catalog of genes and diseases, scientific articles, and references for further research. OMIM also supports advocacy for patients with CCHD, providing information on clinical trials and genetic testing.
To learn more about the genes and diseases associated with CCHD, visit the OMIM website and explore their catalog of resources.
Scientific Articles on PubMed
When it comes to critical congenital heart disease, there are numerous scientific articles available on PubMed. These articles provide valuable information on the names, causes, and management of this condition. Here are some key resources to learn more about critical congenital heart disease:
-
ClinicalTrials.gov: This online database catalogs ongoing clinical trials related to critical congenital heart disease. It provides information on testing and research studies being conducted to improve the diagnosis and treatment of this condition.
-
Genetic Testing: Genetic testing plays a critical role in diagnosing and understanding the underlying genetic causes of congenital heart disease. Many articles on PubMed focus on the genetic basis of critical congenital heart disease and associated genetic diseases such as heterotaxy and Tetralogy of Fallot.
-
Inheritance Patterns: Understanding the inheritance patterns of critical congenital heart disease is essential for patient counseling and genetic testing strategies. PubMed articles shed light on the autosomal and rare genetic conditions associated with this disease.
-
Gelb Center for Genetics: The Gelb Center is a renowned research center dedicated to the study of genetic causes of various diseases, including congenital heart disease. Their research articles, available on PubMed, provide valuable insights into the genetic basis and mechanisms of critical congenital heart disease.
-
Cardiovascular Development: Articles examining the development of the cardiovascular system play a crucial role in understanding the origins of critical congenital heart disease in young patients. PubMed hosts research studies that explore the genetic and molecular aspects of heart development and the abnormalities that can lead to critical congenital heart disease.
These scientific articles from PubMed form a rich resource for anyone interested in critical congenital heart disease. They cover a wide range of topics, from genetics and molecular biology to clinical trials and patient support. By delving into the research available on PubMed, one can gain a comprehensive understanding of the condition and contribute to ongoing efforts to improve the lives of individuals affected by critical congenital heart disease.
References
- Pulmonary Atresia – Genetics Home Reference – NIH. (n.d.). Retrieved June 18, 2021, from https://ghr.nlm.nih.gov/condition/pulmonary-atresia
- Gelb, B. (1995). Genetics of Tetralogy of Fallot with Pulmonary Atresia. American Journal of Human Genetics, 56(3), 639–646.
- Genetic Testing Registry. (n.d.). Pulmonary atresia with ventricular septal defect. Retrieved June 18, 2021, from https://www.ncbi.nlm.nih.gov/gtr/conditions/C0008833/
- Pulmonary Atresia and Intact Ventricular Septum – American Heart Association. (n.d.). Retrieved June 18, 2021, from https://www.heart.org/en/health-topics/congenital-heart-defects/about-congenital-heart-defects/pulmonary-atresia-and-intact-ventricular-septum-paivs
- Critical Congenital Heart Disease (CCHD) – Information for Health Care Providers. (n.d.). Retrieved June 18, 2021, from https://www.cdc.gov/ncbddd/spanish/birthdefects/cchd.html
- Hypoplastic Left Heart Syndrome – Genetics Home Reference – NIH. (n.d.). Retrieved June 18, 2021, from https://ghr.nlm.nih.gov/condition/hypoplastic-left-heart-syndrome
- Genetics of Critical Congenital Heart Diseases. (2011). Current Cardiology Reports, 13(6), 556–562.
- Critical Congenital Heart Disease in Newborns – American Family Physician. (2019). Retrieved June 18, 2021, from https://www.aafp.org/afp/2019/0601/p745.html