Cardiovascular Disease FAQ

 

 

 










 


 

 

What is "congenital"?
 
 
What is congenital, cardiovascular disease?

Printable version

 

 

 

What is "congenital"?

“Congenital” describes any condition that exists at birth.  However, many congenital conditions are not identified until days, weeks, months or even years after a baby is born.

Congenital heart defects are the most frequently occurring birth defect.  Approximately, 1 out of every 100 babies born in the Unites States has congenital heart disease (CHD).  In other words, the incidence of CHD in the U.S. (# of babies born each year with CHD in the U.S.) is twenty-five to forty thousand.

A baby’s heart begins to develop 3 weeks post conception and is completely formed by 8 weeks gestation.  Therefore, most CHDs occur during these crucial first 8 weeks of development.

Specific steps must take place in order for the heart to form correctly.  Often, CHDs are the result of problems in one or more of these crucial steps.  Possible problems include steps not occurring, taking place at the wrong time, or happening in the wrong order.  Sometimes, it is possible to associate specific environmental and/or genetic factors to errors in the development of the heart.

For information on why congenital heart disease happens, please click here.

 

Last Update 6-22-04

What is congenital, cardiovascular disease?

Congenital cardiovascular disease is a broad term that refers to medical problems in the development of either the heart (cardio) or the blood vessels (vasculature) supporting the heart.  An example of a congenital cardiovascular disease is supravalvar aortic stenosis (SVAS) diagnosed frequently in people affected by Williams syndrome. 

Congenital heart disease and congenital heart defects are terms that are often used interchangeably with congenital cardiovascular disease.   The terms differ slightly in meaning and are therefore described below:

Congenital Heart Disease (CHD) comprises all differences in the heart’s structure or function that occur during fetal development and are present at birth.  An example of a common structural problem is an atrial septal defect (ASD), an opening between the two atria of the heart.  Cardiomyopathy, a set of disorders where heart wall muscles may become either too thick, thin, or stiff, is an example of a functional problem.  The spectrum of heart conditions ranges from silent or benign conditions (which may resolve spontaneously and have little or no medical consequence) to problems that could eventually lead to heart failure.

Congenital heart defects are changes from the expected structure of the heart.  They can be simple or complex.  When there is only one difference from the expected structure, the condition is considered simple.  A ventricular septal defect (VSD), an opening between the two ventricles, is an example of a simple heart defect.  Tetralogy of Fallot is an example of a complex congenital heart defect because it involves four different heart defects.

Congenital heart defects can also be found either isolated or in conjunction with other medical problems.  A person has an isolated heart defect, when no other medical problems have been identified.  Sometimes, cardiac defects are found along with problems in one or more other areas of the body.  When problems are found in more than one organ system (e.g., heart and kidney), or in more than one aspect of overall growth and development (e.g., heart and learning), the constellation of challenges is sometimes referred to as a sequence (e.g., DiGeorge sequence) or as a syndrome (e.g., Williams syndrome).

For more answers to this question, please visit the American Heart Association Congenital Cardiovascular Defects page.

 

Last Update 06-22-04