RT Journal Article SR Electronic T1 Sex differences in congenital heart disease in Down syndrome: study data from medical records and questionnaires in a region of Japan JF BMJ Paediatrics Open JO BMJ Paediatrics Open FD BMJ Publishing Group Ltd SP e000414 DO 10.1136/bmjpo-2018-000414 VO 3 IS 1 A1 Takako Takano A1 Michio Akagi A1 Haruyoshi Takaki A1 Ryo Inuzuka A1 Yoshitsugu Nogimori A1 Hiroshi Ono A1 Masahide Kaneko A1 Norifumi Hagiwara YR 2019 UL http://bmjpaedsopen.bmj.com/content/3/1/e000414.abstract AB Reports indicate lower Down syndrome (DS) survival among females than among males in Australia, contrasting with female longevity in the general population. Using data on 1310 people with DS (626 females and 684 males) in Japan from five hospitals’ medical records and questionnaires completed by parents of people with DS, we investigated sex differences in congenital heart disease (CHD), which may be related to mortality. The CHD rate was significantly higher for females (354, 57%) than for males (338, 49%; p=0.010). Significantly more females (199, 32%) than males (175, 26%) underwent surgery for CHD (p=0.018).