Classification of the study cohort by CHD symptoms and etiology, and according to ICD-10 (WHO 2016). ACY, acyanotic; CY, cyanotic; NBDPS, National Birth Defect Prevention Study (CDC coordinated USA nationwide study); LVOTO, left ventricular outflow tract obstruction; PDA, patent ductus arteriosus; RVOTO, right ventricular outflow tract obstruction; AVSD, atrioventricular septal defect; Q20, congenital malformations of the cardiac chambers and connections; Q21, congenital malformations of the cardiac septa; Q22, congenital malformations of the pulmonary and tricuspid valves; Q23, congenital malformations of the aortic and mitral valves; Q24, other congenital malformations of the heart; Q25, congenital malformations of the great arteries.