scholarly journals 1355 Clinical Profile of Congenital Heart Diseases in Children in Khartoum, Sudan

2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
A B E Elhassan ◽  
M. Suliman T Salman ◽  
I. Hassan E Elkhidir ◽  
S. Omer O Mohamed ◽  
A Ibrahim ◽  
...  
Keyword(s):  
Congenital Heart ◽  
Heart Diseases ◽  
Tertiary Care ◽  
Pulmonary Atresia ◽  
Total Sample ◽  
Clinical Profile ◽  
Congenital Heart Diseases ◽  
Cross Sectional ◽  
Heart Abnormalities ◽  
Tertiary Care Hospitals

Abstract Aim Congenital heart diseases (CHDs) are heart abnormalities that present at birth and are one of the most common birth defects in children. Few studies assessed the clinical profile of CHDs in Sudan, and they are almost outdated. The aim of this study was to provide a recent overview of the clinical profile of CHDs in Khartoum, Sudan. Method a descriptive cross-sectional hospital-based study was done in 2016 in 3 main pediatric tertiary care hospitals in Khartoum. Firstly, the authors included all patients presented with suspicion of cardiac diseases. From which only those diagnosed with CHDs were included. The total sample size was 112 patients, from which CHDs comprised 60 patients. Results among the 112 patients, 53.6% had CHDs, 25% had acquired diseases, and 21.4% were normal. Of those with CHD, 60% were having acyanotic CHD, and 21.7% were having cyanotic CHD, the remaining patients had other cardiac defects. VSD was the most predominant individual CHD (33%), followed by ASD (19%), PDA (16.8%) and TOF (16.8%). VSD was the most common acyanotic lesion, while TOF was the most common cyanotic lesion followed by TGA and pulmonary atresia (PA). Conclusions We have an updated overview of the clinical profile of CHDs in Khartoum, Sudan. CHDs were the most common form within all pediatric patients with cardiac disease. From these CHDs, acyanotic lesions were the most common ones. VSD was the most common acyanotic lesion followed by PDA. TOF was the most common cyanotic lesion. These findings are consistent with studies done regionally and internationally.

scholarly journals Clinical profile and outcome of children with congenital heart diseases admitted with acute events in a paediatric tertiary care unit in North Karnataka

2021 ◽  
Author(s):  
Ramaning Loni ◽  
Pruthvi Ranganath ◽  
Manisha Juvekar ◽  
Nitin Tikare ◽  
L. H. Bidari ◽  
...  
Keyword(s):  
Risk Factors ◽  
Congenital Heart ◽  
Heart Diseases ◽  
Protein Energy Malnutrition ◽  
Tertiary Care ◽  
Clinical Profile ◽  
Congenital Heart Diseases ◽  
Age Group ◽  
Presenting Symptoms ◽  
Co Morbidity

Background: Congenital heart diseases are the predominant causes of paediatric morbidity and mortality. This study was done to know the clinical profile, various acute presentations, and risk factors for repeated hospitalizations and their outcome in children with congenital heart diseases.Methods: This prospective observational study of children in the age group of 0 hour-12 years, who were previously diagnosed and or newly diagnosed with congenital heart diseases.Results: A total of 102 children were present during the study period. The most common age group for congenital heart disease was infancy with 46.1% (47 cases) of children. Acyanotic heart diseases were observed in 73.5% (75 cases) of the total, followed by cyanotic CHD with 14.7% (15 cases), complex CHD with 9.8% (10 cases), and the least, valvular diseases with 2% (2 cases). The most usual presenting symptoms in children with CHDs were breathlessness with 66.7% (67 cases), followed by fever with 54.9% (56 cases) and cough with 48% (49 cases. In this study, 23.5% (24 cases) of the children were completely immunized. The protein-energy malnutrition was present in 51% of cases (52 cases). The 16.7% of them (17 cases) have got the motor developmental delay predominantly. The dysmorphic features were present in 19 cases (18.6%) of total cases. The chest X-ray findings were abnormal in 58.8% (60 cases). The most common risk factor(co-morbidity) in children with CHD was noticed to be anaemia in 43 cases (42.2%).Conclusions: The infancy and early childhood are the most common age group for the presentation of CHDs. Most of them had the associated risk factors (co-morbid) like nutritional anaemia, pneumonia, and failure to thrive.

Fetal echocardiography in Lithuania: traditions, significance and problems

2010 ◽  
Vol 17 (3-4) ◽  
pp. 116-122
Author(s):  
Ramunė VANKEVIČIENĖ
Keyword(s):  
Congenital Heart Defects ◽  
Congenital Heart ◽  
Heart Diseases ◽  
Fetal Echocardiography ◽  
Heart Defects ◽  
Tertiary Care ◽  
Congenital Heart Diseases ◽  
Conduction Disturbances ◽  
Tertiary Care Centers ◽  
Almost All

Background. The discovery of ultrasound has made a revolution in almost all fields of medicine. The past three decades have withessed an intensive development of fetal echocardiography methods and technique. The aim of the paper is to present a review of the results and trends of the last 10 years of fetal echocardiography in Lithuania and to show the spectrum and outcomes of prenatally detected congenital heart diseases. Materials and methods. Fetal echocardiography was performed for 1816 fetuses during the period from 1999 to 2009. Results. Cardiac pathology was diagnosed in 176 (9.7%) fetuses. Heart defects were detected in 112 (63.6%) of them, cardiac rhythm and conduction disturbances in 62 (35.2%), cardiomyopathy in 2 (1.1%) fetuses, and heart rhabdomyoma in 1 (0.6%) fetus. The general rate of the postnatal diagnosis of congenital heart defects in Lithuania was about 10%. Most of fetal cardiac diseases (70.5%) were diagnosed after 22 weeks of gestation. Because most of antenatally diagnosed congenital heart defects (74%) were critical and inconsistent with life, a large part of newborns (40.2%) died in the neonatal period, 10.7% of fetuses died in utero, and 8% of pregnancies were terminated by abortion. The data demonstrate good tendencies: the diagnosis has become earlier, a wider spectrum of diseases have been diagnosed, more newborns have survived. Our survey shows that 41.1% of newborns with prenatally diagnosed congenital heart defects have survived. Conclusions. 10% of severe congenital heart diseases are detected prenatally in Lithuania. The efficacy of antenatal diagnostics depends on the qualification of specialists, the number of tertiary care centers, on a successful collaboration among pediatric cardiologists, obstetricians and geneticists. The main problem is an insufficient preparation of obstetricians, the uncertified favor of pediatric cardiologist. Keywords: congenital heart disease, fetal echocardiography, antenatal diagnostics

scholarly journals Clinical spectrum of congenital heart diseases in a tertiary care hospital

2016 ◽  
Vol 4 (12) ◽  
pp. 2114-2119 ◽  
Author(s):  
Dr. Sharja Phuljhele ◽  
◽  
Dr. Shashikant Dewangan ◽  
Dr. Pranali Thombre ◽  
◽  
...  
Keyword(s):  
Congenital Heart ◽  
Tertiary Care Hospital ◽  
Heart Diseases ◽  
Tertiary Care ◽  
Clinical Spectrum ◽  
Congenital Heart Diseases ◽  
Care Hospital

scholarly journals Maternal tobacco consumption during pregnancy and risk of congenital heart diseases in offspring

2018 ◽  
Vol 5 (3) ◽  
pp. 1023 ◽  
Author(s):  
Deveshwar Dev ◽  
Rambabu Sharma ◽  
Meenakshi Sharma
Keyword(s):  
Congenital Heart ◽  
Heart Diseases ◽  
Smoking Habit ◽  
Tobacco Consumption ◽  
P Value ◽  
Congenital Heart Diseases ◽  
Cross Sectional ◽  
Increased Risk ◽  
History Of ◽  
Age And Sex

Background: Maternal tobacco consumption (both active and passive) during pregnancy as a risk factor for congenital heart diseases in off-springs has been studied by some workers with a small number of subjects hence requires to be evaluated through a study with a significant size of cohort. The objective of the study was to find out the association between maternal tobacco consumption and the risk of CHDs among their off springs.Methods: This is a hospital based, comparative, cross sectional, observational study. 518 children with CHDs, confirmed by echocardiography were included as cases and 240 children without any obvious congenital anomaly matched for age and sex were taken as controls. The following clinical observations were collected through questionnaires in a predesigned Performa: maternal and paternal tobacco consumption during pregnancy; maternal medical, gestational and obstetric history; and other birth defects.Results: Children from case and control groups were comparable with respect to age and sex at the inclusion in the study. Out of the total 758 study participants, 73 children (14.01%) with CHDs had history of maternal tobacco consumption (active consumption) during pregnancy and 86 children (16.6%) with CHDs had history of paternal smoking habit (P value was highly significant).Conclusions: Tobacco consumption during pregnancy (both active and passive) confer an increased risk of CHDs in their off springs (p value <0.001).

Congenital Heart Disease in non-Diabetic Large-for-Gestational-Age (LGA) Neonates

2020 ◽  
Vol 20 ◽  
Author(s):  
Majid Firouzi ◽  
Hamidreza Sherkatolabbasieh ◽  
Alireza Nezami ◽  
Shiva Shafizadeh
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Birth Weight ◽  
Gestational Age ◽  
Congenital Heart ◽  
Heart Diseases ◽  
Large For Gestational Age ◽  
Congenital Heart Diseases ◽  
Increased Risk ◽  
Heart Abnormalities

Background: Congenital heart diseases are the most prevalent congenital abnormalities in the neonates, caused by the environmental and genetic factors and contribute to the leading cause of death. The aim of this study is to evaluate the relationship between neonates with large for gestational age and increased risk of congenital heart diseases among nondiabetic mothers. Methods: In this study, 179 neonates with large for gestational age in Khorramabad were enrolled where heart abnormalities were evaluated using echocardiography. Results: 87 neonates had more than 4000 g of the birth weight with no heart abnormalities and 92 (51%) macrosomic neonates had congenital heart diseases. Statistical analysis revealed that there was a significant relationship between birth weight and increased risk of acquiring congenital heart disease between the two groups. There was no significant relationship between birth weight, maternal age, gender, labor type and blood group between the two groups. The highest incidence of congenital heart anomalies was related to 38% of arterial septal defect (ASD) and 15.2% of ASD and VSD, respectively Conclusion: The most prevalent abnormality was arterial septal ASD. None of these abnormalities were associated with maternal age, birth weight and neonate gender. Future studies for congenital heart disease and neonatal birth weight are therefore, recommended.

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