scholarly journals Prevalence of extracardiac malformations associated with congenital heart disease

2018 ◽  
Vol 5 (2) ◽  
pp. 411
Author(s):  
Sailen Kumar Bana ◽  
Asok Mandal Mandal ◽  
Niranjan Nagaraj ◽  
Sameer Saraswati ◽  
Ankush Shukla
Keyword(s):  
Congenital Heart Disease ◽  
Down Syndrome ◽  
Heart Disease ◽  
Congenital Heart ◽  
Heart Diseases ◽  
Structural Abnormality ◽  
Cross Sectional ◽  
General Physical Examination ◽  
General Physical ◽  
Systemic Examination

Background: Congenital heart disease is defined as a gross structural abnormality of the heart or intrathoracic great vessels that is actually or potentially of functional significance. This study aims to know the prevalence of occurrence of extra cardiac malformations in patients with CHD, based on clinical features and necessary investigations when required and to study whether these extracardiac malformations occur as a part of a known syndrome or they occur in isolation.Methods: This study is a cross sectional hospital based observational study, carried out in the Department of Paediatrics, Dr. B. C. Roy Postgraduate Institute of Paediatric Sciences, Kolkata over two years from July 2014 to June 2016. A thorough general physical examination, vitals, anthropometry was undertaken. Systemic examination was done in all cases according to the study proforma. CHD was confirmed by X-ray chest, Electrocardiography, Echocardiography.Results: Twenty-three percentages (23%) of the patients were found to have an associated major ECM. Down syndrome was the most commonly identified syndrome in the present study accounting for 50% of the patients of CHD with an associated syndrome. The most common CHD among patients with Down syndrome were multiple CHD and VSD.Conclusions: Whenever more than 1 minor anomalies are found, a careful search for an underling major malformation such as CHD should be made. In all cases of congenital heart diseases with associated extracardiac malformations, effort should be made by the treating pediatrician to rule out an associated syndrome; so that parents can be counselled about prognosis, recurrence in the subsequent pregnancies.

scholarly journals Prevalence and profile of congenital heart disease and pulmonary hypertension in Down syndrome in a pediatric cardiology service

2014 ◽  
Vol 32 (2) ◽  
pp. 159-163 ◽  
Author(s):  
Felipe Alves Mourato ◽  
Lúcia Roberta R. Villachan ◽  
Sandra da Silva Mattos
Keyword(s):  
Congenital Heart Disease ◽  
Pulmonary Hypertension ◽  
Down Syndrome ◽  
Heart Disease ◽  
Congenital Heart ◽  
Septal Defect ◽  
Heart Diseases ◽  
Heart Defects ◽  
Descriptive Analysis ◽  
Atrioventricular Septal Defect

OBJECTIVE:To determine the frequence and profile of congenital heart defects in Down syndrome patients referred to a pediatric cardiologic center, considering the age of referral, gender, type of heart disease diagnosed by transthoracic echocardiography and its association with pulmonary hypertension at the initial diagnosis.METHODS:Cross-sectional study with retrospective data collection of 138 patients with Down syndrome from a total of 17,873 records. Descriptive analysis of the data was performed, using Epi-Info version 7.RESULTS: Among the 138 patients with Down syndrome, females prevailed (56.1%) and 112 (81.2%) were diagnosed with congenital heart disease. The most common lesion was ostium secundum atrial septal defect, present in 51.8%, followed by atrioventricular septal defect, in 46.4%. Ventricular septal defects were present in 27.7%, while tetralogy of Fallot represented 6.3% of the cases. Other cardiac malformations corresponded to 12.5%. Pulmonary hypertension was associated with 37.5% of the heart diseases. Only 35.5% of the patients were referred before six months of age.CONCLUSIONS: The low percentage of referral until six months of age highlights the need for a better tracking of patients with Down syndrome in the context of congenital heart disease, due to the high frequency and progression of pulmonary hypertension.

scholarly journals An assessment of the pattern of congenital heart disease in children: study in a tertiary care hospital, Rajshahi, Bangladesh

2020 ◽  
Vol 8 (1) ◽  
pp. 1
Author(s):  
Kuntal Roy ◽  
Humayun Shahed ◽  
Kaushik Roy ◽  
Quazi Sahely Sarah ◽  
Nandita Sur Chowdhury
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Congenital Heart ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Structural Abnormality ◽  
Lung Field ◽  
Care Hospital ◽  
Cross Sectional ◽  
Multiple Lesions

Background: Congenital heart disease is defined as a gross structural abnormality of the heart or intrathoracic great vessels that is actually or potentially of functional significance. The aim of this study was to assess the pattern of congenital heart disease.  Methods: It was a hospital based Cross-sectional study carried out prospectively in the department of pediatrics of Rajshahi medical college and hospital from July 2011 to December 2011. The study population was all the children up to 12 years of age admitted in three pediatric units of this hospital during the study period.Results: Among the 147 clinically suspected cases congenital heart disease was confirmed in 110 cases by echocardiography. Thrill was mostly present in 60.5% of VSD cases, in 42.1% of PDA, in 50% of A-V canal defect and 10% of multiple lesions patients. Palpable P2 was present in 27.9% of VSD cases, 15% of TOF, 50% of PS and 30% of multiple lesions patients. Left parasternal heave was found in 25.6% of VSD cases, 15.6% of ASD, 88.2% of TOF, 50% of PS and 40% of multiple lesions patients. Cardiomegaly was present in 5.3% of PDA, 50% of COA, 50% of PS and 20% of multiple lesions cases. Plethoric lung field with cardiomegaly & consolidation was observed in 10% of VSD and 21% of PDA cases. Cardiomegaly with consolidation was observed in 11.6% of VSD & 15.6% of ASD cases. Boot shape heart with oligamic lung was observed in 88.2% of TOF patients. Pulmonary opacity/consolidation was found in 4.7% of VSD cases.Conclusions: It appeared that incidence of CHD is quite significant in RMCH.

scholarly journals Hubungan penyakit jantung bawaan pada anak dengan status pendidikan orang tua

e-CliniC ◽  
2016 ◽  
Vol 4 (2) ◽  
Author(s):  
Kimberly Munaiseche ◽  
Herdy Munayang ◽  
Erling D. Kaunang
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Congenital Heart ◽  
Heart Diseases ◽  
Educational Status ◽  
Developed Countries ◽  
Chi Square ◽  
Cross Sectional ◽  
Live Births ◽  
Education Levels

Abstract: Congenital heart disease (CHD) has an incidence of 30% of all congenital abnormalities. The incidences of CHDs in developed countries and developing countries range from 6-10 cases per 1000 live births, with an average of 8 per 1,000 live births. Education and knowledge of parents play important roles in the treatment of CHD. This study was aimed to determine the relationship between CHD in children and the educational status of parents. This was an analytical observational study with a cross sectional design. Subjects were all children admitted to the Pediatrics Department Prof. Dr. R. D. Kandou Manado in 2014-2015 due to heart diseases. Data consisted of sex, age, and the last education of the parents. Data were analyzed by using the Chi-Square test. The results showed that there were 100 children with heart diseases consisted of 53 males and 47 females. There were 38 males (52.8%) with positive CHD and the highest percentage of positive CHD was at 7-12 years as many as 17 children (60.7%). Based on education level, most of the children’s fathers were senior high school (42.9%) as well as the children’s mother (53.6%). The Chi-Square showed p= 0.776 and p= 0.532 for the relationships between the fathers’ as well as the mothers’ education levels and congenital heart disease in children. Conclusion: There was no significant relationship between parents’ educational level and congenital heart disease in children.Keywords: congenital heart disease, education. Abstrak: Penyakit jantung bawaan (PJB) merupakan kelainan bawaan yang sering dijumpai, dengan angka kejadian 30% dari seluruh kelainan bawaan. Insiden PJB dinegara maju maupun negara berkembang berkisar 6-10 kasus per 1000 kelahiran hidup, dengan rata-rata 8 per 1000 kelahiran hidup. Pendidikan, pengetahuan, dan pekerjaan orang tua berperan penting dalam penanganan PJB. Penelitian ini bertujuan untuk mengetahui adanya hubungan antara PJB pada anak dengan status pendidikan orang tua. Jenis penelitian ialah analitik observasional dengan desain potong lintang. Subjek penelitian ialah semua anak dengan penyakit jantung yang dirawat di Instalasi Rawat Inap di Bagian Ilmu Kesehatan Anak RSUP Prof. Dr. R. D. Kandou Manado tahun 2014-2015. Data diambil dari Bagian Rekam Medik berupa jenis kelamin anak, usia anak, serta pendidikan terakhir ayah dan ibu. Analisis data dilakukan dengan uji Chi-Square. Hasil penelitian mendapatkan jumlah subjek penelitian sebanyak 100 anak terdiri dari 53 anak laki-laki dan 47 anak perempuan. Berdasarkan jenis kelamin yang terbanyak positif PJB ialah laki-laki sebanyak 38 orang (52,8%). Berdasarkan usia yang terbanyak positif PJB ialah 7-12 tahun sebanyak 17 anak (60,7%). Pendidikan terbanyak ialah SLTA yaitu pada ayah 42,9% dan pada ibu sebesar 53,6%. Uji Chi-Square, mendapatkan p = 0,776 dan p = 0,532 untuk hubungan tingkat pendidikan ayah dan ibu dengan PJB. Simpulan: Tidak terdapat hubungan bermakna antara tingkat pendidikan orang tua dengan penyakit jantung bawaan pada anak. Kata kunci: penyakit jantung bawaan, pendidikan

scholarly journals Growth curves in Down syndrome with congenital heart disease

2016 ◽  
Vol 62 (5) ◽  
pp. 414-420 ◽  
Author(s):  
Caroline D’Azevedo Sica ◽  
Claudia Ciceri Cesa ◽  
Lucia Campos Pellanda
Keyword(s):  
Congenital Heart Disease ◽  
Down Syndrome ◽  
Heart Disease ◽  
Nutritional Status ◽  
Congenital Heart ◽  
Dietary Habits ◽  
Normal Weight ◽  
World Health ◽  
Cross Sectional ◽  
Food Frequency

SUMMARY Introduction: To assess dietary habits, nutritional status and food frequency in children and adolescents with Down syndrome (DS) and congenital heart disease (CHD). Additionally, we attempted to compare body mass index (BMI) classifications according to the World Health Organization (WHO) curves and curves developed for individuals with DS. Method: Cross-sectional study including individuals with DS and CHD treated at a referral center for cardiology, aged 2 to 18 years. Weight, height, BMI, total energy and food frequency were measured. Nutritional status was assessed using BMI for age and gender, using curves for evaluation of patients with DS and those set by the WHO. Results: 68 subjects with DS and CHD were evaluated. Atrioventricular septal defect (AVSD) was the most common heart disease (52.9%). There were differences in BMI classification between the curves proposed for patients with DS and those proposed by the WHO. There was an association between consumption of vitamin E and polyunsaturated fatty acids. Conclusion: Results showed that individuals with DS are mostly considered normal weight for age, when evaluated using specific curves for DS. Reviews on specific curves for DS would be the recommended practice for health professionals so as to avoid precipitated diagnosis of overweight and/or obesity in this population.

scholarly journals Study the universal critical congenital heart disease screening in a peripheral area of Uttarakhand, India

2020 ◽  
Vol 7 (9) ◽  
pp. 1849
Author(s):  
Ravi Sahota ◽  
Navpreet Kaur ◽  
Gurpal Singh ◽  
Veena Joshi ◽  
Bharti Gahtori ◽  
...  
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Congenital Heart ◽  
Screening Program ◽  
Heart Diseases ◽  
Research Work ◽  
Congenital Heart Diseases ◽  
Critical Congenital Heart Disease ◽  
Cross Sectional ◽  
Birth Prevalence

Background: Congenital heart disease (CHD) is the most frequently occurring congenital disorder, responsible for 28% of all congenital birth defects. The birth prevalence of CHD is reported to be 8-12/1000 live births. Considering a rate of 9/1000, about 1.35 million babies are born with CHD each year globally. Objective of research work to study the prevalence of CHD among newborn and its types.Methods: This cross-sectional study was carried among 34 cases of CHD/5126 newborn screened at 4 birthing places in Kashipur a small town in Uttrakhand at pediatrics department of Sahota Super-specialty hospital, Kashipur, Uttarakhand. Screening program between 22 August 2014, and March 30, 2019. All newborns, including preterm babies, delivered in these facilities were eligible for inclusion in this study.Results: Present study found the prevalence of CHD was 0.7 per 1000 children (34/5126). Around 26.5% participants have cyanotic CHD and 73.5% have acynotic CHD. Almost 44%, 28%, 20%, 4% and 4% participants of acynotic congenital heart diseases have VSD, ASD, PDA, AVSD and valvular PS respectively and 55.6%, 22.2%, 11.1% and 11.1% participants of cynotic congenital heart diseases have TOF, DORV/VSD, dTGA/VSD and tricuspid atresia respectively.Conclusions: Screening for congenital heart disease should be included as a part of newborn assessment as it is a common congenital problem. Early identification influences outcome. Barriers in implementation of the screening programmes in resource limited setting is a challenging feature. This study can provide observed data that can help in policy making in the health sector.

scholarly journals Frequency and Pattern of Congenital Heart Diseases in Newborn in a Tertiary Care Hospital

2019 ◽  
Vol 31 (2) ◽  
pp. 35-38
Author(s):  
Md Belal Uddin ◽  
Md Belal Hossain ◽  
Khalilur Rahman ◽  
Nigar Sultana ◽  
Md Manirul Haque Tarafder ◽  
...  
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Congenital Heart ◽  
Heart Diseases ◽  
Tertiary Care ◽  
Normal Growth ◽  
Care Hospital ◽  
Cardiac Murmur ◽  
College Hospital ◽  
Cross Sectional

Congenital heart disease is most common heart disease in children and causes significant morbidity and mortality. This study was done to evaluate the frequency and pattern of congenital heart disease in neonates (age ≤ 28 days) admitted in a tertiary care level hospital. It was a cross-sectional descriptive type of study conducted at the Department of Paediatrics of Rajshahi Medical College Hospital from January 2014 to December 2015. Among the 4120 neonates admitted in RMCH in that period, 52 cases had cardiac murmur on auscultation. Incidence of cardiac murmur in the newborn was 1.26%. Clinically, among the 52 cases, 40 cases were thought to have pathological murmur and 12 cases were thought to have innocent murmur. During echocardiography, structural cardiac defect (congenital heart disease) was detected in 38 cases. So, incidence of congenital heart disease was 9.22/ 1000 live births. Remaining 14 cases had normal cardiac anatomy in echocardiography. VSD (12 cases) was the most common type of acyanotic congenital heart disease (23.08%) followed by ASD (11 cases) and PDA (6 cases). Among the cyanotic congenital heart disease, tetralogy of Fallot was the most common abnormality and it was found in 4 cases (7.69%). In this study, parental consanguinity was detected in 4 cases (7.69%). Early diagnosis, timely referral and proper management of congenital heart can save valuable lives and allow normal growth and development. TAJ 2018; 31(2): 35-38

scholarly journals Cardiopatia congênita: estado nutricional e proporcionalidade corporal ao nascimento

2020 ◽  
Vol 35 (1) ◽  
pp. 13-19
Author(s):  
Izabela dos Santos Pereira ◽  
Cláudia Porto Sabino Pinho ◽  
Adriana César da Silveira
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Nutritional Status ◽  
Congenital Heart ◽  
Heart Diseases ◽  
Ponderal Index ◽  
Congenital Heart Diseases ◽  
Cyanotic Heart Disease ◽  
Cross Sectional ◽  
Using Data

Introduction: Congenital heart diseases have a great impact on perinatal and infant mortality rates in Brazil. These are diseases that can lead to compromised growth and development of the child. The purpose of this study is to describe the nutritional condition and the corporal proportionality to the birth of children with congenital heart disease. Methods: A cross-sectional, retrospective study using data on the birth of children with congenital heart disease admitted to a cardiology service in the Northeast of Brazil between 2011 and 2014. The nutritional status was assessed by weight/age (W/A) indicators, length/age, weight/length, body mass index/age (BMI/A), ponderal index, cephalic perimeter. Results: A total of 117 patients were evaluated, being 60.7% male and 20.9% with cyanotic heart disease. It was found that 6.8% of the children were low birth weight. The nutritional indexes showed a 3.4% deficit in the W/A indicator, in weight/length 5.1%, for BMI/A 4.3% and length/age 7.8%. The ponderal index showed that 28.2% of the children were disproportionate at birth and 84.4% had a normal head circumference. Lower Z score values of W/A (p = 0.030) and BMI/A (p = 0.023) for cyanotic heart disease compared to other types of congenital heart diseases were observed in our study. Conclusions: Children with congenital heart disease had relatively preserved nutritional status at birth, with prevalence of nutritional disorders similar to those described in the literature.

scholarly journals Association of congenital heart diseases with extracardiac anomalies

2017 ◽  
Vol 4 (5) ◽  
pp. 1807 ◽  
Author(s):  
Mithlesh Dewangan
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Congenital Heart ◽  
Prospective Observational Study ◽  
Heart Diseases ◽  
Cross Sectional Study ◽  
Congenital Heart Diseases ◽  
Cross Sectional ◽  
Medical College ◽  
Jawaharlal Nehru

Background: Congenital heart diseases are one of the main causes of death among the congenital malformations. An extracardiac malformation further increases the risk of morbidity and mortality to these patients, in addition to risks of surgical correction. So here comes the importance of extracardiac malformation.Methods:This prospective observational study was conducted at Neonatology Section, Department of Pediatrics, Jawaharlal Nehru Medical College, Aligarh Muslim University, Aligarh. The study was conducted over a period of 2 years (from January 2015 to December 2016). Newborns with congenital heart disease were examined for extracardiac defects.Results: This hospital based cross-sectional study found that there were 121 cases of congenital heart diseases among 11030 live births making an incidence of 1.09% Out of these 73.5% were acyanotic heart diseases and 26.5% were cyanotic heart disease. Extracardiac anomalies were found in 38 (31.5%) cases.Conclusions:Association of Congenital heart disease with extracardiac anomalies is well known. Syndromes are most commonly associated. 

scholarly journals Pattern of congenital heart diseases among children with Down syndrome attending a tertiary care medical college hospital

2017 ◽  
Vol 4 (4) ◽  
pp. 1357
Author(s):  
Kumar G. V. ◽  
Srinivasa V. ◽  
Ananda kumar T. S.
Keyword(s):  
Congenital Heart Disease ◽  
Down Syndrome ◽  
Heart Disease ◽  
Chromosomal Abnormality ◽  
Trisomy 21 ◽  
Congenital Heart ◽  
Heart Diseases ◽  
Tertiary Care ◽  
Congenital Heart Diseases ◽  
Increased Risk

Background: Down syndrome (DS) is the most common chromosomal abnormality associated with learning difficulties with reported incidence between1/600 -1/1000 live births. DS (trisomy 21) is the most common chromosomal abnormality seen in clinical practice. Most children with DS have trisomy 21, due to chromosomal non-disjunction during meiosis; however, other abnormalities, such as Robertsonian translocation, mosaic, double or triple aneuploidies have been reported. The association between DS and congenital heart disease (CHD) is well established. Congenital heart disease is the most common cause of death among patients with DS and affected children have an increased risk of mortality.Methods: The present descriptive study was conducted on children who had clinical features suggestive of Down syndrome and who were karyotypically proved as Down syndrome.Results: In 100 cases of down syndrome 60 children were males and 40 children were females. 45 children had congenital heart diseases. The frequency of CHD in down syndrome is 45%. Ventricular septal defect was the most common CHD found 40% children with down syndrome.Conclusions: All children with Down’s syndrome should have a cardiac evaluation at birth. Early referral and screening of all babies born with the clinical phenotype of DS should be encouraged due to the high prevalence of congenital heart defects. 

Burden of Care Among Mothers Having Children with Congenital Heart Diseases

2020 ◽  
Vol 40 (2) ◽  
pp. 72-77
Author(s):  
Nita Sharma ◽  
Pratima Sharma ◽  
Tulashi Adhikari Mishra
Keyword(s):  
Heart Disease ◽  
Congenital Heart ◽  
Heart Diseases ◽  
Sampling Technique ◽  
Structured Interview ◽  
Health Condition ◽  
P Value ◽  
Burden Of Care ◽  
Cross Sectional ◽  
Significance Level

Introduction: Congenital Heart Disease (CHD) is a problem with structure and function of the heart that is present at birth.  Children with CHD require special care, treatment and follow up for a number of common conditions which may be quite straining to the care givers. The objective of the study was to find out the burden of care among mothers having children with CHD. Methods: This descriptive cross-sectional study was carried out in a cardiac centre of Nepal. A total of 95 mothers having children with CHD attending outpatient department of our institute were selected as the sample for the study using non-probability purposive sampling technique. A semi structured interview questionnaire consisting of the Modified Caregiver Strain Index was used to assess the burden of care among mothers having children with CHD. Frequency and percent were used to describe the variables and chi- square test at 0.05 significance level was used to analyse associations. Results: Most (77.9%) of the mothers were regularly strained to find that their children’s health condition was deteriorating due to CHD. Nearly half (44.2%) of the mothers always had financial constrain while giving care to the child, nearly half (40%) of the mothers had done emotional adjustments to take care of their children with CHD, another two-fifths (28.4%) of the mothers sometimes had disturbed sleep and almost half (46.3%) of the mothers were always upset due to some behaviour of their child with CHD. Half (50.5%) of the mothers had high level of burden of care. Statistically significant association were found between age of the mother and level of burden of care (p value = 0.05). Similarly, the type of family (p value = 0.005), age of the children (p value = 0.000) and type of CHD (p value = 0.002) were significantly associated with the level of burden of care among the mothers. Conclusion: The study concluded that mothers tend to feel less burden of care as the child grows older, mothers having children with cyanotic heart disease tend to experience more burden of care. Mothers of less than thirty years of age and living in a joint family also experience more burden of care.  

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