scholarly journals Past and Present Pattern of Congenital Heart Disease at Dhaka Shishu Hospital: A Situation Analysis

2012 ◽  
Vol 34 (2) ◽  
pp. 51-55 ◽  
Author(s):  
Manzoor Hussain ◽  
Sarabon Tahura ◽  
Md Abu Sayeed ◽  
Md Mizanur Rahman ◽  
Md Mahbubur Rahman ◽  
...  
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Early Detection ◽  
Congenital Heart ◽  
Septal Defect ◽  
Heart Diseases ◽  
Recent Time ◽  
Study Results ◽  
Tertiary Center ◽  
Disease Pattern

Background: Congenital heart disease (CHD) is the most common congenital problem in children. In order to avoid complications, reduce mortality and for proper management early detection of congenital heart disease is of utmost importance. Objectives: The purpose of this study was to find out a single tertiary center experience in disease pattern of CHD among children with comparative analysis of past and present situation. Methods: This study was conducted over a period of 2 years from January 2008 to December 2009 prospectively and another 2 years data was collected from hospital records from January 1998 to December 1999 retrospectively on all patients with the confirmed diagnosis of CHD admitted in Dhaka Shishu Hospital to compare present and past status. Patients from 1st day of life to 12 years of age were included in the study. Results: Acyanotic heart diseases were commonly found both in past and present (75% and 78.5% respectively) and among them Ventricular Septal Defect (VSD) was found the most common CHD (32.7% and 26.9% respectively). Atrial Septal Defect (ASD) was found 2nd most common CHD (25.6% and 21.2% respectively). Only 11.9% CHD were diagnosed during neonatal period in the past whereas 27.6% were diagnosed in the recent time. Rare CHD were detected more frequently in recent time. Conclusion: VSD is the commonest non-cyanotic lesion whereas TOF is the commonest cyanotic lesion both in past and present, though their frequency reduced than before. Early detection and detection of rare CHD during recent time may reflect the advancement of diagnostic skill and facilities as well as awareness. DOI: http://dx.doi.org/10.3329/bjch.v34i2.10217 BJCH2010; 34(2): 51-55

scholarly journals Pattern of Congenital Heart Disease in Children Presenting at Paediatric Cardiology Unit in Chattagram Maa Shishu-O-General Hospital, Chittagong

2018 ◽  
Vol 16 (2) ◽  
pp. 40-43
Author(s):  
Sukhendu Shekhar Sen ◽  
Tanuka Barua ◽  
Dipika Dey ◽  
Mahmood A Chowdhury ◽  
Lutfan Nessa
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Early Detection ◽  
Congenital Heart ◽  
Septal Defect ◽  
Color Doppler ◽  
Mortality And Morbidity ◽  
Diagnostic Facility ◽  
Disease Pattern ◽  
Acyanotic Congenital Heart Disease

Background: Congenital Heart Disease (CHD) is the most common congenital problem in children. Early detection and proper management of congenital heart disease is very important to reduce mortality and morbidity. The purpose of this study was to find out the disease pattern of CHD among children in present situation in a center outside Dhaka.Methods: This study was conducted over a period from March 2016 to June 2017 prospectively and all patients with CHD was diagnosed by Color Doppler Echocardiography aging from 1st day of life to 12 years were included in the study.Results: Acyanotic CHD was most common among CHD. Atrial Septal Defect (ASD) was the commonest acyanotic congenital heart disease 100 (35.7 %) followed by Ventricular Septal Defect (VSD) 77 (27.5 %). Commonest cyanotic CHD was Tetralogy of Fallot (TOF) 9 (3.2 %). Only 25.36 % CHD were diagnosed during neonatal period whereas 54.64 % were diagnosed during the period of 29 days to completion of 12 months. Most of the patient (63.21%) were male.Conclusion: ASD was the commonest acyanotic CHD whereas TOF was the commonest cyanotic CHD. About 80% cases were diagnosed before 1 year of age. With the advancement of diagnostic facility and neonatal care, early detection of CHD is possible and treatment can be started at an earlier age.Chatt Maa Shi Hosp Med Coll J; Vol.16 (2); July 2017; Page 40-43

scholarly journals Gamut of congenital heart diseases in a tertiary center in South India: an ode to echocardiography

2017 ◽  
Vol 4 (3) ◽  
pp. 1021
Author(s):  
Doddabasava K ◽  
Prijo Philip ◽  
Sumanth Shetty B ◽  
Chinthu Sara Jacob ◽  
Subramanyam K
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Congenital Heart ◽  
Septal Defect ◽  
Heart Diseases ◽  
Cyanotic Congenital Heart Disease ◽  
Congenital Heart Diseases ◽  
Prevalence Rates ◽  
Diagnostic Modality ◽  
Tertiary Center

Background: Echocardiography has supplanted clinical acumen in diagnosis of congenital heart diseases (CHDs). Prevalence rates of CHDs across various regions of the world are subject to change over the course of time, with increasing use of this diagnostic modality. Objective: To assess the prevalence and types of CHDs.Methods: The study was conducted at a tertiary care center in South Karnataka, India. Transthoracic echocardiographic records of all patients suspected to have congenital heart disease, over a period of 60 months were analyzed. Categorization of data into acyanotic and cyanotic congenital heart disease, and further, into different types was done after an exhaustive search. Specific variables such as age, frequency and gender distribution of all kinds of CHDs were computed.Results: Of a total 112,372 pediatric patients who attended our center, 1451 reports of subjects suspected to have CHDs were analyzed. The prevalence was found to be 6.22 per 1000 subjects. Of the 700 subjects (48.24%) with CHD, 664 (94.85%) were diagnosed to have Acyanotic Congenital Heart Disease and 36 (5.14%) were diagnosed to have Cyanotic Congenital Heart Disease. Among the Acyanotic CHD, Atrial Septal Defect (ASD) was found to be the most common (40.21%) seconded by Ventricular Septal Defect (VSD) (21.53%). Among the 36 subjects diagnosed to have Cyanotic CHD, it was found that Tetralogy of Fallot (TOF) was the most commonest lesion (61.11%).Conclusions: Increased utilization of Echocardiography as a diagnostic modality significantly helps to better appreciate ever varying prevalence rates and types of CHDs in different parts of India. Frequent longitudinal studies in this regard help in enhanced allocation of available resources and updating of available databases. 

scholarly journals Echocardiographic Profile of Children with Congenital Heart Disease Presenting as Bronchopneumonia in a Tertiary Center in Telangana

2020 ◽  
Vol 7 (46) ◽  
pp. 2735-2740
Author(s):  
Poorna Chandra Rao L ◽  
Shashikala Velampalli ◽  
Srinivas Kalyani
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Congenital Heart ◽  
Heart Diseases ◽  
Heart Defects ◽  
Age Group ◽  
Study Results ◽  
Tertiary Center ◽  
One Year ◽  
Tract Infections

BACKGROUND CHD is characterized by structural and functional heart defects which affect the quality of life of the person and can lead to premature death if not controlled through appropriate interventions. Early detection, diagnosis, and timely intervention result in substantial morbidity and mortality declines. We wanted to evaluate the echocardiographic profile of the children with CHD admitted with bronchopneumonia aged 1 month to 5 years and assess the pattern, age and gender specific distribution of CHD. METHODS This is a descriptive study performed over a period of two years. It included 200 children of either sex, between 1 month and 5 yrs. of age. Known cases of Congenital Heart Disease (CHD) (including Cyanotic and Acyanotic) who were diagnosed with bronchopneumonia and surgically corrected CHD diagnosed as Bronchopneumonia, were included in the study. RESULTS A total of 200 children with CHD were admitted with bronchopneumonia of whom 121 were males and 79 children were females. The mean age of presentation was 9.54 months. 85 % of the children presented below one year of age, with 50.58 % of children presenting below 6 months of age. 179 children were diagnosed to have ACHD, while 21 children had CCHD. The average duration of stay in the hospital was 7.81 days, the children with CCHD stayed longer than those with ACHD. Children less than 6 months of age stayed longer in the hospital compared to those from other age groups. Mortality was 7.82 % in ACHD category, while it was 19.05 % in CCHD category; 10.95 % of the children in ACHD presented with chamber dilatation in the age group of < 6 months. 11.27 % of children with ACHD presented with CCF, most of whom were less than 6 months old. 43 % of children with CCHD presented with CCF mostly in the age group of 6 months to one year. Most of the children less than 6 months of age presented with pulmonary hypertension both in the ACHD and CCHD groups. CONCLUSIONS Early diagnosis of CHD in the neonatal period can help reduce the morbidity associated with bronchopneumonia in infancy and help reduce the incidence of failure to thrive and recurrence of respiratory tract infections. KEYWORDS Bronchopneumonia, Congenital Heart Diseases, Congestive Cardiac Failure

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 Incidence of Congenital Heart Disease among Hospital Live Birth in a Tertiary Hospital of Bangladesh

1970 ◽  
Vol 1 (1) ◽  
pp. 14-20 ◽  
Author(s):  
NN Fatema ◽  
RB Chowdhury ◽  
L Chowdhury
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Early Detection ◽  
Live Birth ◽  
Congenital Heart ◽  
Septal Defect ◽  
Ductus Arteriosus ◽  
Military Hospital ◽  
Live Births ◽  
Paediatric Cardiologist

Background: Incidence of congenital heart disease is 8-10/1000 live birth which is established by many studies carried out in many centers worldwide. In Bangladesh no incidence study was carried out so far. Newborn children presenting with various forms of congenital heart disease is a common problem now a days. Neonatologists and paediatricians are now more conscious about early detection and treatment of newborn with congenital heart diseases. Diagnostic facilities are also available in many places. So an individual incidence record from an ideal center of our country is a demand of the time which led carrying out this study. Methods: This prospective study was carried out in Combined Military Hospital (CMH) Dhaka over a period of three years (2004 – 2006). All five thousand six hundred and sixty eight live births weighing more than 500 gm and more than 28 weeks gestational period were subjected to a thorough clinical examination within 72 hours of birth. Those suspected to have any form of congenital heart disease (CHD) were followed up every 4-6 wks for a period of 12 months. Echocardiography with color Doppler was performed in all these newborn including those who reported late but were delivered in obstetrics department of Combined Military Hospital Dhaka. Result: One hundred forty two babies out of 5668 live birth had CHD, ie, 25/1000 live births. Incidence of CHD was higher in pre terms as compared to full term live birth. Some of the patients (18.30%) has other associated somatic anomalies among which Down’s syndrome was commonest (9.15%). Most common congenital heart lesions were Atrial Septal Defect (ASD-26%), Ventricular Septal Defect (VSD-16.9%), Patent Ductus Arteriosus (PDA-18%), Tetralogy of Fallot (TOF-14%), Pulmonary Stenosis (PS-7.75%) etc. Those who were found to have congenital heart disease were managed accordingly. Some patients had spontaneous closure of defects in first year follow up period. Conclusion: The incidence of Congenital Heart Disease (CHD) depends upon various factors like nature of the samples (all live birth or all birth) or on the spot examination by a Paediatric cardiologist. A hospital which has Obstetric, Neonatal and Paediatric cardiology unit can carried out this kind of study successfully. In this study screening of asymptomatic high risk neonates also contributes in early detection of many trivial lesions. Severe lesions were also detected by the paediatric cardiologist who usually expire before being referred from other hospitals and before being diagnosis is established. So a higher incidence rate is recorded in this study. Key words: Congenital heart disease; Echocardiography DOI: http://dx.doi.org/10.3329/cardio.v1i1.8199 Cardiovasc. j. 2008; 1(1) : 14-20  

scholarly journals High prevalence of congenital heart disease at high altitudes in Tibet

2018 ◽  
Vol 26 (7) ◽  
pp. 756-759 ◽  
Author(s):  
Hua Chun ◽  
Yan Yue ◽  
Yibin Wang ◽  
Zhaxi Dawa ◽  
Pu Zhen ◽  
...  
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Patent Ductus Arteriosus ◽  
High Altitude ◽  
Congenital Heart ◽  
Septal Defect ◽  
Heart Diseases ◽  
Ductus Arteriosus ◽  
Congenital Heart Diseases ◽  
Patent Ductus

Background Previous small sample studies suggested that elevated altitudes might be associated with the incidence of cardiovascular diseases. However, it remains uncertain whether high altitudes (over 3000 m above sea level) are related to congenital heart disease. We therefore explored the prevalence of congenital heart disease in a large cohort of students in the world's largest prefecture-level city with the highest altitude. Methods This cross-sectional study included 84,302 student participants (boys 52.12%, girls 47.88%, with an average age of 10.62 ± 3.33 years). Data were extracted from the screening results among different altitude area schools in Nagqu from June 2016 to August 2017. Students were first screened by performing a physical examination consisting of cardiac auscultations and clinical manifestation screenings. An echocardiography was performed to confirm and identify the subtype of congenital heart disease. Results The prevalence of congenital heart disease among students in Nagqu, Tibet, was 5.21‰ (439 cases). The most common congenital heart disease type was patent ductus arteriosus, representing 66.3% of congenital heart diseases diagnosed in this study, followed by atrial septal defect and ventricular septal defect, representing 20.3% and 9.1% of congenital heart diseases, respectively. Students living in higher altitudes were significantly more prone to have congenital heart disease than students in locations with lower altitudes. The prevalence of congenital heart disease in girls was found to be higher than that of boys. Conclusions The correlation between congenital heart disease and increased altitude is noteworthy. This study's results are the first big data epidemiological investigation to confirm that high altitude is a significant environmental risk factor for congenital heart disease, especially patent ductus arteriosus. Furthermore, the results provide additional support to make a diagnostic and treatment plan to prevent congenital heart disease in high altitude areas.

scholarly journals Clinical Profiles, Congenital Heart Disease, and Other Comorbidities Among Egyptian Children with Down Syndrome: A Tertiary Center Study

2021 ◽  
Vol 11 (01) ◽  
pp. e233-e239
Author(s):  
Radwa Ezzat Amin ◽  
Iman Ehsan Abdel-Meguid ◽  
Nihal Mohamed El-Refaie ◽  
Walaa Fakher ◽  
Dina El-Tabie ◽  
...  
Keyword(s):  
Congenital Heart Disease ◽  
Down Syndrome ◽  
Heart Disease ◽  
Developmental Delay ◽  
Congenital Heart ◽  
Thyroid Dysfunction ◽  
Septal Defect ◽  
Dysmorphic Features ◽  
Tertiary Center ◽  
Clinical Profiles

Abstract Introduction Down syndrome (DS) is the most common chromosomal disorder. It is accompanied by several comorbidities, which could lead to severe morbidity and mortality. Congenital heart disease (CHD) is one of the most commonly described condition. Objective This study aimed to determine clinical profiles, dysmorphic features, CHD, and DS associated comorbidities in a tertiary center (Cairo, Egypt). Patients and Methods This descriptive study included 290 patients diagnosed with DS, who presented to the Clinical Genetics clinic, Cairo University Children Hospitals, from February 2018 to December 2019. The patients' ages ranged from 2 to 4 years old. All patients were evaluated by full history, clinical examination, anthropometric measurements, and assessment of developmental milestones. Patients' diagnostic investigations including karyotype, thyroid function, and echocardiography were checked. Results The study population consisted of 290 children with DS of which 196 (67.6%) were male, 115 (40%) had CHD, the most prevalent atrial septal defect (ASD), patent ductus arteriosus (PDA), and ventricular septal defect (VSD) accounting for 10.7, 7.1, and 4.2%, respectively. Common dysmorphic features were upward slanting palpebral fissures (98.6%), hypertelorism (97.9%), and sandal gap (60.7%). Thyroid dysfunction was the second prevalent comorbidity, found in 35 patients (12.1%). Global developmental delay was reported affecting language (99%), motor (94.8%), and social (92.8%) domains. Conclusion The prevalence of CHD among children with DS was 40% with ASD, PDA, and VSD being the commonest. Thyroid dysfunction was the second most common comorbidity. The most prevalent dysmorphic features were upward slanting palpebral fissures, hypertelorism, and sandal gap. Developmental delay was very common, language being the most affected domain.

scholarly journals Co-existence of Ventricular Septal Defect and Bronchial Asthma in Two Nigerian Children

2010 ◽  
Vol 3 ◽  
pp. CCRep.S4584 ◽  
Author(s):  
F. Bode-Thomas ◽  
IH. Hyacinth ◽  
CS. Yilgwan
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Ventricular Septal Defect ◽  
Congenital Heart ◽  
Septal Defect ◽  
Heart Diseases ◽  
Congenital Heart Diseases ◽  
Nigerian Children ◽  
Airway Diseases

Congenital heart diseases (CHD) often present with recurrent or chronic breathing difficulties, as do chronic airway diseases such as asthma. Both are relatively common, and may sometimes co-exist. However, there is a paucity of literature from developing countries to that effect. We present two children diagnosed with ventricular septal defect, later also found to have clinical features consistent with co-existing asthma. We highlight the diagnostic challenges we encountered as well as the crucial role of a careful family respiratory history in children with congenital heart disease.

scholarly journals A study of prevalence and pattern of congenital heart disease at Sopore, Kashmir, North India

2019 ◽  
Vol 6 (2) ◽  
pp. 275
Author(s):  
Suhail Naik ◽  
Mohd. Irshad ◽  
Aliya Kachroo ◽  
Mudasir Ahmad
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Congenital Heart ◽  
Septal Defect ◽  
Heart Diseases ◽  
Ductus Arteriosus ◽  
North India ◽  
Age Group ◽  
Community Based ◽  
Screening Programs

Background: Early detection of congenital heart disease is of paramount importance to improve the quality of life of children and prevent morbidity and mortality. Congenital heart disease (CHD) is one of the major causes of mortality and morbidity in the pediatric population of both the developing and developed countries. Present aim was to study the prevalence, age and sex wise distribution, and clinical spectrum of congenital heart disease (CHD) at Sopore, Kashmir, North India.Methods: Around 39829 children in the age group 0 months to 18 years were screened for Defects at birth, Diseases in children, Deficiency conditions and Developmental Delays including Disabilities over the period of 18 months under RBSK. Clinical examination, echocardiography and color Doppler were used as diagnostic tools.Results: A prevalence of 5.3 per 1000 population was observed. VSD (ventricular septal defect) was the commonest lesion (30.1%), followed by PDA (patent ductus arteriosus) in 21.6 % and ASD (atrial septal defect) in 20.2%. Tetralogy of Fallot was the commonest cyanotic heart disease (8.0%). Maximum numbers of children with heart disease were diagnosed in the age group 6 weeks to 6 years.Conclusions: For better estimation of prevalence of congenital heart diseases, more elaborate community-based studies are needed. Such community based studies can be easily done by collecting and analyzing data collected from screening programs like RBSK. Such community based screening programs helps in detecting silent cardiac ailments, their prevalence and pattern, and early therapeutic intervention. A few prevalence studies have been carried out piecemeal in different locations of India; and more such studies can be easily done by collecting and analyzing data collected under RBSK screening program.

scholarly journals Congenital heart diseases in premature newborns.

2021 ◽  
Vol 28 (08) ◽  
pp. 1178-1182
Author(s):  
Sana Ilyas ◽  
◽  
Sana Waqar ◽  
Asim Khurshid ◽  
Muhammad Sohail Arshad ◽  
...  
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Birth Weight ◽  
Low Birth Weight ◽  
Preterm Infants ◽  
Congenital Heart ◽  
Septal Defect ◽  
Heart Diseases ◽  
Congenital Heart Diseases ◽  
Preterm Newborns

Objective: To determine the frequency of congenital heart diseases (CHD) in newborns admitted with prematurity. Study Design: Descriptive Cross Sectional study. Setting: Department of Pediatric Neonatology Children’s Hospital & The Institute of Child Health, Multan. Period: August 2019 to January 2020. Material & Methods: A total of 155 preterm infants ≤36 weeks gestation were included. In preterm newborns of either gender, echocardiography was done by hospital Pediatric Cardiologist. Patient’s name, age, gestational age, weight, sex, date, serial number, registration number and echocardiographic results were entered in pre-designed performa. The outcome variable was frequency of congenital heart disease in preterm newborns. Results: Congenital heart disease was detected in 34.8% (n = 54) preterm infants. Nine percent (n=14) were < 1.5 kg, 45.2% (n=70) between 1.5 – 2.0 kg and 45.8% (n=71) were > 2.0 kg in weight. Most frequent lesion was Ventricular Septal Defect (VSD) in 19 (35%) infants followed by patent ductus arteriosus (PDA) in 15 (28%) infants. Atrial Septal Defect (ASD) was seen in 6 (11%) preterm infants. Frequency of CHD was significantly higher (p-value < 0.001) in babies delivered at ≤32 weeks and those infants with with birth weight <1.5 kg. Conclusion: The study highlights the association of congenital heart diseases in premature and low birth weight neonates. So, every preterm and low birth weight neonate must undergo echocardiography to screen for CHD so that earlier diagnosis may be made for earlier intervention.

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