SPECTRUM OF CONGENITAL HEART DISEASES IN PATIENTS PRESENTING TO ECHOCARDIOGRAPHY DEPARTMENT: A FOUR-YEAR EXPERIENCE
Keywords:Congenital heart disease, Echocardiography, Prevalence
Background: 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.
Aim: Aim was to study the prevalence, age and sex wise distribution, and clinical spectrum of congenital heart disease in patients at Echocardiography department at a Tertiary care Hospital in Maharashtra India.
Methods: This is a retrospective hospital based study carried out over a period of 4 years [January 2016 – December 2019] where all patients suspected with CHD were subjected to echocardiographic study. The age, sex and echocardiography findings were documented.
Results: Echocardiography was done in 12,241 patients with suspected heart disease. Congenital heart diseases were diagnosed more commonly between 1 to 5 years of age. The commonest type of Acynotic CHD in our study was ventricular septal defect (VSD) (33.33%) and cyanotic CHD is Tetralogy of Fallot (30.64%).
Conclusions: In this era of most accurate diagnostic modalities, any clinical suspicion of congenital heart disease should be confirmed by echocardiography to hasten the diagnosis, timely management and prevention of complications.
I. Perloff J K, Marelli A. Perloff's Clinical Recognition of Congenital Heart Disease, 6th edition Philadelphia: WB Saunders Co., 2012.
II. Saxena A. Congenital heart disease in India: A status report. Indian JPediatr 2005; 72:595‑8.
III. van der Linde D, Konings EE, Slager MA, Witsenburg M, Helbing WA, Takkenberg JJ, et al. Birth prevalence of congenital heart disease worldwide: A systematic review and meta‑analysis. J Am Coll Cardiol 2011; 58:2241‑7.
IV. Mitchell SC, Korones SB, Berendes HW. Congenital heart disease
V. in 56,109 births. Incidence and natural history. Circulation.
VI. 1971; 43:323‑32.
VII. Meshram RM, Gajimwar VS. Prevalence, profile, and pattern of congenital heart disease in Central India: A prospective, observational study. Nig J Cardiol 2018; 15:45-9.
VIII. Sommer RJ, Hijazi ZM, Rhodes JF Jr. Pathophysiology of congenital heart disease in the adult: Part I: Shunt lesions. Circulation 2008;117:1090‑9.
IX. Vyas PM, Oswal NK, Patel IV. Burden of congenital heart diseases in a tertiary cardiac care institute in Western India: Need for a national registry. Heart India 2018; 6:45-50.
X. Oyen N, Poulsen G, Boyd HA, Wohlfahrt J, Jensen PKA, Melbye M.m Recurrence of congenital heart defects in families. Circulation. 2009;120;295-301.
XI. Hartman RJ, Rasmussen SA, Botto LD, Riehle-Colarusso T, Martin CL, Cragan JD, Shin M, Correa A. The contribution of chromosomal abnormalities to congenital heart defects: a population-based study. Pediatr Cardiol. 2011; 32(8):1147-57.
XII. Miller A, Riehle-Colarusso T, Alverson CJ, Frias JL, Correa A. Congenital heart defects and major structural noncardiac anomalies, Atlanta, Georgia, 1968-2005. J Pediatr. 2011; 159:70-8.
XIII. Limperopoulos C, Majnemer A, Shevell MI, Rosenblatt B, Rohlicek C, Tchervenkov C. Neurodevelopmental status of newborns and infants with congenital heart defects before and after open heart surgery. J Pediatr. 2000;137:638-45.
XIV. Shillingford AJ, Glanzman MM, Ittenbach RF, Clancy RR, Gaynor JW, Wernovsky G. Inattention, hyperactivity, and school performance in a population of school-age children with complex congenital heart disease. Pediatrics. 2008;121:e759-67.
XV. Naik S, Irshad M, Kachroo A, Ahmad M. A study of prevalence and Pattern of congenital heart disease at Sopore, Kashmir, North India. Int J Contemp Pediatr. 2019 Mar; 6(2):275-279.
XVI. Zuechner A , Mhada T, Majani M, Sharau G, Mahalu W, Freund M. Spectrum of heart diseases in children presenting to a paediatric cardiac echocardiography clinic in the Lake Zone of Tanzania: a 7 years overview. BMC Cardiovascular Disorders. 2019; 19: 291.
How to Cite
Copyright (c) 2022 International Education and Research Journal (IERJ)
This work is licensed under a Creative Commons Attribution 4.0 International License.