Congenital heart diseases pattern among children presenting to tertiary care hospital: A cross sectional study

Waseem Pasha; Ramchand Ramchand; Rajab Ali Khokhar; Shah Nawaz Sathio; Mehwish Kanwal; Aurangzeb Aurangzeb

doi:10.53730/ijhs.v7nS1.14516

Authors

Waseem Pasha Assistant Professor, Department of Pediatrics, CMH Kharian Medical College, Kharian Punjab Pakistan
Ramchand
drramchand1@gmail.com
Assistant Professor, Pediatrics Cardiology Department, NICVD, Karachi Pakistan
Rajab Ali Khokhar Assistant Professor, Pediatric Cardiac Intensive Care Unit, National institute of Cardiovascular Disease Karachi Pakistan
Shah Nawaz Sathio Assistant Professor, Pediatrics Cardiology Department, NICVD, Karachi Pakistan
Mehwish Kanwal PG Trainee, Pediatric Cardiac Intensive Care Unit, National Institute of Cardiovascular Disease, Karachi Pakistan
Aurangzeb Senior Registrar, Pediatric Cardiology Department, NICVD, Karachi Pakistan

Keywords:

Congenital Heart Disease, Acyanotic CHD, Cyanotic CHD, Pediatrics

Abstract

Aim: To determine the pattern of congenital heart diseases among children presenting to tertiary care hospital. Material and Methods: A cross sectional study was carried out at Department of Paediatrics Cardiology, National institute of Cardiovascular Disease Karachi in the duration from November, 2022 to April, 2023. Total 171 patients were presented with CHD. Patients aged between 1 to 12 months of both genders. Pattern of CHD among the patients was determined. Results: Acyanotic CHD was seen in 74.26% patients. Cyanotic CHD was seen in 25.73% patients. Atrial Septal Defect (48.8%) was the most common presentation in acyanotic CHD patients while Tetralogy of Fallot was common presentation (40.9%) in cyanotic CHD patients. Conclusion: From our study we conclude that majority of the patients had acyanotic CHD as compared to cyanotic CHD, Ventricular Septal Defect and Atrial Septal Defect were more prevalent in cyanotic CHD while Tetralogy of Fallot was more common in cyanotic CHD.

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References

Thomford NE, Biney RP, Okai E, Anyanful A, Nsiah P, Frimpong PG, et al. Clinical Spectrum of congenital heart defects (CHD) detected at the child health Clinic in a Tertiary Health Facility in Ghana: a retrospective analysis. J Congenit Cardiol. 2020.

Zimmerman MS, Smith AG, Sable CA, Echko MM, Wilner LB, Olsen HE, et al. Global, regional, and national burden of congenital heart disease, 1990–2017: a systematic analysis for the Global Burden of Disease Study 2017. Lancet Child Adolesc Health. 2020;4(3):185-200.

Knowles RL, Ridout D, Crowe S, Bull C, Wray J, Tregay J, et al. Ethnic and socioeconomic variation in incidence of congenital heart defects. Arch Dis Child. 2017;102(6):496-502.

Agadoorappa P, Oddie S, Pawson N, Sheridon E. Do pakistani babies have more congenital heart defects? Preliminary findings from our birth cohort study. Arch Dis Child. 2011;96(1):35-41.

Aman W, Sherin A, Hafizullah M. Frequency of congenital heart diseases in patients under the age of twelve years at Lady Reading Hospital Peshawar. J Postgrad Med. 2006;20(1):64-69.

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(21):2241-47.

Yang XY, Li XF, Lü XD, Liu YL. Incidence ofcongenital heart disease in Beijing, China. Chin Med J. 2009;122(10):1128-32.

Reller MD, Strickland MJ, Riehle-Colarusso T, Mahle WT, Correa A. Prevalence of congenital heart defects in metropolitan Atlanta, 1998-2005. J Pediatr 2008;153(6):807-13.

Moon JR, Song J, Huh J, Kang IS, Park SW, Chang SA, et al. Analysis of cardiovascular risk factors in adults with congenital heart disease. Korean Circ J. 2015;45(5):416-23.

Sun PF, Ding GC, Zhang MY, He SN, Gao Y, Wang JH. Prevalence of congenital heart disease among infants from 2012 to 2014 in Langfang, China. Chin Med J. 2017;130(09):1069-73.

Bertoletti J, Marx GC, Hattge Junior SP, Pellanda LC. Quality of life and congenital heart disease in childhood and adolescenc. Arq Bras Cardiol. 2013;102:192-8.

Bhardwaj R, Rai SK, Yadav AK, Lakhotia S, Agrawal D, Kumar A, et al. Epidemiology of Congenital Heart Disease in India. Congenit Heart Dis. 2015;10(5):437-46.

Saxena A, Mehta A, Sharma M, Salhan S, Kalaivani M, Ramakrishnan S, et al. Birth prevalence of congenital heart disease: A cross-sectional observational study from North India. Ann Pediatr Cardiol. 2016;9(3):205-12.

Sehar T, Sheikh AM, Kanwal A. To identify pattern of congenital heart diseases in a newly developed tertiary care unit. Pak Armed Forces Med J. 2019;69(4):831-36.

Sharifi AM. Pattern and frequency of pediatric congenital heart disease at the Cardiac Research Institute of Kabul Medical University, Afghanistan. Paediatr Indones 2018;58(3):106-9.

Hoffman JI, Kaplan S. The incidence of congenital heart disease. J Am Coll Cardiol. 2002;39(12):1890-900.

Mocumbi AO, Lameira E, Yaksh A, Paul L, Ferreira MD, Sidi D. Challenges on the management of congenital heart disease in developing countries. Int J Cardiol. 2011;148:285–8.

Nikyar B, Sedehi M, Mirfazeli A, Qorbani M, Golalipour MJ. Prevalence and pattern of congenital heart disease among neonates in Gorgan, Northern Iran (2007–2008). Iran J Pediatr. 2011;21:307–12.

Majeed-Saidan, M.A., Atiyah, M., Ammari, A.N., AlHashem, A.M., Rakaf, M.S., Shoukri, M.M., Garne, E. and Kurdi, A.M., 2019. Patterns, prevalence, risk factors, and survival of newborns with congenital heart defects in a Saudi population: a three-year, cohort case-control study. J Congenit Cardiol. 2019;3(1), pp.1-10.