Clinical Profile of Congenital Heart Disease in RIMS Hospital
Journal Title: Journal of Medical Science And clinical Research - Year 2018, Vol 6, Issue 12
Abstract
Background: Congenital heart disease (CHD) refers to various abnormalities with the structure and functions due to anomalous development of the heart before birth. Usually classified into two types: acyanotic and cyanotic, CHD is the most common type of all birth defects and is responsible for more deaths in the first year of life than any other birth defects. Objectives: To determine the prevalence and clinical profile in a tertiary medical centre. Materials and Methods: The study was conducted in the department of Pediatrics, RIMS, Imphal, during a period of two years from August 2011 to July 2013 in which all admitted cases of CHD (0-12 years), were evaluated with detailed history, clinical examinations and routine investigations including chest X-ray (CXR), electrocardiogram (ECG) and confirmed by echocardiography. Results: 83 children (1.76%) were diagnosed with CHD during the study period of 2 years. Majority of cases (51.8%) were observed in the 1-12 months age group followed by 26.5% in 0-1 month, 18.1% in 1-5 years and 3.6% in 5-12 years age group respectively. Acyanotic congenital heart disease (ACHD) was the commonest type accounting for 86.8% of all CHDs out of ventricular septal defect (VSD) constituted 38.6% of the total CHDs. Among the cyanotic congenital heart disease (CCHD), Tetralogy of Fallot (TOF) was the commonest type constituting 10.8% of all CHDs. The most predominat symptom was breathing difficulty (85.5%) followed by fever (62.7%), cough (60.2%), recurrent chest infection (57.8%), excessive cry (56.6%), reduced feeding (48.2%), increased sweating during feeds (44.6%), failure to thrive (26.5%) and blue lips (13.2%).There were 3(3.6%) mortalities in infants with complex CHDs. Conclusion: Early diagnosis of CHD will significantly contribute in reducing morbidity and mortality by prioritizing appropriate management.
Authors and Affiliations
Dr Ch. Shyamsunder
Keywords
Related Articles
- EP ID EP506680
- DOI -
- Views 40
- Downloads 0
Recent Review of Literature on Early Diagnosis and Prevention of Leprosy
Objective of current review of literature is to promote early diagnosis and thereby effective prevention and control of Leprosy at national as well as primary level through multidisciplinary approach consisting of commun...
Fever, Pancreatitis, Gastrointestinal Bleeding, Multi Organ Dysfunction Syndrome Due To Enteric Fever - A Case Report With Review of Literature
The diagnosis of enteric fever requires a high degree of clinical suspicion as the signs and symptoms of this disease can be confused with other diseases. Typhoid is still a major health problem in Asian countries, espec...
A Rare Case of Intradural Extramedullary Myxopapillary Ependymoma At Thoracolumbar Junction
A 29 year male with chronic low back pain with bilateral lower limbs paraesthesia presented in OPD. After evaluation with MRI Thoraco-Lumbar Spine found to have T12-L1 level IDEM mass compressing cauda equina? Schwanoma....
Laparoscopic Evaluation of Tubal Factor in Infertility
Background: Tubal factor infertility accounts for approximately 25-35% of cases of female infertility. The evaluation of the fallopian tube is necessary to determine the management plan for infertility. Tubal patency can...
Intracranial Haemorrhage: A Rare Manifestation of Scrub Typhus
Two Patients diagnosed with scrub typhus through serology, presented with intracranial haemorrhage in acute phase. Orientia tsutsugamushi should be considered as a common factor for cerebrovascular accidents in the regio...