CLINICAL SIGNIFICANCE OF HEART MURMURS DETECTED DURING ROUTINE CLINICAL EXAMINATION IN THE FIRST WEEK OF LIFE: A DESCRIPTIVE STUDY
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2019, Vol 6, Issue 25
Abstract
BACKGROUND The prevalence of heart murmur during the first week of birth varies from 0.6-44.7% and congenital heart disease (CHD) varies from 4-50 per 1000 live births in different studies. Though most are clinically insignificant, few are associated with various structural abnormalities. Our study was conducted to determine the prevalence of cardiac murmurs and congenital heart disease in neonates of rural Kerala. METHODS 1000 consecutive live born neonates were enrolled in our descriptive study during a period of 10 months conducted at Sree Gokulam Medical College & Research Foundation Venjaramoodu. Neonates were screened after 24 hours of birth by residents using 3M® Littman™ paediatric stethoscope and all detected murmurs were referred to cardiologist for echocardiography. Study was conducted after approval from Institutional Ethics Committee and written informed consent was obtained from all participating mothers. Data was collected in semi structured questionnaire and are expressed as proportions. RESULTS 19 and 14 neonates had audible murmur and CHD with a prevalence of 19 and 14 per 1,000 live births respectively. 85.7% (n=12) of lesions were acyanotic lesions and 14.3% (n=2) were cyanotic. Congenital heart diseases encountered were atrial septal defect (26.3%), ventricular septal defect (26.3%), patent ductus arteriosus (5.3%), cyanotic heart with multiple lesions (10.5%), tetralogy of Fallot (5.3%) and hypoplastic left heart syndrome (5.3%). CONCLUSIONS Structural lesion was seen in 73.7 cardiac murmurs. Atrial septal defect and ventricular septal defects were the most common structural lesions.
Authors and Affiliations
Shaji S. M, Mujeeb Rahman M. K. T, P. M. C. Nair
Keywords
Related Articles
- EP ID EP668369
- DOI 10.18410/jebmh/2019/346
- Views 75
- Downloads 0
OESTROGEN, PROGESTERONE & HER2/NEU RECEPTOR STATUS IN PATIENTS WITH BREAST CARCINOMA WITH SPECIAL REFERENCE TO TRIPLE NEGATIVE STATUS IN A TERTIARY CARE HOSPITAL IN SOUTHERN ODISHA
BACKGROUND Breast carcinoma is the most frequently diagnosed cancer and cause of cancer related deaths among women worldwide. Triple negative breast carcinoma (TNBC) is a subtype with poor outcomes. The current study aim...
A STUDY ON ACCEPTANCE AND DISCONTINUATION OF INTRAUTERINE CONTRACEPTIVE DEVICE AND ITS DETERMINANTS IN A TERTIARY CARE CENTRE
IUD is the world’s most widely used method of reversible birth control. Higher discontinuation rates are documented in developing countries like India. This retrospective study was conducted in the Post-Partum unit of Ki...
A COMPARATIVE STUDY OF RUBBER BAND LIGATION AND SCLEROTHERAPY IN PATIENTS WITH SECOND DEGREE HAEMORRHOIDS
BACKGROUND Haemorrhoids are an extremely common surgical condition of anorectal area. With the available non-surgical approaches for haemorrhoids like infrared coagulation, bipolar diathermy, direct current therapy, cryo...
OUTCOME OF TITANIUM ELASTIC NAIL FIXATION IN SKELETALLY IMMATURE DIAPHYSEAL FEMORAL FRACTURES
BACKGROUND Skeletally immature femoral shaft fractures are relatively uncommon but serious injuries can disrupt the lives of children and their parents and can result in significant long-term disability. Management of fe...
EVALUATION OF PORT SITE INFECTION FOLLOWING LAPAROSCOPIC CHOLECYSTECTOMY IN A GOVERNMENT TEACHING HOSPITAL
BACKGROUND The objectives of this study were to evaluate the frequency of port site infection following laparoscopic cholecystectomy, its prevention and its management. With the passage of time, laparoscopic cholecystect...