Profile of Congenital Heart Disease in Children: A Hospital Based Study
Journal Title: International Journal of Contemporary Research and Review - Year 2017, Vol 8, Issue 7
Abstract
Objective: To study the incidence, various patterns, age and sex distribution, various presentation and complications of CHD among admitted children of age 1month to 12 yearsDesign:Hospital Based observational StudySetting: Department of Pediatrics, GMCH, Guwahati.Study Population: All children with CHD of age 1 month to 12 years admitted and first time diagnosed with CHD during above mentioned period.Method:Thorough history and clinical examination was carried out on 4569 admitted patients and clinical diagnosis was made. Final diagnosis was established by 2 D-Echocardiography and analyzed to know profile of CHD.Results: 112 patients were identified as having CHD, the incidence of CHD was 24.5 per 1000 admitted patient. VSD (43.8%), TOF (14.2%), ASD (13.4%), PDA (8%), TGA (4.5%), DORV (3.6%), AVSD (3.5%) were the common CHD. Most common age of presentation was between 1-12 months (70.5%). Males were predominant in VSD, TOF, TGA, DORV and female were predominant in ASD, and PDA. Major clinical presentations were breathing difficulties (66%), poor weight gain (61%), easy fatigue (58%), cough (51.7%), feeding problem(50%), recurrent chest infection (40.2%), fever (33.9%), cyanotic spell & palpitation (11.6%) and convulsion (1.8%). Also, the major physical findings was tachypnoea (64.3%), tachycardia (56.3%), crepitation (49.1%), cyanosis (27.7%), wheeze (24.1%), enlarged tender liver (22.3%), and clubbing (14.3%). Most common complication was found to be growth failure, followed by recurrent chest infection and heart failure
Authors and Affiliations
Amit Kumar1, Rukeya Begum*2,
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