Spectrum of Acyanotic Congenital Heart Disease in Rajasthan: A Hospital Based Study
Journal Title: International Journal of Medical Research Professionals - Year 2017, Vol 3, Issue 4
Abstract
Objective: To assess the spectrum of acyanotic congenital heart disease in pediatric age group (0-18 years) in South Rajasthan. Methods: This is a single centre observational study, conducted at a tertiary care hospital of south Rajasthan. Pediatric patients referred to department of cardiology with suspected clinical diagnosis of congenital heart disease and on echocardiographic evaluation found to be having acyanotic congenital heart disease were included in the study. After inclusion, the patients were classified according to the cardiac defects and age at presentation. Results: Over the study period of one year, a total of 537 patients were diagnosed as having congenital heart disease- 398 (74.2%) of which were acyanotic. More than one defect was present in 44% patients and the frequency of multiple defects decreased with age. Overall ASD, VSD and PDA were equally distributed (~40% each). ASD and PDA were predominant lesions in neonates while VSD was the most common lesion in post neonatal life. Less common defects reported were valvular pulmonary stenosis, coarctation of aorta, persistent left superior vena cava, AV canal defect, branch pulmonary stenosis, aortic stenosis, lutembacher syndrome, subaortic membrane, atrial septal aneurysm, congenital mitral stenosis and aortopulmonary window. Four cases had dextrocardia. Conclusion: The study presents the overall spectrum of various congenital acyanotic heart diseases in Indian children. This study highlights the proportional burden of individual acyanotic CHD in varied age groups and suggests large scale studies to better characterize the epidemiology of these easily missed and potentially treatable congenital diseases
Authors and Affiliations
Sohan Kumar Sharma, Shalabh Kumar Agarwal
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