Echocardiographic Profile of Patients in Dhulikhel Hospital, A Medical College Hospital in Nepal

Abstract

Background and Aim : Echocardiograph is an important diagnostic tool to evaluate cardiac disease and is indispensible for management. So it is important to know the spectrum of cardiac abnormalities that can be detected by echocardiograph and the frequency of these findings may vary depending on where the echocardiogram is performed. Aim of this study was to find out the spectrum of echocardiographic finding in different age group in a medical college hospital. Methods and materials : A retrospective observational study was done to at Dhulikhel Hospital to review Echocardiographic profile of 3310 patients who were indicated for echocardiogram over a period of 3 years. Data collected from echocardiograph report registry. Data analysis was done using SPSS 17. Result : Congenital Heart Disease(CHD) (37.74%),Normal finding( 21.19%), Pericardial Heart Disease(19.21%) and Rheumatic Heart Disease(RHD)(17.88%) were the echocardiographic finding in children. In adolescents and young adults Rheumatic Heart Disease (49.90%), Hypertensive Heart Disease (13.34%), Congenital Heart Disease (6.58%), and Pericardial Disease (4.38%) were found. Most common finding in middle age was cor-pulmonale (34.76%) followed by Diastolic Dysfunction (20.60%), Hypertensive Heart Disease(17.06%),Ischemic Heart Disease(IHD) (12.80%). In elderly age most common finding was Diastolic Dysfunction (57.14%). Conclusion : The spectrum of echocardiograph finding in a medical college hospital ranges from Congenital Heart Disease, Rheumatic Heart Disease, Ischemic Heart Disease ,Pericardial disease, Corpulmonale, Diastolic Dysfunction, systolic dysfunction and degenerative valve disease. Streptococcal sore throat leading to Rheumatic Heart Disease and complication of tuberculosis and parasitic infestation leading to pericardial diseases, as well as Hypertensive Heart Disease, and Ischemic Heart Disease constitutes burden in Nepal. Cor-pulmonale and ) Sanjaya Humagain, Ramsundar Twayana, Rajendra Koju. DOI: http://dx.doi.org/10.3126/njh.v11i1.10976 Nepalese Heart Journal 2014;11(1): 13-17

Echocardiographic Study Among Traffic Police Personnel in Central Nepal

“…8 The echocardiographic result revealed that 5(10%) had hypertensive heart disease, which is lower than the general population, and 32 (64%) participants had normal echo findings, which is higher than the general population of Nepal. 7 The prevalence of mild mitral regurgitation (22%) is lower than that when compared to the general Chinese population. 9 CONCLUSION This is the first reported observational study so far, we know among the traffic police personnel in Nepal.…”

“…3 Streptococcal sore throat that causes rheumatic heart disease, complications from tuberculosis, parasite infestation that causes pericardial illnesses, and non-communicable diseases like hypertension and ischemic IHD continue to be a significant burden in developing nations like Nepal. 6,7 Therefore, we carried out this cross-sectional study to examine the impact of these conditions in highly demanding jobs like traffic police compared to a typical healthy population. In this study, we inquired about hypertension history, performed auscultation, and conducted echocardiography to determine whether any structural or valvular heart disease was present in these participants.…”

Pioneers and champions for the little hearts: A history of pediatric cardiology in Nepal

“…BP Koirala Institute of Health Sciences (BPKIHS), Dharan; Manipal medical college, Pokhara; Chitwan Medical College, Chitwan; Amda Hospital, Butwal and Kathmandu university Teaching Hospital, Dhulikhel, are some of the centers outside Kathmandu that perform echocardiography in suspected cases before referring patients for the definite diagnosis and management. [17][18][19] Currently, open heart surgery is primarily being done in SGNHC and Manmohan Cardiothoracic Vascular and Transplant Centre and sporadically in Norvic Hospital, Greencity Hospital, Nepal Mediciti Hospital, Human Organ Transplant Centre all within Kathmandu along with Kathmandu University Teaching Hospital, Dhulikhel and College of Medical Sciences, Chitwan.…”