Prevalence of Congenital Heart Disease in Umerkot

Abstract

Objective: To study the prevalence and the pattern of distribution of congenital heart disease.Study Design: Descriptive cross-sectional study.Place and Duration of Study: The study was conducted at outpatient department (OPD) of CMH Chhor and DHQ Umerkot, Sindh (Pakistan), from Dec 2019 to Mar 2020.Methodology: All the children (<12 years age) presenting to Paediatric OPD of the two hospitals were enrolled into study. Any patient with either a history or clinical examination pointing towards a suspected congenital heart disease was referred to Paediatric Cardiologist for 2-D echocardiogram. Details of the patient were recorded on designated proforma.
 Results: A total of 273 patients were diagnosed with congenital heart disease. Out of these, 114 (41.7%) were female and 159 (58.2%) were male (male: female of 1.4:1). The age of the children was ranging from 2 months to 12 years, 153 (56.04%) had simple heart defects, while 120 (43.9%) had complex or multiple congenital heart anomalies. Amongst the 273 patients, 25.3% were cyanotic and 74.7% had acyanotic heart disease. Most common lesion identified was ventricular septal defect (29.6%), followed by Tetralogy of Fallot in 20.8%.
 Conclusion: Acyanotic heart defects confirms to the major bulk of congenital heart defects with male preponderance.

Frequency of Congenital Heart Disease in Children with Heart Murmur at Teriary Care Hospital

“…25.3% of the 273 patients were cyanotic, while 74.7% had Acyanotic heart disease. Ventricular septal defect was the most prevalent lesion found (29.6%), followed by Tetralogy of Fallot (20.8%) 11 .…”

“…Another study 11 consistently reported that 194 patients had heart murmurs and after Doppler echocardiography recorded that 95 patients had innocent murmurs (49%), and 99 patients' pathological murmurs (51%).19 which as compared to this study, a number of congenital heart diseases were recorded in them, 29 (11.02%) patients were diagnosed for PDA, 21 (7.98%) patients were recorded with VSD, 18 (6.84%) patients were recorded with ASD and 21 (7.98%) patients were diagnosed for PFO while 33 (12.54%) patients were having TGA. (Table No.…”