Spectrum of congenital heart disease in a tertiary care centre of Eastern India

Abstract

Background: Congenital heart disease (CHD) is not an uncommon entity in our country. The prevalence of CHD is 9.3 per 1000 life birth in Asia which is found to be highest globally. Not much of Indian data is available particularly from this part of the country. So we conduct a retrospective study to know the spectrum of congenital heart disease in our set up.Methods: This is a retrospective hospital based study carried out over a period of 20 months (2015 March - 2016 November) where all suspected children (< 14 years) of CHD were subjected to echocardiographic study. The age, sex, clinical presentation and echo findings were well documented. Results: The total number CHD diagnosed were 231 and were more common among males (54.5%) with male to female ratio is 1.2:1. CHD were diagnosed more commonly between 1 month to 1 Year (40.25%). The commonest type of acyanotic CHD in our study was ventricular septal defect (VSD) (36.3%) and cyanotic CHD is tetralogy of Fallot (11.25%). The major clinical finding was a detection of a murmur (84.8%) followed by tachycardia (41.5%) and tachypnea (36.3%).Conclusions: In this era of most accurate diagnostic modalities, any clinical suspicion of congenital heart disease should be confirmed by echocardiography to hasten the diagnosis, timely management and prevention of complications.

Spectrum of congenital heart disease in a tertiary care centre of Northern India

“…Most of CHDs were diagnosed between 1 month and 6 years (69.2%), which is comparable to other studies. 12 The highest number of cases was seen between 1 month and 6 years of age which could be because of a large number of referrals from peripheral health center and increasing use of echocardiography. In present study, CHDs were more common among the male 1250 (60.32%), with a male-tofemale ratio of 1.52:1.…”

Clinical Profile, Pattern of Presentation and Short Term Outcome of Cyanotic Congenital Heart Disease in Neonates

“…Male: Female ratio was 3.6: 1. In a study by Mahapatra A et al, where among 231 patients with CHD, CHD were more common among males (54.5%) with the male to female ratio is 1.2:1 [33]. In this study majority of patient that is 36 neonates presented in between age of 16-28 days of age (48%).…”

“…2 patients (2.7%) presented with shock. Mahapatra A et al, showed out of 231 of his study patients 196 had murmurs, 96 had tachycardia, 84 had tacyhpnea, 28 had clubbing, 21 had oedema, 41 had enlarged liver [33]. Chest X-ray findings were oligaemic lung in 39%, plethoric lung in 44%, cardiomegaly in 46%, egg on side shaped heart in 14% patients and boot shaped heart was found in 5% patients.…”

To Correlate Ecg Changes and Clinico-Radiological Findings With the Severity of Vsd.

“…The maximum no. of children were less than 6 months of age (48.2%).According to a study conducted in Odisha, India by Dr Mahapatra A. et al [9] ,this is the most common congenital heart disease in India accounting for 36.3%. 91 % (51cases) patients in this study group had increased pulmonary vascular markings in their chest x-ray which is very characteristic in ventricular septal defect as pulmonary blood flow is increased in VSD.…”