Burden of congenital heart diseases in a tertiary cardiac care institute of high altitude area
DOI:
https://doi.org/10.18203/2320-6012.ijrms20191462Keywords:
Acyanotic, Cyanotic, Congenital heart disease, High altitude area, Neonatal, PrevalenceAbstract
Background: Congenital heart disease is one of the major causes of mortality and morbidity in the paediatric population of both the developing and developed countries. Variability in incidence and prevalence of CHD from various countries of Indian subcontinent and rest of the world could be because of genetic, cultural, and environmental factors. The objective of the study was to find the prevalence and pattern of CHD in a tertiary care hospital in Kashmir (Jammu and Kashmir).
Methods: All children admitted at territary care hospital with age 0-15 years were screened for congenital heart disease. The study was conducted for period of one year to ascertain the prevalence and spectrum of CHDs.
Results: A total of 232 patients out of 23000, were found having CHDs measuring a prevalence of 10.5/1000. About 170 (73%) were the acyanotics, and 62 (27%) were cyanotic heart patients. Among the acyanotic heart diseases ventricular septal defect was the most frequent lesion seen in 54 (23%), followed by patent ductus arteriosus in 50 (22%) children. Among the cyanotic heart diseases tetralogy of Fallot was the most frequent cyanotic heart disease seen in 15 (6.4%) patients.
Conclusions: Authors observed high prevalence of CHD in our population. The pattern and spectrum of CHD were comparable to national and international data.
References
Mitchell SC, Korones SB, Berendes HW. Congenital heart disease in 56,109 births. Incidence and natural history. Circulat. 1971;43:323-32.
Saxena A. Congenital heart disease in India: A status report. Indian J Pediat. 2005;72:595-8.
Kuehl KS, Loffredo CA, Ferencz C. Failure to diagnose congenital heart disease in infancy. Pediat. 1999;103:743-7.
Aburawi EH. The burden of congenital heart disease in Libya. Libyan J Med. 2006 8;1:120-2.
Wren C, Richmond S, Donaldson L. Presentation of congenital heart disease in infancy: Implications for routine examination. Arch Dis Child Fetal Neonatal Ed. 1999;80:F49-53.
Van der Linde D, Konings EE, Slager MA, Witsenburg M, Helbing WA, Takkenberg JJ, et al. Birth prevalence of congenital heart disease worldwide: A systematic review and meta-analysis. J Am Coll Cardiol. 2011;58:2241-7.
Berstein D. Epidemiology and genetic basis of congenital heart disease prevalence. In: Kleigman RM, Behrman RE, Jenson HB, Stanson BF, eds. Nelson textbook of Pediatrics. 18 th ed. Saunders Elsevier: Philadelphia. 2007:1878-1881.
Ferencz C, Rubin JD, McCarter RJ, Brenner JI, Neill CA, Perry LW, et al. Congenital heart disease: Prevalence at livebirth. Baltimore-Washington Infant Study. Am J Epidemiol. 1985;121:31-6.
Wanni KA, Shahzad N, Ashraf M, Ahmed K, Jan M, Rasool S. Prevalence and spectrum of congenital heart diseases in children. Heart India. 2014;2:76-9.
Mahapatra A, Sarangi R, Mahapatra PP. Spectrum of congenital heart disease in a tertiary care centre of Eastern India. Int J Contemp Pediat. 2017;4:314- 6.
Abqari S, Gupta A, Shahab T, Rabbani MU, Ali SM, Firdaus U, et al. Profile and risk factors for congenital heart defects: A study in a tertiary care hospital. Ann Pediat Cardiol. 2016;9:216-21.
Hussain M, Tahura S, Sayeed MA, Rahman MM, Kar SK. Past and present pattern of congenital heart disease at DSH: A situation analysis. Bangladesh J Child Health. 2010;34:51-5.
Kumar BD, Reddy KR, Elizabeth B. Study of incidence of congenital heart diseases in children of age group 1 month to 12 yrs. J Evolution Med Dental Sci. 2015;4(07):1151-9.
Smitha R, Karat SC, Narayanappa D, Krishnamurthy B, Prasanth S N, Ramachandra N B. Prevalence of congenital heart diseases in Mysore. Indian J Hum Genet. 2006;12:11-6.
Ashraf M, Chowdhary J, Khajuria K, Reyaz AM. Spectrum of congenital heart diseases in Kashmir, India. Indian Pediat. 2009;46(12).
Samánek M, Vorísková M. Congenital heart disease among 815,569 children born between 1980 and 1990 and their 15-year survival: A prospective Bohemia survival study. Pediat Cardiol. 1999;20:411-7.
Patra S, Rama Sastry UM, Mahimaiha J, Subramanian AP, Shankarappa RK, Nanjappa MC, et al. Spectrum of cyanotic congenital heart disease diagnosed by echocardiographic evaluation in patients attending paediatric cardiology clinic of a tertiary cardiac care centre. Cardiol Young. 2015;25:861-7.
Pai BV, Varkey GC. Spectrum of congenital heart disease in a general hospital (study of 200 cases). Indian J Pediatr. 1974;41(10):317-21.
Suresh V, Rao AS, Yavagal ST. Frequency of various congenital heart diseases: Analysis of 3790 consecutively catheterised patients. Indian Heart J. 1995;47:125-8.
