Profile of Acyanotic Congenital Heart Defects
Background: Acyanotic CHD constitute majority of heart defect with significant morbidity, Profile of various defects is essential for identifying children who need urgent intervention and who need to be medically followed.
Methods: The study was carried out in Department of Pediatrics and Center of Cardiology, Jawaharlal Nehru Medical College, Aligarh. All patients referred with complaints or clinical examination suggestive of congenital heart defects were further evaluated with echocardiography. On echocardiography patients having congenital heart defects were included as cases which were further divided into cyanotic and acyanotic heart defects, preterms having PDA and PFO and those with acquired heart defects were excluded. The profile and mode of presentation of various acyanotic CHDs was further described in detail.
Results: Acyanotic heart defects were 290(72.50%) of the total heart defects, while the contribution of cyanotic heart defects was 110 (27.50%). Out of all CHDs, VSD was the most common lesion with contribution of 152 (38.00%) cases, followed by ASD (20.34%) , PDA (13.10%), PS (6.90%), Subaortic Membrane (2.00%), AV Canal valve defect (1.00%), RSOV (1.00%), Bicuspid Aortic Valve (1.00%), PAPVC (0.66%), Cortriatriatum (0.33%), Coarctation of Aorta(0.33%), ALCAPA(0.33%) and Aortic stenosis (0.33%). Age of presentation for most of the children was between 1 to 5 years.
Conclusions: The profile and mode of presentation of various acyanotic heart defects was similar to other studies but diagnosis was delayed in majority of cases. The prevelance of various obstructive lesions like AS, coarctation and bicuspid aortic valve was much lower.
2. Bernier PL, Stefanescu A, Samoukovic G, Tchervenkov CI. The challenge of congenital heart disease worldwide: epidemiologic and demographic facts. Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu 2010;13(1):26 -34.
3. Hussain M, Tahura S, Sayeed M. A, Rahman M. M, Rahman Mahbubur M, Kar S. K. Past and Present Pattern of Congenital Heart Disease at DSH: A situation Analysis Bangladesh J Child Health 2010; Vol. 34 (2): 51-55.
4. Amro K. Pattern of Congenital Heart Disease in Jordan Eur J Gen Med 2009; 6(3): 161-165.
5. Kumar BD, Reddy KR, Elizabeth B. "Study of Incidence of Congenital Heart Diseases in Children of Age Group 1 Month to 12 Yrs". Journal of Evolution of Medical and Dental Sciences 2015; Vol. 4(07), January 22; Page: 1151-1159.
6. Inayatullah Khan, Amir Muhammad, Taj Muhammad Pattern of Congenital Heart Disease Gomal Journal of Medical Sciences July-December 2011, Vol. 9(2):174-177.
7. Ramachandran U, Alurkar V, Thaplia A. Pattern of cardiac diseases in children in Pokhara, Nepal Kathmandu University Medical Journal (2006), Vol. 4, No. 2, Issue 14, 222-227.
8. L Shamima Sharmin, M Azizul Haque, M Iqbal Bari, M Ayub Ali Pattern and Clinical Profile of Congenital Heart Disease in A Teaching Hospital TAJ 2008; 21(2): 58-62
9. Awori M, Ogendo S. The Spectrum of Paediatric Congenital Heart Disease at The Kenyatta National Hospital: Implications for Surgical Care. The ANNALS of AFRICAN SURGERY. January 2013;10(1): 9-11.
10. Mishra M, Mittal M, Verma AM, et al. Prevalence and pattern of congenital heart disease in school children of Eastern Uttar Pradesh. Indian Heart J. 2009;61:58-60.
11. Bhat NK, Dhar M, Kumar R, Patel A, Rawat A, Kalra BP. Prevalence ant pattern of congenital heart disease in Uttakhand, India. Indian J Pediatr. 2013 Apr;80(4):281-5.
12. Jatav RK, Kumbhare MB, Srinivas M, Rao DR, Kumar P.G., Reddy P.R.et al Int J Res Med Sci. 2014 Feb;2(1):186-192.
13. 13.Kapoor R, Gupta S. Prevalence of congenital heart disease, Kanpur, India. Indian Pediatr. 2008;45:309-11.