Volume : V, Issue : VII, July - 2015

CLINICAL AND ECHOCARDIOGRAPHIC EVALUATION OF CONGENITAL HEART DISEASES

Dr. N Manjuleswari, Dr. S. A. Sardar Sulthana, Dr. N. Suhasini

Abstract :

 Objective : To study the prevalence & pattern of Congenital heart diseases in relation to age ,sex and its clinical presentation, and its correlation with ECHO. in the dept. of pediatrics Kurnool over a period of one year. Methods: Hospital based prospective clinical study Study included 60 children of congenital heart diseases among 3853 admissions in pediatric medical ward during one year study period; clinically suspected cases of congenital heart diseases were subjected for further echocardiographic evaluation. Participants: study sample of 60 patients diagnosed as congenital heart disease out of 3853 admissions during study period. Out come: Prevalence & pattern of Congenital heart diseases in relation to age, sex and its clinical presentation and correlated echocardiographically and managed accordingly. Results: Of the total 3853 in patients in pediatric ward, 43 cases (1.12%) were acyanotic and 17 cases (0.44%) were cyanotic heart diseases. We infer that, the peak incidence was seen in the age group of 1–12 months comprising of 46.67% of the total number of cases. 1.56% of hospital admissions were constituted by congenital heart diseases. Males formed 53.49% and females 46.51% of the acyanotic CHD. Ventricular septal defect formed the commonest acyanotic CHD (58.14%) in the present series of 60 cases. The remaining group comprises of ASD (14%), PDA (9.3%), AV Canal defect (9.3%), AS (7%), COA (2.32%). TOF comprised the most common cyanotic CHD (35.29%) followed by TGV (17.65%). The commonest symptoms were eathlessness (86.67%) followed by recurrent respiratory tract infections (75%), CCF (28.33%) and Cyanosis (28.33%). We performed echocardiographic studies in 58 cases, when the results were analysed in 53 cases echocardiographic diagnosis correlated with clinical diagnosis. Conclusion: The following conclusions could be drawn out of the present study of congenital heart diseases. 1. Acyanotic type (71.67%) of congenital heart disease is more common than cyanotic variety (28.33%). 2. Ventricular septal defect (58.14%) was the commonest type of acyanotic CHD in all age groups. 3. Tetralogy of Fallot (10%) formed the single most common type of cyanotic CHD beyond infancy. 4. Maximum numbers of cases were seen in between the age group of one month and twelve months of age. 5. The commonest symptoms were eathlessness (86.67%) followed by recurrent respiratory tract infections (75%), CCF (28.33%) and Cyanosis (28.33%).

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Article: Download PDF   DOI : 10.36106/ijar  

Cite This Article:

Dr.N Manjuleswari, Dr. S.A. Sardar sulthana, Dr. N. Suhasini Clinical and Echocardiographic Evaluation of Congenital Heart Diseases Indian Journal of Applied Research, Vol.5, Issue : 7 July 2015

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