Volume : IX, Issue : IV, April - 2019

Clinical profile of cyanotic congenital heart disease in neonatal intensive care unit at tertiary care hospital in North India

Amber B. Mir, Jehangir A. Shah

Abstract :

Objective: To determine the clinical profile and assess the outcome of all neonates diagnosed with cyanotic congenital heart disease. Methods: The study was conducted prospectively in NICU, G.B Pant Children Hospital, Department of Paediatrics and Neonatalogy, GMC Srinagar from January 2016 to January 2018. All included patients were subjected to thorough clinical history, full clinical examination, initial and frequent measurement of oxygen saturation by pulse oximetry, blood gas analysis, and echocardiography Results: Total 529 cases of CHD diagnosed by Echocardiography in neonatal period were studied, out of which 280 were males and 259 were females (male:female =1.5:1). 147 (27.7%) had cyanotic CHD[CCHD], The most common type of CCHD was d–transposition of great arteries (D–TGA) (27.8%) followed by TOF(17%) and complex CHD[ 12.2%], All cases presented with central cyanosis and needed medical treatment whereas balloon atrial septostomy was performed in 6% of cases. 87 neonates [59.1%] improved and referred to higher centers while 40.08% expired during hospital stay.Intractable heart failure was commonest cause of death[ 13.6% ].All neonates with HLHS ,truncus arteriosus and pulmonary atresia died Conclusion: CCHD is a leading cause of neonatal morbidity and mortality. CCHD frequency was significant (27.7%) in our study population with D–TGA being the commonest type. Majority of neonates with CCHD showed survival with suitable management. Early diagnosis and referral to pediatric cardiac center for proper management will improve the outcome. Neonatologists and pediatric cardiologists should be familiar with diagnosis and management of CCHD

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Article: Download PDF   DOI : 10.36106/ijar  

Cite This Article:

CLINICAL PROFILE OF CYANOTIC CONGENITAL HEART DISEASE IN NEONATAL INTENSIVE CARE UNIT AT TERTIARY CARE HOSPITAL IN NORTH INDIA, Amber B. Mir, Jehangir A. Shah INDIAN JOURNAL OF APPLIED RESEARCH : Volume-9 | Issue-4 | April-2019

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