Volume : VII, Issue : V, May - 2017

Incidence of Congenital Heart Disease in children in Eastern Bihar : A Tertiary Care Hospital Experience

Dr. Ankur Priyadarshi, Dr. Akhilesh Kumar

Abstract :

 Background & Objectives: Congenital Heart Disease (CHD) comprises one of the major diseases in pediatric age group. CHD are neglected especially in world’s poorest nations and appear to be ignored and unexplored dimension of health. Aims and Objectives: The present study was under taken to determine the incidence, clinical profile  and spectrum of patients with congenital heart disease (CHD) admitted to a tertiary care hospital in Eastern Bihar. Materials and methods: This is an observational study carried out in a tertiary care hospital in Eastern Bihar,  conducted during January 2016 to December 2016. Out of 6735 admissions, 76 were cases of CHD. Only first time diagnosed CHD patients with echocardiographic proof of CHD were included in the study. Detailed clinical and laboratory findings  of all cases were noted in pre–structured formats. Data was analyzed by software SPSS version 10. Results: The incidence of CHD was 11.2 per 1000 hospitalized patients. Out of 76 CHD cases, 42 were males and 34 females; with a male to female ratio of 1.25:1. Majority of patients  presented during infancy (60 %). Acyanotic CHD was detected in 64 % of cases while cyanotic CHD was detected in 36% cases. Among acyanotic heart disease, VSD was found in 36.8% ASD in 13.1 % , PDA in 11.8% and dextrocardia was found in 2.5%. Among cyanotic heart disease, Tetralogy of Fallot (TOF) accounted for 16.6%, total anomalous pulmonary venous connection (TAPVC) 2.5%, transposition of great arteries (TGA) with VSD 3.9% and unspecified cases of heart disease was found in 11.8%. VSD and TOF were the most common lesions while other CHD like ASD, dextrocardia, TAPVC, ECD, TGA with VSD were encountered less frequently. Conclusion: The incidence of CHD was 11.2 per thousand hospitalized children. VSD, TOF were the most common congenital cardiac lesion. VSD was observed either isolated or associated with other lesions like TGA. The mortality rate was 20 %. The mortality usually occurred in those patients complicated with congestive cardiac failure, lower respiratory tract infection and infective endocarditis.

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Article: Download PDF   DOI : 10.36106/ijar  

Cite This Article:

Dr. Ankur Priyadarshi, Dr. Akhilesh kumar, Incidence of Congenital Heart Disease in children in Eastern Bihar : A Tertiary Care Hospital Experience, INDIAN JOURNAL OF APPLIED RESEARCH : Volume‾7 | Issue‾5 | May‾2017

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