PATTERN OF CONGENITAL HEART DISEASE IN NEONATAL CARE UNIT IN TERTIARY CARE HOSPITAL

Dr PANKAJ KUMAR SINGHAL; Dr SHWETA GOYAL

Volume : VII, Issue : XI, November - 2018

PATTERN OF CONGENITAL HEART DISEASE IN NEONATAL CARE UNIT IN TERTIARY CARE HOSPITAL

Dr Pankaj Kumar Singhal, Dr Shweta Goyal

Abstract :

Objective(s): Pattern of congenital heart disease in neonatal care unit in tertiary care hospital

Method(s): This is a retrospective hospital based study carried out over a period of 12 months ( August 2017– July 2018) where all suspected case of CHD due to the appearance of murmur, cyanosis, tachycardia were subjected to echocardiographic study. The age, sex, clinical presentation and echo findings were well documented.

Observation(s) : A total of 214(5.3%) patients were suspected as having congenital heart disease out of 4020 . On Echocardiography 93 (prevalence of 20.6/1000neonates) were found to be having significant findings. About 77 (82.7%) were the acyanotics, and 16 (17.20%) were cyanotic heart patients. Among the acyanotic heart diseases atrial septal defect was the most frequent lesion seen in 29% , followed by VSD (27%) , patent ductus arteriosus in 20% neonates. Among the cyanotic heart diseases tetralogy of Fallot (12.5%) was the most frequent cyanotic heart disease seen in patients.

Conclusion(s): In this era of most accurate diagnostic modalities, any clinical suspicion of congenital heart disease should be confirmed by echocardiography to hasten the diagnosis, timely management and prevention of complications.