DOI: http://dx.doi.org/10.18203/2349-3291.ijcp20205500

An assessment of the pattern of congenital heart disease in children: study in a tertiary care hospital, Rajshahi, Bangladesh

Kuntal Roy, Humayun Shahed, Kaushik Roy, Quazi Sahely Sarah, Nandita Sur Chowdhury

Abstract


Background: Congenital heart disease is defined as a gross structural abnormality of the heart or intrathoracic great vessels that is actually or potentially of functional significance. The aim of this study was to assess the pattern of congenital heart disease.  

Methods: It was a hospital based Cross-sectional study carried out prospectively in the department of pediatrics of Rajshahi medical college and hospital from July 2011 to December 2011. The study population was all the children up to 12 years of age admitted in three pediatric units of this hospital during the study period.

Results: Among the 147 clinically suspected cases congenital heart disease was confirmed in 110 cases by echocardiography. Thrill was mostly present in 60.5% of VSD cases, in 42.1% of PDA, in 50% of A-V canal defect and 10% of multiple lesions patients. Palpable P2 was present in 27.9% of VSD cases, 15% of TOF, 50% of PS and 30% of multiple lesions patients. Left parasternal heave was found in 25.6% of VSD cases, 15.6% of ASD, 88.2% of TOF, 50% of PS and 40% of multiple lesions patients. Cardiomegaly was present in 5.3% of PDA, 50% of COA, 50% of PS and 20% of multiple lesions cases. Plethoric lung field with cardiomegaly & consolidation was observed in 10% of VSD and 21% of PDA cases. Cardiomegaly with consolidation was observed in 11.6% of VSD & 15.6% of ASD cases. Boot shape heart with oligamic lung was observed in 88.2% of TOF patients. Pulmonary opacity/consolidation was found in 4.7% of VSD cases.

Conclusions: It appeared that incidence of CHD is quite significant in RMCH.


Keywords


Congenital Heart Disease, Children, Breathlessness, Cough, Palpitation, Undue Fatigability, Bluish Coloration

Full Text:

PDF

References


Schoen FJ. Congenital heart disease, In: Cortan RS, Kumar V, Robins SL, editors. Robins Pathologic Basis of Disease.7th ed. Philadelphia: W.B. Saunders Company. 2005;564-71.

Mitchell SC, Korones SB, Berendes HW, Congenital heart disease in 56, 109 births. Incidence and natural history. Circulation. 1971;43:323-32.

Fyler DC, Buckley LP, Hellenbrand WE, Cohn HE. Report of the New England Regional Infant Cardiac Program. Pediatrics. 1980;65(Suppl):375-461.

Jordan SC, Scott O. Heart disease in Paediatrics.3rd ed. Butterwoths, 1989:38.

Malik A. Problems of Cardiovascular disease in Bangladesh & other developing country. Proceeding of the Bangladesh-Japan joint conference on CVD, Dhaka, Bangladesh, 1984

Jackson M, Walsh KP, Peart I, Arnold R. Epidemiology of congenital heart disease in Merseyside – 1979 to 1988. Cardiol Young. 1996;6:272-80

Bernstein D. Epidemiology and Genetic Basis of Congenital heart disease. In Behrman RE, Kligman RM, Jenson HB, editors. Nelson textbook of Pediatrics. 18th ed. Philadelphia: Saunders, 2008; 1878-1881.

Camm AJ, Bunce NH. Congenital heart disease. In: Kumar P, Clark M, editors. Kumar & Clark Clinical Medicine. 6th ed. Edinburgh: Elsevier Saunders. 2005:832-8.

Boon NA, Collede NR, Walker BR, editors. Davidson’s Principle and Practice of Medicine. 21st ed. Edinburgh: Churchill Livingstone, 2010:628-35.

Sharmin LS, Haque MA, Bari MI, Ali MA. Pattern and clinical profile of congenital heart disease in a teaching hospital. J Teachers Assoc. 2008;21(1):58-62.

Hoffman JIE, Christianson R. Congenital heart disease in a cohort of 19,502 births with long-tenn follow-up. Am J Cardiol. 1978;42:641-7.

Nadas AS, Fyler DC, 3rd ed. Pediatric cardiology. Philadelphia: W.B. Saunders Company, 1972.

Hussain M, Hossain M, Amin SK, Molla MR. Pattern of Congenital Heart Disease in Dhaka Shishu Hospital. DS (Child) HJ. 1992;8:35- 46.

Jatav RK, Mamta B. Kumbhare, Srinivas M, Davu Renuka Rao DR, Kumar PG, et al. Prevalence and pattern of congenital heart diseases in Karimnagar, Andhra Pradesh, India: diagnosed clinically and by trans-thoracic-two-dimensional echocardiography. Int J Res Med Sci. 201;2(1):186-192

Begum NNF Ahmed QS. Pattern of Heart disease among neonates and their outcome: one year experience in non- invasive cardiac laboratory of Combined Military Hospital, Dhaka. Bang J Child Heal. 2001;25:48-52.

Begum NNF, Chowdhury RB, Chowdhury L. Incidence of Congenital Heart Disease among Hospital Live Birth in a Tertiary Hospital of Bangladesh. Can Veterin J. 2008;1(1):14-20.

Rahman S, Ahmed MN, Rahmatullah KHI, Alam MS. The Incidence of Congenital Heart Diseases Diagnosed by Non-Invasive Technique. Ten Years Study in Bangladesh. D S (Child) H J. 1992;8 5-15

Siddique FM, Kamal SMM, Huq KMHSS. Clinical Presentation of Congenital Heart Disease in hospitalized patients. Bang Heart J. 1989;4:13-7.

Rahman F, Salman M, Akhter N, Patwary SR, Anam K, Rahman MM, et al. Pattern of congenital heart diseases. Mymensingh Med J. 2012;21(2):246-50

Hoffman JIE, Christianson R. Congenital heart disease in a cohort of 19,502 births with long-tenn follow-up. Am J Cardiol. 1978;42:641-7.

Nadas AS, Fyler DC, 3rd ed. Pediatric cardiology. Philadelphia: W.B. Saunders Company, 1972.

Hussain M, Hossain M, Amin SK, Molla MR. Pattern of Congenital Heart Disease in Dhaka Shishu Hospital. DS (Child) HJ. 1992;8:35-46.

Jatav RK, Mamta B. Kumbhare, Srinivas M, Davu Renuka Rao DR, Kumar PG, et al. Prevalence and pattern of congenital heart diseases in Karimnagar, Andhra Pradesh, India: diagnosed clinically and by trans-thoracic-two-dimensional echocardiography. Int J Res Med Sci. 2014;2(1):186-92

Mollah MAH, Begum NA, Islam MN, Mahrnud RS, Haq MA, Nabar N, et al. Clinical Profile of Congenital Heart Diseases (CHD): An Analysis of 218 Cases. Bangladesh heart J. 2002;17:62-7.

Rao VS, Reddy R. Profile of congenital heart disease in children. Indian J Pediatr. 1974;41:244-8.

Hussain M, Tahura S, Hussain MZ, Fatema NN, Razzaque SKA. Pattern of congenital heart disease in Bangladesh: A multi-center study. DS (Child) H J. 2011;27(1):5-11.