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Pattern of Cardiac Abnormalities in Children < 5 Years of Age - Experience in a Tertiary Care Hospital

Received: 25 August 2021     Accepted: 14 October 2021     Published: 28 October 2021
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Abstract

Background: Congenital heart diseases (CHDs) are the most common birth defects, responsible for nearly one-third of all congenital birth defects. The birth prevalence of CHD is reported to be 8-12/1000 live births. Early diagnosis of Congenital as well acquired heart diseases are of paramount important for timely management plan and intervention and thus reduce the mortality and morbidity of childhood heart disease patients. Method: This is a prospective observational study carried out during January 2020 to December’ 2020 at Dhaka Shishu Hospital, Bangladesh. The study population were 100 enrolled cardiac Children who were clinically suggestive of having cardiac disease evaluated through chest X-ray, ECG, Echocardiography and other necessary Investigation. Proper informed consent was taken under the study and purpose of the study was explained. Ethical approval was obtained from the Institutional Ethics Committee. All data were processed, analyzed, and disseminated by MS Office and SPSS version 26 as per need. Results: Among the 100 enrolled cardiac patient 87 were diagnosed to have congenital heart disease and remaining 13% percent presented with acquired heart disease. Out of 87 patients suffering from congenital heart disease 59 (67.81%) had acyanotic heart disease where Ventricular septal defect (VSD) is in the top of the list 27 (31.34%). Cyanotic congenital heart disease was found in 28 (32.19%) where Tetralogy of fallot (TOF) was the most common lesion 9 (10.34%). Conclusion: Childhood Heart diseases are responsible for a significant number of mortality and morbidity. Earlier detection and timely initiative regarding medical or surgical management is of utmost importance to avoid complications, reduce mortality and improve quality of life.

Published in Biomedical Sciences (Volume 7, Issue 4)
DOI 10.11648/j.bs.20210704.11
Page(s) 99-102
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2021. Published by Science Publishing Group

Keywords

Cardiac, Abnormalities, Tertiary Care

References
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[2] EUROCAT Steering Committee. Congenital Heart Defect in Europe; c2014. Available from: http://www.eurocat network.eu/content/EUROCAT Special Report CHD.pdf. Accessed on Mar 05, 2019.
[3] Hoffman JI. The global burden of congenital heart disease. Cardiovasc J Afr. 2013; 24: 141-5.
[4] Bernier PL, Stefanescu A, Samoukovic G, Tchervenkov CI. The challenge of congenital heart disease worldwide: Epidemiologic and demographic facts. Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu. 2010; 13: 26-34.
[5] Clovis Nkoke1, Alain Menanga1, Jerome Boombhi1, David Chelo2, Samuel Kingue1, A new look at acquired heart diseases in a contemporary subSaharan African pediatric population: the case of Yaoundé, Cameroon Cardiovasc Diagn Ther 2015; 5 (6): 428-434.
[6] Najma Patel1, Shama Jawed2, Nagina Nigar3, Fariha Junaid4, Asia Abdul Wadood, Fatima Abdullah6 Frequency and pattern of congenital heart defects in a tertiary care cardiac hospital of Karachi, Pak J Med Sci 2016 Vol. 32 No. 1 PP: 79—84.
[7] Kuehl KS, Loffredo CA, Ferencz C. Failure to diagnose congenital heart disease in infancy. Pediatrics. 1999; 103: 743e747.
[8] Nadia Mohammad, Salma Shaikh, Shazia Memon, Heman Das. Spectrum of heart disease in children under 5 years of age at Liaquat University Hospital, Hyderabad, Pakistan, Indian Heart Journal Volume 66, Issue 1, January–February 2014, Pages 145-149.
[9] Chelo D, Nguefack F, Menanga AP, et al. Spectrum of heart diseases in children: an echocardiographic study of 1,666 subjects in a pediatric hospital, Yaounde, Cameroon. Cardiovasc Diagn Ther. 2016; 6 (1): 10–9.
[10] Wanni KA, Shazad N, Ashraf M, et al. Prevalence and Spectrum of congenital heart diseases in children. Heart India. 2014; 2 (3): 76–9.
[11] Ahmed R, Awan ZA, Bukshi F. A prevalence study of congenital heart disease in NWFP, Pakistan. Pak J Med Sci. 2002; 18: 95e98.
[12] Sadiq M, Roshan B, Khan A, Latif F, Bashir I, Sheikh SA. Pattern of paediatric heart diseases in Pakistan. J Coll Physicians Surg Pak. 2002; 12: 149e153.
[13] Wanni, K. A., Shazad, N., Ashraf, M., et al. Prevalence and Spectrum of Congenital Heart Diseases in Children. Heart India 2014, Vol. 2, Issue 3: 76–7.
[14] Zuehlke, L., Mirabel, M., Marijon, E. Congenital heart disease and rheumatic heart disease in Africa: recent advances and current priorities. Heart 2013, 99: 1554–1561.
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  • APA Style

    Md. Abu Sayeed, Mahbubur Rahman, Abu Sayed Munshi, Dilruba Ibrahim Dipti. (2021). Pattern of Cardiac Abnormalities in Children < 5 Years of Age - Experience in a Tertiary Care Hospital. Biomedical Sciences, 7(4), 99-102. https://doi.org/10.11648/j.bs.20210704.11

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    ACS Style

    Md. Abu Sayeed; Mahbubur Rahman; Abu Sayed Munshi; Dilruba Ibrahim Dipti. Pattern of Cardiac Abnormalities in Children < 5 Years of Age - Experience in a Tertiary Care Hospital. Biomed. Sci. 2021, 7(4), 99-102. doi: 10.11648/j.bs.20210704.11

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    AMA Style

    Md. Abu Sayeed, Mahbubur Rahman, Abu Sayed Munshi, Dilruba Ibrahim Dipti. Pattern of Cardiac Abnormalities in Children < 5 Years of Age - Experience in a Tertiary Care Hospital. Biomed Sci. 2021;7(4):99-102. doi: 10.11648/j.bs.20210704.11

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  • @article{10.11648/j.bs.20210704.11,
      author = {Md. Abu Sayeed and Mahbubur Rahman and Abu Sayed Munshi and Dilruba Ibrahim Dipti},
      title = {Pattern of Cardiac Abnormalities in Children < 5 Years of Age - Experience in a Tertiary Care Hospital},
      journal = {Biomedical Sciences},
      volume = {7},
      number = {4},
      pages = {99-102},
      doi = {10.11648/j.bs.20210704.11},
      url = {https://doi.org/10.11648/j.bs.20210704.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.bs.20210704.11},
      abstract = {Background: Congenital heart diseases (CHDs) are the most common birth defects, responsible for nearly one-third of all congenital birth defects. The birth prevalence of CHD is reported to be 8-12/1000 live births. Early diagnosis of Congenital as well acquired heart diseases are of paramount important for timely management plan and intervention and thus reduce the mortality and morbidity of childhood heart disease patients. Method: This is a prospective observational study carried out during January 2020 to December’ 2020 at Dhaka Shishu Hospital, Bangladesh. The study population were 100 enrolled cardiac Children who were clinically suggestive of having cardiac disease evaluated through chest X-ray, ECG, Echocardiography and other necessary Investigation. Proper informed consent was taken under the study and purpose of the study was explained. Ethical approval was obtained from the Institutional Ethics Committee. All data were processed, analyzed, and disseminated by MS Office and SPSS version 26 as per need. Results: Among the 100 enrolled cardiac patient 87 were diagnosed to have congenital heart disease and remaining 13% percent presented with acquired heart disease. Out of 87 patients suffering from congenital heart disease 59 (67.81%) had acyanotic heart disease where Ventricular septal defect (VSD) is in the top of the list 27 (31.34%). Cyanotic congenital heart disease was found in 28 (32.19%) where Tetralogy of fallot (TOF) was the most common lesion 9 (10.34%). Conclusion: Childhood Heart diseases are responsible for a significant number of mortality and morbidity. Earlier detection and timely initiative regarding medical or surgical management is of utmost importance to avoid complications, reduce mortality and improve quality of life.},
     year = {2021}
    }
    

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  • TY  - JOUR
    T1  - Pattern of Cardiac Abnormalities in Children < 5 Years of Age - Experience in a Tertiary Care Hospital
    AU  - Md. Abu Sayeed
    AU  - Mahbubur Rahman
    AU  - Abu Sayed Munshi
    AU  - Dilruba Ibrahim Dipti
    Y1  - 2021/10/28
    PY  - 2021
    N1  - https://doi.org/10.11648/j.bs.20210704.11
    DO  - 10.11648/j.bs.20210704.11
    T2  - Biomedical Sciences
    JF  - Biomedical Sciences
    JO  - Biomedical Sciences
    SP  - 99
    EP  - 102
    PB  - Science Publishing Group
    SN  - 2575-3932
    UR  - https://doi.org/10.11648/j.bs.20210704.11
    AB  - Background: Congenital heart diseases (CHDs) are the most common birth defects, responsible for nearly one-third of all congenital birth defects. The birth prevalence of CHD is reported to be 8-12/1000 live births. Early diagnosis of Congenital as well acquired heart diseases are of paramount important for timely management plan and intervention and thus reduce the mortality and morbidity of childhood heart disease patients. Method: This is a prospective observational study carried out during January 2020 to December’ 2020 at Dhaka Shishu Hospital, Bangladesh. The study population were 100 enrolled cardiac Children who were clinically suggestive of having cardiac disease evaluated through chest X-ray, ECG, Echocardiography and other necessary Investigation. Proper informed consent was taken under the study and purpose of the study was explained. Ethical approval was obtained from the Institutional Ethics Committee. All data were processed, analyzed, and disseminated by MS Office and SPSS version 26 as per need. Results: Among the 100 enrolled cardiac patient 87 were diagnosed to have congenital heart disease and remaining 13% percent presented with acquired heart disease. Out of 87 patients suffering from congenital heart disease 59 (67.81%) had acyanotic heart disease where Ventricular septal defect (VSD) is in the top of the list 27 (31.34%). Cyanotic congenital heart disease was found in 28 (32.19%) where Tetralogy of fallot (TOF) was the most common lesion 9 (10.34%). Conclusion: Childhood Heart diseases are responsible for a significant number of mortality and morbidity. Earlier detection and timely initiative regarding medical or surgical management is of utmost importance to avoid complications, reduce mortality and improve quality of life.
    VL  - 7
    IS  - 4
    ER  - 

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Author Information
  • Department of Paediatric Cardiology, Dhaka Shishu (Children) Hospital, Dhaka, Bangladesh

  • Department of Paediatric Cardiology, Dhaka Shishu (Children) Hospital, Dhaka, Bangladesh

  • Department of Paediatric Cardiology, Dhaka Shishu (Children) Hospital, Dhaka, Bangladesh

  • Department of Paediatric Cardiology, Dhaka Shishu (Children) Hospital, Dhaka, Bangladesh

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