Title: Study of Signs, Symptoms and Investigations of Congenital Heart Disease in A Teaching Hospital

Authors: Aravind S, Chidambaranathan S, Yogavalli S

 DOI:  https://dx.doi.org/10.18535/jmscr/v5i5.94

Abstract

Congenital heart disease one of the leading cause of morbidity and mortality in pediatric age group. The reported incidence is 8 per 1000 births. The reported incidence is 8 per 1000 births. Objective is to study the pattern of clinical presentations in various Congenital heart diseases. This prospective study included children (birth to 12 yrs) with history and examination suggestive of congenital heart disease. Diagnosis confirmed by Echocardiography. Out of 82 cases, 78 cases were diagnosed Acyanotic and 4 were Cyanotic CHD. ASD (37.8%) remained the majority of cases. Female (54%) outnumbered male. Common clinical manifestations were Breathlessness (75%), Chest retractions (30%), failure to thrive (18%) , Cyanosis (4%) and  Feeding difficulty (24%). Among the cases studied, 24% had history of recurrent lower respiratory tract infections. Murmur with or without thrill and cardiomegaly were the most important cardiac finding. Frequently observed complications were heart failure and growth failure. Conclusion: Early diagnosis, close monitoring and timely intervention goes a long way in reducing morbidity and mortality in CHD.

Keywords: Congenital Heart Disease, Signs, Symptoms, Investigations.

References

1.      Webb GD, Smallhorn JF, Therrein J. ‘Congenital Heart Disease’ In: Zipes, Libby, Bonow, Braunwald, editors. Braunwalds Heart Disease, 7th Edition, Philadelphia: Saunders 2015: 1489-1547.

2.      Bernstein D. Congenital heart disease. Behrman, Kleigman, Jenson, editors. Nelson Textbook of Pediatrics, 17th Ed, Philadelphia: Saunders, 2016: 2185.

3.      Perloff JK.  The clinical recognition of congenital heart disease, 6th   edition,   Philadelphia: Saunders 2012.

4.      Saxena A. Congenital heart disease in India: A status report. Indian Journal of Pediatrics 2005; 72(7): 595-598.

5.      Padedam Venkata Raghavaiah, Dr. Harsh Gaar, Dr.Sandeep, Dr. Shailaa Mane, Dr.Sharad Agarkhedkar, Clinical profile of Congenital Heart diseases in tertiary care centre, International Journal of applied research, 2016;Vol 5;314-318.

6.      Sandeep V. Harshangi, Lakshmi Nagara Itagi, Venkatesh Patil, Vijayanath V, Clinical study of Congenital heart disease in Infants in tertiary care;JPSI,2(1): 2013;15-18

7.      Dipendra Sharma, Sunil gupta, Himanshu goyal, Rajesh Kumar, Gulati RK,Clinici-Echocardiographic profile of CHD in children admitted in tertiary care centre, ijarr;1(5):2016;118-122.

8.      Shamima Sharmin L, AzizuHaque Bari M, Ayub Ali M, Pattern and Clinical Profile of Congenital heart disease in a teaching hospital, TAJ December 2008 21(2):58-62.

Perloff JK. Introduction with a brief historical survey in physical examination of the heart and circulation, 4th Ed, Philadelphia: Saunders, 2009.

Corresponding Author

Aravind S

Postgraduate, Department of Pediatrics, RMMCH