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Category: Volume 08 Issue 04 April 2020
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Title: Congenital Heart Disease in Children - A Tertiary Care Centre Experience

Authors: Dr Jnanindra Nath Behera, Dr Sunil Sharma, Dr Sumit Kumar, Dr Amlan Khatua, Dr Bichitra Nanda Sa

 DOI: https://dx.doi.org/10.18535/jmscr/v8i4.47

Abstract

   

Background: CHDs are the most frequent lethal malformation, affecting about 1% of newborn and causing significant morbidity and mortality in infants. It responsible for 28% of all congenital birth defects.

Objective: To estimate the prevalence of Congenital heart disease among children (0-14 yrs) admitted in Department of Pediatric and to categorize them into various types of congenital heart disease with clinical presentation and investigations and to compare prevalence in Western Odisha with different other states of India.

Method: Patients of age between 0-14 years attending OPD and IPD of pediatric department with clinical signs and symptoms of CHD were examined for CHD. The suspected patients were further evaluated with chest X-ray and confirmed with echocardiography.

Result: Among total of 73,000 patients attended as outpatient and inpatient facilities at the Department of Pediatric, VIMSAR, Burla, 830 were clinically suspected as having heart disease among which 546 patients were identified as CHD, giving a prevalence of 7.4/1000 live births. About 434 (80.40%) of patients were diagnosed with acyanotic, 102 (18.68%) with cyanotic and complex heart disease 5 (0.91%). The most common isolated CHD was found as VSD 270 (39.5) followed by ASD 150 (27.5) and PDA 100 (18.3) among acyanotic heart disease and TOF 38 (7) followed by TGA 15 (2.7) among cyanotic heart diseases.

Conclusion: The prevalence of CHD in this study was 7.41/1000 live births. VSD and TOF were common acyanotic and cyanotic CHD.     

Keywords: Congenital heart disease, Children, Prevalence, Odisha.

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Corresponding Author

Dr Sumit Kumar

Post Graduate Student, Department of Pediatrics, Veer Surendra Sai Institute of Medical Sciences and Research, Burla, Sambalpur, Odisha