Title: Time to diagnosis, clinical features of patients admitted with congenital heart diseases in a teaching hospital

Authors: Amber B. Mir, Uruj Altaf Qureshi, Muzafar Jan

 DOI: https://dx.doi.org/10.18535/jmscr/v7i4.108

Abstract

Objectives: The present study was conducted to evaluate  age of diagnosis, clinical profile  and echo-cardio graphic findings of congenital heart disease in children of age-group 0-12 years admitted in tertiary care hospital

Material and Method: It was a prospective study conducted in the department of Pediatrics of Government Medical College & Hospital over a period of one year from January 2017 to January 2018.207 children from birth to 12 years of age admitted in the hospital who had congenital heart disease confirmed by echocardiography were included. All patients were treated conservatively and observed for immediate outcome during the hospital stay.

Results: Out of 207 cases, 151 cases were diagnosed Acyanotic congenital heart disease [ACHD] and 56 were Cyanotic Congenital Heart Disease [CCHD]. Male (59.9%) outnumbered Female. Total of 143 children [69.08%] were below one year of age at the time of diagnosis. Common clinical features in ACHD were breathlessness (60%), Recurrent chest infections[53%],Failure to thrive [39.2%]. In CCHD blue discoloration was commonest feature [94.6%],breathlessness [58.8%],failure to thrive [25.6%]. Increased respiratory rate was most common physical sign [58.9%] in ACHD and cyanosis [100%]in CCHD. Frequently observed complications were heart failure and growth failure.

Keywords: Congenital Heart Disease; Cyanotic Congenital heart disease; Acyanotic congental heart disease.

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