Importance of Cardiac Murmur in Diagnosing Congenital Heart Disease in Neonatal Period

Hoque, Mahbubul; Begum, Jotsna Ara; Jahan, Rowshan; Chowdhury, Mak Azad; Hussain, Manzoor

doi:10.3329/bjch.v32i1.6008

Cited by 5 publications

(6 citation statements)

References 6 publications

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“…11 Cardiovascular examination revealed murmur in 90% and 10% of the children had no murmur but was diagnosed as CHD by clinical evaluation and echocardiogram. In contrast to the ndings of this study much higher rate of absence of murmur (31.82%) in child with CHD was reported by Hoque et al and Anisworth et al (55.36%) 13,15 where the age group was limited to neonates only. Other common presenting signs among CHD cases were tachycardia in 82% children, cyanosis in 30%, tender hepatomegaly in 28% and oedema in 12%, which is also similar to sharmin et al showing cyanosis in 20%, and tachycardia in 37.4% and oedema in 10.4% cases.…”

Section: Resultscontrasting

confidence: 94%

“…12 Hoque et al found VSD as the commonest CHD but Begum et al found ASD as the commonest CHD. 13,14 Structural defect of CHD varies depending upon age group; simple and potentially correctable heart defects like VSD, PDA and ASD are common at all ages. 10 In the present study 62% the cases presented within rst 6 months of age and 38% were rst diagnosed between 7 to 12 months.…”

Section: Resultsmentioning

confidence: 99%

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Clinical Profile and Outcome of Children with Congenital Heart Disease in First Year of Life

et al. 2021

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Diagnosis of congenital heart disease (CHD) which is a structural abnormality of the heart or intra thoracic great vessels in the earliest possible time is very important. Identifying the various modes of presentation, early referral and appropriate intervention can save lives and reduce risk of complications. The objectives of this study were to determine the clinical profile, complication and immediate outcome of children with congenital heart disease in first year of life. This cross-sectional observational study was conducted from October 2011 to March 2012 among 50 children from zero to one year of age who was diagnosed as CHD by echocardiography admitted in Department of Paediatrics of ShaheedSuhrawardy Medical College, Dhaka and Department of Paediatric Cardiology of National Institute of Cardiovascular Diseases, Dhaka, Bangladesh. Among 50 infants acyanotic CHD was detected in 70% and cyanotic in 30% infants. Major structural defects were venticularseptal defect 34%, patent ductusarteriosus 30%, tetralogy of fallot’s 14%, transposition of great arteries 12%, atrial septal defect 6%. Presenting features were cough 82%, dyspnea 80%, poor weight gain 70%, feeding difficulty 68% and fever 58%. Frequently observed complications were failure to thrive, pulmonary hypertension and heart failure. Among the outcome of CHD 8% cases closed spontaneously, case fatality rate was 8% and the rest were advised accordingly for surgery, intervention and medical management among which 14% had device closure within the study period. High index of suspicion, early diagnosis, close monitoring and timely intervention can reduce complication of CHD. Bangladesh Med J. 2020 Sept; 49(3) : 17-21

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Section: Resultscontrasting

confidence: 94%

Section: Resultsmentioning

confidence: 99%

Clinical Profile and Outcome of Children with Congenital Heart Disease in First Year of Life

et al. 2021

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“…20 But, with very carefully hearing murmur and doing an echocardiography we can detect underlying cardiac malformation in neonates up to 86% cases. Hoque et al 21 and Moss et al 22 had shown in their study that proper and careful echocardiography can detect underlying structural cardiac lesion up to 70% of clinically suspected cases with murmur. So, we should be very careful during detection of cardiac murmur in neonates.…”

Section: Discussionmentioning

confidence: 96%

Incidence and Clinical Significance of Cardiac Murmur in Neonates in a Tertiary Hospital

Hossain

Mia

Ali

et al. 2018

TAJ: J of Teachers Assoc

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Background: Congenital cardiac defect is the major cause of mortality and morbidity in our country but maximum cases are undetected due to lack of skill, shortage of man power, modern equipment in peripheral hospitals. But simply observing murmur can give us the clue for underlying congenital heart diseases.Objectives: The purpose of this study is to determine the incidence and clinical significance of cardiac murmur in neonates in a tertiary level hospital in Rajshahi.Methods: This cross-sectional descriptive study was done in neonates (age ≤ 28 days) in Rajshahi Medical College Hospital from January 2014 to December 2015.Results: during this study period total 4120 neonates were admitted in neonatal ward and only 52 cases were presented with cardiac murmur clinically. Incidence rate of murmur was 1.26%. Among 52 cases 40 cases were having pathological murmur and 12 cases were having innocent murmur. After doing echocardiogram 34 cases were showing structural cardiac defect out of 40 pathological murmur and 4 cases were showing structural cardiac defect out of 12 innocent murmur. Total cases of structural cardiac defect (congenital heart disease) were 38(34+4). So, incidence of congenital heart disease was 9.22/ 1000 live births.Conclusion: Congenital cardiac defect is the major cause of mortality and morbidity in our country but maximum cases are undetected during neonatal period but simply observing murmur can give us the clue for underlying congenital heart diseases in 73.08% cases (38 were congenital heart disease out of 52 cases). If congenital heart disease is early detected and properly managed many valuable lives of neonates can be saved and their growth and development will be smooth.TAJ 2017; 30(2): 54-59

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“…In this study, among 50 neonates with cardiac murmurs 35 (68%) cases were found to have structural heart defect on echocardiography. Most of the studies also showed increased chance (39-84%) of underlying cardiac malformation in neonate having murmur 20,21,24 . Moss et al 25 showed that in a neonatal unit among clinically suspected cases, abnormality of structure and/or function was identified in about 70% by echocardiogram.…”

Section: Discussionmentioning

confidence: 97%

“…A very few publications are available from Indian subcontinent 18,20 . According to the knowledge of the authors in our country only one publication was available regarding congenital heart disease in neonate and role of cardiac murmur and other clinical features for the clinical diagnosis 21 . This cross sectional study was designed to determine the clinical significance of finding of murmurs during routine examination of neonates and its contribution in detection of congenital heart disease.…”

Section: Introductionmentioning

confidence: 99%

Clinical Significance of Cardiac Murmur in Neonate

Hossain

Hasan

Shirin

et al. 2012

Bangladesh J Child Health

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Importance of Cardiac Murmur in Diagnosing Congenital Heart Disease in Neonatal Period

Abstract: Introduction: Congenital heart diseases (CHD)

Cited by 5 publications

References 6 publications

Clinical Profile and Outcome of Children with Congenital Heart Disease in First Year of Life

Clinical Profile and Outcome of Children with Congenital Heart Disease in First Year of Life

Incidence and Clinical Significance of Cardiac Murmur in Neonates in a Tertiary Hospital

Clinical Significance of Cardiac Murmur in Neonate

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