Past and Present Pattern of Congenital Heart Disease at Dhaka Shishu Hospital: A Situation Analysis

Sarangi

2017

Int J Contemp Pediatr

Background: Congenital heart disease (CHD) is not an uncommon entity in our country. The prevalence of CHD is 9.3 per 1000 life birth in Asia which is found to be highest globally. Not much of Indian data is available particularly from this part of the country. So we conduct a retrospective study to know the spectrum of congenital heart disease in our set up.Methods: This is a retrospective hospital based study carried out over a period of 20 months (2015 March - 2016 November) where all suspected children (< 14 years) of CHD were subjected to echocardiographic study. The age, sex, clinical presentation and echo findings were well documented. Results: The total number CHD diagnosed were 231 and were more common among males (54.5%) with male to female ratio is 1.2:1. CHD were diagnosed more commonly between 1 month to 1 Year (40.25%). The commonest type of acyanotic CHD in our study was ventricular septal defect (VSD) (36.3%) and cyanotic CHD is tetralogy of Fallot (11.25%). The major clinical finding was a detection of a murmur (84.8%) followed by tachycardia (41.5%) and tachypnea (36.3%).Conclusions: In this era of most accurate diagnostic modalities, any clinical suspicion of congenital heart disease should be confirmed by echocardiography to hasten the diagnosis, timely management and prevention of complications.

Section: Discussionmentioning

confidence: 99%

Spectrum of congenital heart disease in a tertiary care centre of Eastern India

Sarangi

2017

Int J Contemp Pediatr

“…showed the co-morbid problem in CHD among 224 children in Bangladesh in their study, 21.2% children had co-morbidities. 22 Among them 11.2% had genetic or syndromic conditions, of which mostly had Trisomy 21. The most frequent associated conditions were mental retardation, asthma, epilepsy and scoliosis.…”

Section: Discussionmentioning

confidence: 99%

Comorbidities with Congenital Heart Disease among Hospitalized Children in a Specialized Cardiac Hospital in Bangladesh

Mita¹,

Salim

Haque

et al. 2017

Cardiovasc. j.

Background: Congenital heart diseases (CHD) when associated with any comorbid condition may complicate the outcome of management. So to find out and treat comorbidities before definite treatment is essential for better outcome. Methods: This observational cross sectional study was conducted in the inpatient Department of Paediatric Cardiology at National Institute of Cardiovascular Diseases, Dhaka, during the period of January 2014 to January 2015 to identify the comorbid conditions of congenital heart disease.Results: A total of 794 children with different types of congenital heart disease were enrolled during the study period. Among them, 48.6% were simple CHD and 51.4% were complex CHD. Among simple CHD, ventricular septal defect (VSD) was commonest (27.2%), Tetralogy of Fallot (TOF) occupied the second position (20.5%). One child presented with Ectopia cardis. Among complex CHD most common anomalies were VSD with either atrial septal defect (ASD) or patent ductus arteriosus (PDA) or valvular lesion. Next common anomalies were TOF with PDA or ASD &/or pulmonary valvular abnormalities. Double outlet of right ventricle (DORV) with shunt and transposition of great arteries (TGA) with shunt also occur frequently. AV canal defect with or without valvular lesion presented in significant number. Among them 616 (77.6%) had different types of comorbid conditions. Among comorbidities, respiratory and acquired cardiac comorbidities were common (37.9% & 34.1% respectively). Other congenital or genetic comorbidities were in 11.2%. Multisystem involvement was in 9.8% cases.Conclusion: Pneumonia and heart failure were the most frequent comorbid condition among both simple and complex congenital heart disease. They were common among acyanotic heart disease. But cyanotic spell, acute stroke syndrome and brain abscess were common among cyanotic heart disease. Among genetic comorbidities Downs syndrome occupied the major part.Cardiovasc. j. 2017; 9(2): 83-89

“…Most common CHDs were atrial septal defect (ASD, 26%), ventricular septal defect (VSD, 16.9%), patent ductus arteriosus (PDA, 18%), tetralogy of Fallot (TOF, 14%), and pulmonary stenosis (PS, 7.75%). 46 Another study 47 conducted in Dhaka Shishu Hospital from January 2008 to December RF, rheumatic fever; RHD, rheumatic heart disease 2009 prospectively and from January 1998to December 1999 retrospectively, involved subjects aging from 1 st day of life to 12 years of age. Majority were acyanotic congenital heart disease (75% and 78.5% in the past and present respectively); VSD was the commonest lesion (32.7% and 26.9% respectively), followed by ASD (25.6% and 21.2% respectively).…”

Section: Methodsmentioning

confidence: 99%

Cardiovascular Disease in Bangladesh: A Review

2017

Abstract:Like elsewhere, cardiovascular disease (CVD) is an increasingly important cause of morbidity and mortality in Bangladesh. Over the past few decades, because of epidemiological transition, the prevailing disease pattern in this country changed from predominantly communicable to predominantly non-communicable disease, CVD contributes to the latter a lot. Actually, CVD particularly coronary artery disease (CAD) is getting epidemic proportion day by day. Hypertension and heart failure are on the rise, whereas the prevalence of acute rheumatic fever is declining. However, despite some efforts, reliable data concerning various aspects of CVD is inadequate at present. The current prevalence of hypertension, CAD, rheumatic fever and rheumatic heart disease and stroke may be 20-25%, 4-6%, <1/1000, 0.3-1.0% respectively. Besides conventional risk factors for different CVD, genetic predisposition and some novel issues like high salt intake, arsenicosis, hypovitaminosis D and air pollution may play important role in the aetiopathogenesis of CVD in this population. Formulation of appropriate policy and more emphasis on preventive strategy may help combat CVD in Bangladesh.