Spectrum of congenital heart disease in children admitted for cardiac surgery at Rehman Medical Institute, Peshawar, Pakistan

Zahid, Shahzada Bakhtyar; Jan, Anwer Zeb; Ahmed, Samreen; Achakzai, Humaira

doi:10.12669/pjms.291.2910

Cited by 18 publications

(23 citation statements)

References 11 publications

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“…The high PDA prevalence in our cohort could be explained by the fact that 70% of our PDA diagnosed infants were premature. High rate of PDA has been also reported in Pakistan (19) and India (20). Some studies excluded PDA from CHD unless they are hemodynamically significant while others included PDA only if it persisted beyond certain age, and this explains the big variation in the reported rate of PDA.…”

Section: Discussionmentioning

confidence: 99%

Incidence and Patterns of Congenital Heart Disease Among Jordanian Infants, a Cohort Study From a University Tertiary Center

et al. 2020

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Background: Data is limited about the incidence of congenital heart disease in Jordan. The goal of this study is to determine the incidence and patterns of congenital heart diseases (CHD) among Jordanian infants evaluated at King Abdullah University Hospital. Methods: A retrospective chart review was conducted for all infants who had an echocardiogram evaluation in the 3-years period July 2016-June 2019. All included infants had a 2-dimentional echocardiogram with a Doppler vascular study performed by the same cardiologist. Infants with a structural congenital heart disease were included in the analysis. Results: A total of 1,028 infants were evaluated at the cardiology department during the study period. Eight hundred and sixty-five had an abnormal echo finding. Two hundred and ninety-eighth were diagnosed with CHD. The incidence of CHD was 25 per 1000 live births. Fifty one percent were premature infants. The majority of cases were mild CHD. Patent ductus arteriosus was the most common acyanotic lesion followed by ventricular septal defect and atrial septal defect with a prevalence of 44, 25, and 25%, respectively. Cyanotic CHD constituted 6% of all CHD. Tetralogy of Fallott was the most common cyanotic CHD. The main indication for referral was hearing a heart murmur during physical examination. Conclusion: Although the incidence of CHD in our cohort was relatively high, the majority of cases were acyanotic mild CHD with favorable prognosis. A wider population-based study is needed to evaluate the incidence and better understand the patterns and distribution of CHD at a national level.

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Section: Discussionmentioning

confidence: 99%

Incidence and Patterns of Congenital Heart Disease Among Jordanian Infants, a Cohort Study From a University Tertiary Center

et al. 2020

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“…Also in Pakistan, 123 patients between the ages of 1-16 years had cardiac surgery for the period of 2008-2010. In their study, the males were 71 (57.7%) and females were 52 (42.3%) with a ratio of 1.3:1 [27]. That is to say that cardiac diseases are commoner in males than females.…”

Section: Discussionmentioning

confidence: 88%

“…In NCTCE, Korlebu, Accra Ghana, in 464 cases done between, 1996 and 2008, 25% were intra-cardiac operations while 75% were extra cardiac operations [20]. In India, the work of Zahid et al comparing CHD and acquired heart disease, among 150 children below six years that had cardiac surgery, it showed that congenital heart defect constituted 89.3% while acquired heart disease was 10.7% [27]. In this same study, acyanotic heart defect was 74.6% with VSD (29.9%) and ASD (25.4%), while cyanotic heart defect was 23.9% with TOF being 11.2%.…”

Section: Discussionmentioning

confidence: 99%

The Scope of Cardiac Surgery at a National Cardiothoracic Center of Excellence (NCTCE) in Nigeria: A 3-Year Review

Ia¹,

Jc²,

Ch³

et al. 2017

Vasc Med Surg

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Background: The heart with its intrinsic and indispensable function is a vital organ in the human body. Surgical management of diseases affecting it was initially thought to be incompatible with life. Surgeons who desired the respect of their colleagues were barred from operating on the heart, on the ground that human knowledge is very limited in that area. This notion was however changed in 1893 when laceration in the left ventricle was successfully repaired at Chicago Provident Hospital in USA. Three years later, the same feat was successfully reproduced several times in Frankfurt Germany. Also by 1938 in Boston Children Hospital, Massachusetts, USA, Robert Gross successfully interrupted a PDA in a 7-yearold child. This was followed by successful repair of coarctation of the aorta and the famous blue baby operation, all in 1944, thus unequivocally, proving that successful operation on the heart was tenable in the western world. On the contrary, in the early 1940s and 1950s, cardiac diseases requiring surgery for whole or part of their management were thought to be rare in Nigeria in particular and Africa in general. The establishment of cardiac registry at UCH, Ibadan in western Nigeria, in 1964 revealed all types of cardiac diseases including those requiring surgical intervention. Today, many cardiac diseases are treated by surgery in NCTCE, UNTH, Enugu and other centers in Nigeria. The western world is abandoning the perfected conventional open access cardiac surgery for minimal invasive cardiac surgery with comparable results vis-à-vis efficacy.

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“…[ 2 ] Tricuspid atresia is an example of a cyanotic CHD characterized by the absence of the tricuspid valve, which blocks the blood flow from the right atrium to the ventricle. [ 2 ] An example of acyanotic CHD is the atrial septal defect, which is opened into the remnant of foramen ovale, causing the blood to flow between the atria. [ 2 ]…”

Section: Introductionmentioning

confidence: 99%

“…[ 2 ] An example of acyanotic CHD is the atrial septal defect, which is opened into the remnant of foramen ovale, causing the blood to flow between the atria. [ 2 ]…”

Section: Introductionmentioning

confidence: 99%

Perception of general pediatricians in Riyadh towards vaccination of patients with congenital heart diseases

Alfakhri

Alhajji

Alyani

et al. 2020

J Family Med Prim Care

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Background: Congenital heart defected (CHD) children are often predisposed to numerous conditions ranging from arrythmias, infections, to heart failure. Proper implementation of vaccination plan and multidisciplinary acts are mandatory for maintaining such cases to reduce the mortality and morbidity. Furthermore, CHD are also at risk of vaccine adverse reaction and several blooddisseminated pathogens infections, and at risk of death if such events where to occur. Perception and Interpretation of the knowledge and experience of general pediatricians towards vaccination of patients with congenital heart diseases is a crucial element to understand, and to improve healthcare practice in Riyadh, Saudi Arabia. Aims: To clarify, our aim is to investigate views of different pediatricians in vaccination plans, to perceive junior and senior pediatricians, and to identify extra vaccines given to children with a congenital heart defect. Settings and Design: This study is a cross-sectional study that includes the distribution of 246 questionnaires through personal interview focusing on pediatric cardiologists and general pediatricians with varying years of practice and degrees. Study was conducted by six medical interns: Mohammed O. Alfakhri, Meshal F. Alhajji, Abdulrahman M. Alyani, Yahya Z. Murad, Abdulrahman E. Alghannam, Alwaleed H. Algahtani, in six different teritiary hospitals, King Abdulaziz Medical City (KAMC), King Fahad Medical City (KFMC), King Faisal Specialist Hospital (KFSH), King Salman Hospital, and Alyamamah Hospital, in Riyadh, Saudi Arabia. Methods and Material: Data was collected through a convenient sampling technique and was analyzed using SPSS (version 20) and rearranged to observe the most frequent information obtained from the questionnaire. Statistical Analysis Used: Categorical study was described in frequencies and bar charts. Chi-Square test of significance was used after the data entry to assess the significance of the values obtained. Results and Conclusions: There was no significant difference between the six hospitals. In the following study, 81.7% of the participants believe that patients with congenital heart diseases are combined immunodeficient, and 84.6% agreed on giving special\extra vaccine with no preference over live and\or killed vaccine. On top of that, participants believe that the extra vaccines given to congenital heart disease patients with combined immunodeficiency are meningococcal and pneumococcal vaccines, and the special vaccine given to them are respiratory syncytial virus (RSV) and influenza vaccine. To conclude, congenitally heart defected children are widespread worldwide. Children suffering from the disease are having a serious problem that affects their lives from its earliest. For that, our research mainly focuses on improving their lives by trying to reduce the effect of several other preventable diseases u...

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Spectrum of congenital heart disease in children admitted for cardiac surgery at Rehman Medical Institute, Peshawar, Pakistan

Cited by 18 publications

References 11 publications

Incidence and Patterns of Congenital Heart Disease Among Jordanian Infants, a Cohort Study From a University Tertiary Center

Incidence and Patterns of Congenital Heart Disease Among Jordanian Infants, a Cohort Study From a University Tertiary Center

The Scope of Cardiac Surgery at a National Cardiothoracic Center of Excellence (NCTCE) in Nigeria: A 3-Year Review

Perception of general pediatricians in Riyadh towards vaccination of patients with congenital heart diseases

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