Publication: Congenital Heart Disease among Children Undergoing Echocardiography in the Department of Paediatrics of Tertiary Care Centre: A Descriptive Cross-sectional Study
Date
2024
Journal Title
Journal ISSN
Volume Title
Publisher
Nepal Medical Association
Abstract
Abstract
Introduction: Congenital heart disease in children are a major cause of infant mortality and morbidity. It is important to detect and manage these disorders timely as they are preventable. The objective of this study was to find out proportion of congenital heart disease in children in paediatric department in a tertiary hospital.
Methods: This is a descriptive cross-sectional study carried out in the Department of Paediatric at Nepal Medical College and Teaching Hospital where all children (0-18 years) suspected to have congenital heart disease who underwent echocardiography were studied over a period of 1 year (2020-2021). The presence or absence of congenital heart disease were confirmed by echocardiography performed by paediatric cardiologist. The socioeconomic variables,clinical features and echocardiography findings were noted.
Results: Out of total 249 patients,the proportion of patients diagnosed to have cardiac disorders was 73 with male predominance of 165 (66.26%). The most common age group was found to be neonates 111 (44%).The notable clinical features were murmur 47 (18.87%), tachypnoea 27 (10.84%) ,tachycardia 27 (10.84%) and cyanosis 9 (3.61%), clubbing 2 (0.80%), oedema 1 (0.40%), hypertension 9 (3.65%), murmur 47 (18.87%).Out of the total, there were 49 (19.67%) cases of acyanotic congenital heart disease, and 27 (10.84%) cases of cyanotic congenital heart disease.
Conclusions: Our study focuses on early recognition of cardiac diseases which is crucial for preventing morbidity and mortality.
Description
Romila Chimoriya
Ritesh Chimoriya
School of Medicine, Western Sydney University, Campbelltown, Australia
Mandira Shrestha
Department of Pediatrics, Nepal Medical College Teaching Hospital, Jorpati, Kathmandu, Nepal
Sabina Shrestha
Department of Pediatrics, Nepal Medical College Teaching Hospital, Jorpati, Kathmandu, Nepal
Kailash Shah
Department of Pediatrics, Nepal Medical College Teaching Hospital, Jorpati, Kathmandu, Nepal
Lopsang Lama
Department of Pediatrics, Nepal Medical College Teaching Hospital, Jorpati, Kathmandu, Nepal
Kritika Rana
Translational Health Research Institute, Western Sydney University, Campbelltown, Australia