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Published on: July 18, 2014
Incidence and spectrum of congenital heart disease in Oman
R Subramanyan1, J Joy, P Venugopalan
1Department of Pediatric Cardiology, Royal Hospital, PO Box 1331, Post Code 111, Muscat, Sultanate of Oman. ragusha@omantel.net.om
Insights
Congenital heart disease (CHD) affected 7.1 per 1000 live births in Oman. The study found common CHDs like ventricular septal defects and a higher frequency of atrioventricular septal defects compared to global data.
Area of Science:
- Cardiology
- Pediatrics
- Public Health
Background:
- Congenital heart disease (CHD) represents a significant global health concern.
- Understanding the epidemiology of CHD is crucial for effective public health strategies and resource allocation.
Purpose of the Study:
- To determine the incidence and spectrum of congenital heart disease (CHD) in the Sultanate of Oman.
- To compare Omani CHD patterns with international data.
Main Methods:
- A hospital-based study analyzing live births between 1994 and 1996.
- Data collected on 139,707 live births to identify and categorize cases of CHD.
Main Results:
- An overall incidence of CHD was found to be 7.1 per 1000 live births.
- The most common CHDs were ventricular septal defect (24.9%), atrial septal defect (14.4%), and patent ductus arteriosus (10.3%).
- A higher frequency of atrioventricular septal defects (5.9%) was observed compared to other countries. Cyanotic CHD accounted for 21.7% of cases.
Conclusions:
- The incidence and pattern of CHD in Oman are largely similar to developed nations, with a notable exception of increased atrioventricular septal defects.
- Early diagnosis was achieved, with 38% diagnosed under one month and 40% between 1-12 months.
- Consanguinity did not appear to influence the overall incidence of CHD in the Omani population.
Abstract:
We analysed the incidence and spectrum of congenital heart disease (CHD) in the Sultanate of Oman from 1994 to 1996. CHD was detected in 992 of 139,707 live births (incidence 7.1/1000 live births). The common CHDs were ventricular septal defect (24.9%), atrial septal defect (14.4%) and patent ductus arteriosus (10.3%). The frequency of atrioventricular septal defects (5.9%) was higher than reported from other countries. Age at diagnosis was under 1 month in 38% and 1-12 months in 40%. Cyanotic CHD was found in 21.7% of the whole group and 35% of neonates. Although this was a hospital-based study, we believe we included almost all the infants and children with CHD in the country. The incidence and pattern of CHD in Oman were similar to those reported from developed countries in Europe and America, except for a higher frequency of atrioventricular septal defects. The high prevalence of consanguinity in the country did not affect the overall incidence of CHD.
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