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.

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