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Published on: March 10, 2020
Prevalence of congenital heart disease, Kanpur, India
1Department of Pediatrics, Regency Hospital, Kanpur, Uttar Pradesh, India. rashmireg@rediffmail.com
Insights
Congenital heart disease (CHD) affects 26.4 per 1000 patients in North India, with ventricular septal defect being most common. Most pediatric heart conditions are diagnosed in children aged 0-3 years.
Area of Science:
- Cardiology
- Pediatric Cardiology
- Public Health
Background:
- Congenital heart disease (CHD) represents a significant global health concern.
- Understanding the epidemiology of CHD is crucial for effective healthcare planning and resource allocation.
Purpose of the Study:
- To determine the prevalence, age distribution, and clinical characteristics of congenital heart disease (CHD).
- To analyze diagnostic patterns of CHD in a multi-speciality hospital setting in North India.
Main Methods:
- Retrospective analysis of 10,641 patient records over 5.5 years.
- Diagnostic tools included clinical examination, echocardiography, and color Doppler.
- Data collected on patient demographics, diagnosis, and age at diagnosis.
Main Results:
- Overall CHD prevalence was 26.4 per 1000 patients.
- Ventricular septal defect (VSD) was the most frequent lesion (21.3%), followed by atrial septal defect (ASD) (18.9%) and patent ductus arteriosus (PDA) (14.6%).
- Tetralogy of Fallot was the most common cyanotic heart disease (4.6%), and 82.9% of children were diagnosed between 0-3 years.
Conclusions:
- CHD is a prevalent condition in the North Indian population studied.
- Early diagnosis in young children (0-3 years) is critical for managing common heart defects like VSD, ASD, and PDA.
- The findings highlight the need for continued surveillance and early intervention strategies for pediatric CHD.
Abstract:
Our aim was to study the prevalence, age-wise distribution, and clinical spectrum of congenital heart disease (CHD) at a multi-speciality corporate hospital in North India. A retrospective analysis of records of 10,641 patients over a five-and-a-half year period was done. Clinical examination, echocardiography and color doppler were used as diagnostic tools. A prevalence of 26.4 per 1000 patients was observed. VSD (ventricular septal defect) was the commonest lesion (21.3%), followed by ASD (atrial septal defect) in 18.9% and PDA (patent ductus arteriosus) in 14. 6%. Tetralogy of Fallot was the commonest cyanotic heart disease (4.6%). Maximum number of children with heart disease (82.9%) were diagnosed between 0-3 years of age.
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