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Pattern of cardiac diseases in children in Pokhara, Nepal

U Ramachandran1, V Alurkar, A Thaplia

  • 1Department of Pediatrics, Manipal College of Medical Sciences, Pokhara, Nepal. mth@fewanet.com.np

Kathmandu University Medical Journal (KUMJ)
|July 8, 2008
PubMed

Insights

Childhood cardiac diseases, including congenital and rheumatic heart conditions, pose significant public health challenges in developing nations. Early diagnosis and intervention are crucial for effective management and improved patient outcomes.

Area of Science:

  • Pediatrics
  • Cardiology
  • Public Health

Background:

  • Cardiac diseases in children represent a significant public health concern, particularly in developing countries.
  • Understanding the patterns of pediatric cardiac conditions is essential for resource allocation and healthcare planning.

Purpose of the Study:

  • To determine the prevalence and patterns of cardiac diseases in children presenting to a hospital in Nepal.
  • To highlight the public health implications of childhood heart conditions in a resource-limited setting.

Main Methods:

  • A retrospective study of 107 pediatric cardiac cases over two years at Manipal Teaching Hospital, Pokhara, Nepal.
  • Diagnostic tools included ECG, X-ray, and echocardiography.
  • Patient data on diagnosis, treatment, and follow-up were analyzed.

Main Results:

  • Congenital heart diseases (CHD) accounted for 51% of cases, and rheumatic heart diseases (RHD) for 25%.
  • Other diagnoses included dilated cardiomyopathy, pericardial disease, and hypertension.
  • Surgical interventions were performed for VSD, PDA, and mitral valve issues; RHD patients received penicillin prophylaxis.

Conclusions:

  • Early recognition of congenital heart disease (CHD) is vital for timely treatment and surgical correction.
  • Rheumatic heart disease (RHD) requires long-term follow-up and management, including penicillin prophylaxis.
  • Pediatric cardiac diseases necessitate a high index of suspicion and comprehensive diagnostic evaluation.
Abstract

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