PREVALENCE AND PATTERN OF CONGENITAL HEART DISEASE IN HAZARA

Authors

  • MUMTAZ KHAN BURKI
  • GHUFRAN SAEED BABAR

Abstract

Background: The incidence and particularly the pattern of congenital heart disease may vary in different geographicallocations, but the extent to which such reported variations are attributable to differences in genetic predisposition,environmental factors, or in study methodology and diagnostic precision remains uncertain. There is. therefore, acontinuing need for studies on various aspects of congenital heart disease, in different communities and races.Methods: This study was done on 188 consecutive cardiac patients reporting at Ayub Teaching Hospital, Abbottabad,Pakistan from June 1998 to June 2000. Results: 114 of 188 cardiac patients studied had congenital heart disease. Bothsexes were equally affected. Ventricular septal defects were the most common lesions (relative frequency 61.4%),followed by Tetrology of Fallots, ASD and PDA with a relative frequency of 8.77%. The detection rate under onemonth was 28.07% and at one year 75.43%. Conclusion: There is therefore, a need for increased awareness, especiallyamong primary health and other front line doctors for earlier case detection.

References

Mitchel SC. korones SD. Berendes HW Congenital heart disease

in $6,609 births incidence and natural history. Circulation 1971. (a

323-32

Bound JP, Logan WF Incidence of congenital heart disease in

Blackpoll (1957-1971) Brit Heart J 1977. 39-445-50

McLaren MJ. 1achman AS. Barlow JB Prevalence of congenital

heart disease in black school children in sow? to. Johannesburg

Brit Heart J 1979.41 554-8

Jaiyesimi F. Antia AV Congenital heart disease in Nigeria a tenyear experience in UCH. Ibadan Ann Trop Ped 1981: 77-85.

Dickinson DF. Arnold R. Wilkinson JL Congenital heart disease

among 160.480 live born children in Liverpool. 1960-1969. Bnt

Heart J 1981,46:55-62

Penieder T. Bloch D. Beuret A. Eurocrat collaborative study on

congenital heart disease. 1986 data Abstracts of 3"* symposium on

etiology and morphogenesis of congenital heart disease. Tokyo.

Japan 1988. 103-4

Ongley PA Pediatric cardiology in Thailand Circulation 1966;

1-3

Hernandez FA. Miller RH. Schieber Gl. Rarity of coarctation of

the aorta in the American Negra J Pediatrics 1969. 74 623-5

Maron BJ, Apple field JM. Krovetz LJ Racial Christian in

congenital heart disease Circulation 1973: 47 359-61

10 Hoffman J1E, Christianson R Congenital heart disease in a

cohort of 19.502 births with long term follow up Amer J Cardiol

;42:641-7

Ellison RC Epidemiological contributions to the etiology and

prevention of congenital heart disease In- Pediatric cardiology.

Vol 4; Godman MJ, ed Churchill Livingstone, Edin 1981; 6-13

Burn J The etiology of congenital heart disease. In Pediatric

cardiology, Anderson RH, McCartney FJ, Shine Bourne EA.

Tynan M, eds. Churchill Livingstone. Edin 1987; 16-63.

Nora JJ. Nora AH. Etiology of congenital heart disease revisited

abstracts of 3rd symposium on etiology and morphogenesis of

congenital heart disease Tokyo. Japan 1988. 99-100

Nakazavva M. Sequcht M. Takao A Prevalence of congenital heart

disease in Japan. Ibid 1988. 105-6.

Lawrsen HB Some epidemiological aspects of congenital heart

disease in Denmark. Acta Pediatr Scand 1980. 69:619-24.

Dennis NR Genetic aspects of congenital heart disease. In:

Pediatric cardiology Vol.4: Godman MJ. ed Churchill Livingstone.

Edin 1981. 14-23

Mitchell SC. Sellmann AH, Westphal MC Park J Etrologic

correlates in a study of congenital heart disease m 56. 609 births

Amer J Cardiol I97l:(b) 28 653-7

Greenwood RD. Rosenthal A, Parisi L, et al., extra cardiac

anomalies in infants with congenital heart disease Pediatr

:55.485-92.

Kenna AP Smithells RW. Fielding DW Congenital heart disease

in Liverpool. 1960-1969 Quart J Med 1975,55:485-

Downloads