Muhammad Asghar Sheikh, Masood Ali Akbar, Imran Waheed, Masood Sadiq, Muhammad Hasaif Raza, Asif-ur Rehman.
Pattern of congenital heart disease in children presenting to a secondary care unit in a divisional head quarter hospital.
J Cardiovascular Dis Jan ;13(3):64-7.

ABSTRACT: OBJECTIVE: To assess the prevalence and pattern of congenital heart disease in children of age 16 year and less at a secondary care unit. PATIENTS AND METHODS: This retrospective study was conducted on children undergoing echocardiography from May 2012 to December 2012 (eight months) for possible heart disease in a single secondary care cardiac center at Siddique Sadiq Memorial Trust Hospital, Gujranwala - a referral center for pediatric and adult cardiac services in central Punjab, Pakistan. RESULTS: Out of 1176 patients undergoing echocardiography, 1006 had a cardiac lesion (85.54% of the total patients) while 170 were normal (14.46%). Congenital cardiac lesions were found in 450 (44.7%) patients, while 556 patients (55.2%) had rheumatic heart disease. Patient with congenital heart disease were further divided into sub groups. Majority of the patients in the acyanotic group had isolated ventricular septal defect (28.16%) while Tetralogy of Fallot with pulmonary atresia was the most common lesion in the group of cyanotic heart disease (6.82%). CONCLUSION: Congenital heart defects were the second most common heart defects in pediatric population presenting to a secondary care centre. VSD is the commonest acyanotic and TOF with pulmonary atresia was the commonest cyanotic defect. KEY WORDS:Congenital heart disease / defect (CHD), Acyanotic CHD, Cyanotic CHD, Ventricular Septal Defect (VSD).

PakMediNet -Pakistan's largest Database of Pakistani Medical Journals - http://www.pakmedinet.com