An Echocardiographic Study of Congenital Heart Disease in Children at Maharat Nakhon Ratchasima Hospital: One year experience
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Abstract
Introduction: Echocardiography is considered to be a standard investigation of congenital heart disease. It has been available in the Department of Pediatrics, Maharat Nakhon Ratchasima Hospital.
Objective: The aim of this study was to review the one-year experience of this investigation within Maharat Nakhon Ratchasima Hospital.
Patients and Methods: The patients had been recruited from 1 June, 2001 to 31 May, 2002. All patients aged from 1 day to 15 years, with the symptoms of congenital heart disease were diagnosed and confirmed echocardiography. The patients were categorized into cyanotic and groups and classified according to the major anomaly.
Results: There were 333 patients, aged between 1 day to 15 years with male predominance (male : female = 1.7:1). The majority of patients (43.5%) were asymptomatic (only cardiac murmur). Eighty percent of the patients were acyanotic. Ventricular septal defect (VSD) and tetralogy of Fallot (TOF) were the most common lesions found in both acyanotic and cyanotic cardiac patients (34.8 and 7.5%, respectively). This finding is similar to other studies. Associated syndromes were found in 5.1%. Down’s syndrome was the most common syndrome that found in this study.
Conclusion: Echocardiography was a very useful method in diagnosis of congenital heart disease in children. The epidemiology of the types of congenital heart diseases in this study did not differ from the others studies.
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References
Mcintosh R. Merit KK, Richards MR, Samuels MH, Beilows MT. The incidence of congenital malf ormations: a study of 5,964 pregnancies. Pediatrics 1954;14:505-21.
Richard MR, Merritt KK, Samuels MH , Langmann AG . Congenital malformations of the cardiovascular system in a series of 6,053 infants. Pediatrics 1955;15:22-32.
Mitchell SC, Korones SB, Berendes HW. Congenital heart discasc in 56,109 births: incidence and natural history. Circulation 1971;43:323-31.
Pongpanich B, Chesdavaijkul W, Chiemchanya S, Sudhas Na Ayuthaya P, Tejavj A. Congenital heart disease in children born at Ramathibodi Hospital. J Med Assoc Thai 1978; 61:261-6.
Samanek M Slavik Z, Zborilova B, Hrobova V, Voriscova M, Skovranek J. Prevalence, treatment, and outcome of heart disease in live-born children: a prospective analysis of 91,823 live-born children. Pediatr Cardiol 1989;10:205-11.
kidd SA, Lancaster PA, McCredie RM, The incidence of congenital heart defects in the first year offe. J Paediatr Child Health 1993;29:344-9.
Subramanyan R, Joy J, Venugopalan P,Sapru A, Al Khu- saiby SM. Incidence and spectrum of congenital heart disease in Oman. Ann Trop Paediatr 2000;20:337-41.
Esscher E, Michaelson M, Smedby By Cardiovascular malformation in infant deaths: 10 year clinical and epidemiological study. Br Heart J 1975;37:824-9.
Laursen HB. Some epidemiological aspects of congenital heart disease in Denmark. Acta Paediatr Scand 1980;69:619-24.
Moller JH, Moodie DS, Blees M, Norton JB, Nouri Symptomatic heart disease in infants: comparison of three studies performed during 1969-1987. Pediar Cardiol 1995,16.261-22.
Hoffman JI. Incidence of congenital heart disease: postnatal incidence. Pediatr Cardiol 1995;16:103-13.
Towbin JA, Greenberg F. Genetic syndromes and climical molecular genetics. In: Garson A Jr,Bricker JT, Fischer. DJ,Neish SR, editors. The science and practice of pediatric cardiology . 2nd ed. Vol II. Philadelphia: Williams & Wilkins; 1998. p. 2627-70.
Armplatz K. Plain flim diagnosis of congenital heart disease. In: Moller JH, Hoftman JI. Pediatric cardiovascular medicine. Philadelphia: Churchill Livingstone; 2000. 143-55.
Ferenchz C, Rubin JD, McCarter RJ. Congenital heart disease: prevalence at livebirth. The Baltimore-Washington Infant Study. Am J Epidemiol 1985;121:31-6.
Reportofthe New England Regional Infanfant Cardiac Program. Pediatrics 1980;65[Suppl]:377-461.
Shan MKM. Congenital heart disease in Taiwan, Republic of China. Circulation 1969;39:251-7.
Pongpanich B, Khowsathit P, Jamjureeruk V, et al. Pattern of congenital heart disease born in 1994-a multicenter co-operative study in Thailand. ASEAN Heart J 1996;4:62-5.