Pattern of congenital heart disease : a hospital-based study

Abstract EN

Background : The congenital heart disease occurs in 0, 8 % of live births and they have a wide spectrum of severity and about 30-40 % of patients with congenital heart disease are symptomatic during the 1st year of life, and these disease still one of the frequent cause of morbidity and hospital admission among the pediatric age group.

Objective: This study was carried out to identify the specific types of CHD, sex and age distribution and the most common pattern of presentation among hospitalized patients.

Methods : This is a retrospective study of 89 patients with congenital heart disease admitted to the fifth unit in Child Welfare Hospital in Baghdad from January 2003 to January 2004.

The diagnosis was established by two dimensional and Doppler echocardiography examination.

The pattern of congenital heart disease, mode of presentation, male to female incidence, and the effect of different lesions on the growth parameters had been studied.

Results : Out of 1023 patients, 89 patients 8.

6 % had congenital heart disease.

The most common congenital heart disease were ventricular septal defect 51.

8 %, Tetralogy of Fallot 17.

9 %, Patent ductus arteriosus (13.

5 %), Transposition of great arteries 8.

9 %, Pulmonary stenosis 4.

4 %, and Atrial septal defect 3.

4 %.

The most common presentation was respiratory infection and heart failure in a cyanotic patients and cyanosis in cyanotic groups.

Conclusion : Patent ductus arteriosus and atrial septal defect defects were more common in female while all other lesions had equal male to female incidence or slightly more common in male.