EPIDEMIOLOGY OF ACYANOTIC CONGENITAL HEART DISEASES IN AL-ZAHRAA MATERNITY AND CHILDREN'S TEACHING HOSPITAL
Keywords:
Acyanotic, congenital heart diseases (CHD), family history, stenosis, echocardiography.Abstract
A total of 92 patients suspected to have acyanotic congenital cardiac diseases were sent to the paediatric echocardiography unit at Al-Zahraa maternity and Children's Teaching Hospital from February 15, 2006, to August 15, 2006. The present study is of a cross-sectional nature. In this study, two-dimensional and colour Doppler echocardiography confirmed the diagnosis of acyanotic C.H.D. The total number of patients was 92, of whom 49 were male (53.30%) and 43 were female (46.70%). PDA was more frequent in the female patients, while the other forms of acyanotic C.H.D. were equally or somewhat more frequent in the male patients. The most common age of presentation in individuals with acyanotic C.H.D. was between 1 and 5 years of age (21.2 per cent of the total), followed by the first year of life (49.2 per cent of the total). Shortness of breath was the commonest presenting symptom in cyanotic C.H.D. patients, followed by heart failure (19 cases), being asymptomatic (19 cases), refusal to feed (5 cases), failure to thrive (5 cases), respiratory tract infection (3 cases) and generalised fatigability (3 cases). In patients with acyanotic chronic haemorrhagic illness, growth parameters are affected, particularly weight. Acyanotic chronic haemorrhagic illness affects growth parameters, particularly weight, in patients. , especially weight. In particular, 49 patients (53.2%) and 35 patients (38% of the total) were below the third centile for weight to height. Thirteen (11.96%) patients with acyanotic congenital heart disease had a family history of congenital heart disease. The most common congenital heart disease that causes acyanosis is the ventricular septal defect (60.8% of cases), followed by atrial septal defect (20.6% of cases), endocardial cushion defect (6.5% of cases), patent ductus arteriosus (5.4% of cases), pulmonary stenosis (4.3% of cases), aortic stenosis (1.08% of cases) and tricuspid regurgitation (1.08% of cases). Aim of the study
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