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Scholars Journal of Applied Medical Sciences | Volume-7 | Issue 05
Prevalence, Pattern and Risk Factors of Congenital Heart Disease in Children ≤ 2 Years of Age: A study in a tertiary Hospital, Pabna, Bangladesh
Abul Fazal, Nitish Kumar Kundu, Md. Mizanur Rahman3, Mohammad Mostafizur Rahman
Published: May 30, 2019 | 74 47
DOI: 10.36347/sjams.2019.v07i05.039
Pages: 1884-1889
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Abstract
Congenital heart disease means the malformation of the heart, aorta, or other large blood vessels that is the most frequent form of major birth defect in newborns. In recent neonatologists and paediatricians are more conscious about early detection and treatment of children with congenital heart diseases. Now a day, diagnostic facilities are also available in many places. A prospective study was carried out in Pabna Sadar Hospital, Pabna, Bangladesh during the period from January 2017 to December 2018. The total number of participants, only peadiatric patients within 2 years of age who were admitted with any health problem and/or born in this hospital was 17200. Among these patients 7772 were born in this hospital and rest 9428 were taken from hospital admission register who were admitted in this hospital during the study period because of any health problems. Only the patients/ respondents who were agreed without any pressure and continued the total tanner of the study are mentioned only in this study. The suspected patients to have any form of congenital heart disease (CHD) were followed up every 4-6 wks for a period of 12 months. The aim of the study was to assess the prevalence, pattern and risk factors of congenital heart disease in children < 2 years of age in Pabna, Bangladesh. Echocardiography with color Doppler was performed in all these patients including those who reported late but were delivered in Obstetrics department of Pabna Sadar Hospital, Pabna, Bangladesh. In this study we found, out of total 17200 paediatric patients (Both admitted and born) 137 had CHD. Some of the patients 3152 (18.33%) had other associated somatic anomalies among which Down’s syndrome was commonest (10.44%). Among CHD patients we found most common congenital heart lesions were Atrial Septal Defect/ASD in 37 (27.01%), Ventricular Septal Defect/VSD in 23 (16.79%), Patent Ductus Arteriosus/PDA in 17 (12.41%), Tetralogy of Fallot/TOF in 13 (9.49%) and Pulmonary Stenosis/PS in 10 (