The Pattern of Congenital Heart Disease among Children Presenting to Pediatric Referred Clinic in Wad Medani Heart Disease and Surgery Centre (October – December 2011)

الموضوعات

طب

الملخص

Background: This is a descriptive cross-sectional study which was conducted in Pediatric Referred Clinic (PRC) of Wad Medani Heart Disease and Surgery Centre (WHD & SC) during the period Oct – Dec. 2011. The aim of the study was to determine the pattern of congenital heart disease (CHD) among children presenting to WHD & SC during the study period. Also to study the socio-demographic background, the presenting symptom, the presence of other congenital anomalies associated with CHD and to identify the type of management received by these children. The sample size was 200 children. Information was obtained by a structured questionnaire.Results: Most children had CHD (85%) compared to 10% who had Rheumatic heart disease ( RHD). More than 55% of parents were illiterate or had primary education. 81% of the mothers were housewives and 78% of the fathers were unskilled workers. 81% of the children were diagnosed in infancy. The commonest presenting complaints were as follows: shortness of breathing (SOB) 70.5%, cyanosis 11%, grunting 10%, failure to thrive (FTT) 2.5% and 10% were asymptomatic. The pattern of CHD was 73.5% a cyanotic and 26.5% was cyanotic .Male to female ratio was 1.1:1. with the following details: ventricular septal defect (VSD) 29% atrioventicular canal (AVC) 11%, tetrology of Fallot (TOF) 10%, pulmonary stenosis (PS) 8.5%, patent ductus arteriosus (PDA) 8%, mitral regurgitation(MR) 7.5%, atrial septal defect (ASD) 6%, transposition of great arteries (TGA) 5.5%,dextrocardia (DC) 1% and single ventrical (SV) 0.5% as well as mitral stenosis (MS) and aortic regurgitation (AR). The commonest type of CHD was VSD. 46% of VSDs were small. Pulmonary hypertension (PHT) presented in 2.5% of the patients, 60% of them were due to large VSD, 20% due to AVC as well as MR. Associated congenital anomalies that occurred with CHD were 13%. Of these Downs syndrome constituted 9%. Medical treatment was received by 55% of children and 68% of the patients were planned to have surgical management. Only 18.5% were operated on and 40% of these surgical operations were carried out in WHD & SC and the remainder were done in Khartoum and abroad.Conclusion: the study concluded that the incidence of CHD is high compared to RHD at the majority of cases were diagnosed in infancy. SOB was the commonest symptom. Common form of CHD is acyanotic. VSD represented the majority specially small, followed by AVC and PS. While the commonest cyanotic CHD is TOF followed by TGA and TA. The commonest associated anomaly with CHD was Down's syndrome, some of these cases were operated in WHD & SC and others in Khartoum Cardiac centre or abroad

روابط وملفات

التعريف والنوع

رقم الوثيقة

f025f059-4832-4f86-bc41-53ee9cf59cf6

رقم العقد

0

نوع الوسائط

Crawler

نوع المحتوى

الرسائل العلمية

صيغة المصدر

رسائل دكتوراة

نوع الملف

pdf text

أسماء الملفات

72379_1.pdf

بيانات النشر

ترجمة العنوان

انماط التشوهات القلبية الخلقية فى وسط الأطفال المترددين على عيادة الأطفال الخارجية بمركز ودمدنى لأمراض وجراحة القلب فى الفترة (اكتوبر –ديسمبر 2011م

ألقاب المؤلفين

[{"name_ar":"احمد النور عبد الله","title_ar":"اشراف","title_en":"Supervision"},{"name_ar":"محمد الامين احمد","title_ar":"اشراف","title_en":"Supervision"},{"name_ar":"مى الفاضل النور شمس الدين","title_ar":"اعداد","title_en":"Preparation"}]

اللغة

English

المصدر والدورية

اسم المصدر

The Pattern of Congenital Heart Disease among Children Presenting to Pediatric Referred Clinic in Wad Medani Heart Disease and Surgery Centre (October – December 2011)

المحتوى والصفحات

عدد الصفحات

0

إشراف وإعداد

الإشراف

احمد النور عبد الله, محمد الامين احمد

الإعداد

مى الفاضل النور شمس الدين

الاقتباسات الببليوغرافية