EVALUATION OF CARDIAC ABNORMALITIES BY 2D ECHOCARDIOGRAPHY IN CHILDREN AND CLINICAL OUTCOME IN TERTIARY CARE HOSPITAL

Main Article Content

Dr. Rizwan Ahmed
Dr. Rupali Rokade

Keywords

Congenital heart defect, 2 D echocardiography, ASD, PDA, VSD

Abstract

Aim of Study: To evaluate cardiac abnormalities by 2D echocardiography and clinical outcome in children


 Method:  It is a prospective observational study that will be conducted in the Department of Paediatrics, NKPSIMS Medical College, Nagpur. All children admitted or in opd  with suspected cardiac abnormality at our Hospital, aged 0 to 18 years, from January 2023 to December 2023  were recruited into the study were advised 2D echocardiography which was done by Pediatric Cardiologist . These children were also investigated with other blood investigations like hemoglobin , total leukocyte count, platelets , vitals parameters like Heart rate , respiration rate , oxygen saturation .


 Results: Data of 60 children was evaluated. There were 44 % males (n=27) and 56% females (n=34). Informed consent was obtained from each patient before inclusion in the study. Echocardiography data, vital parameters, blood investigations was done as per the cardiac performa. Out of 60 suspected children with cardiac abnormality ,  normal were 57%, and  43% were diagnosed as having congenital heart defects.


 Conclusion: ASD (11.2%)  is the most popular cardiac defect followed by PDA (11.2%)  then VSD (6.4 %) defect. Early diagnosis of congenital heart abnormalities is important for careful treatment and the prevention of complications. The gold norm for diagnosis is a 2D-echo and clinical assessment.

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References

1. 1.Korkmaz, U. K., Ozkan, E. A., Akkoca, A. N., & Sivaslioglu, E. (2015). Incidence and Clinical Characteristics of Congenital Heart Disease among Neonates in Neonatal Intensive Care Unit. American Journal of Health Research, 3(3), 161-165.
2. Moons, P., Sluysmans, T., De Wolf, D., Massin, M., Suys, B., Benatar, A., & Gewillig, M. (2009). Congenital heart disease in 111 225 births in Belgium: birth prevalence, treatment and survival in the 21st century. Acta paediatrica, 98(3), 472-477.
3. Saleh, H. K. (2009). Pattern of congenital heart disease in Southern Yemeni children referred for echocardiography. Saudi medical journal, 30(6), 824-828.
4. Khalil, A., Aggarwal, R., Thirupuram, S., & Arora, R. (1994). Incidence of congenital heart disease among hospital live births in India. Indian pediatrics, 31(5), 519-528.
5. Awori, M. (2013). The spectrum of paediatric congenital heart disease at the Kenyatta National Hospital: Implications for surgical care. Annals of African Surgery, 10(1).
6. Mozes J, Safarikova M, Skovranek J. "Two-dimensional echocardiography in pediatric cardiology." Pediatr Cardiol. 1984 Summer;5(2):87-91.
7. Lai WW, Geva T, Shirali GS, "Guidelines and standards for performance of a pediatric echocardiogram: a report from the Task Force of the Pediatric Council of the American Society of Echocardiography." J Am Soc Echocardiogr. 2006 Dec;19(12):1413-30.
8. Lang RM, Bierig M, Devereux RB,American Society of Echocardiography's Nomenclature and Standards Committee; Task Force on Chamber Quantification; American College of Cardiology Echocardiography Committee; American Heart Association; European Association of Echocardiography 2005 Dec;18(12):1440-63.
9. Sarikouch S, Peters B, Gutberlet M, Leismann B, Kelter-Kloepping A, Koerperich H, Kuehne T, Beerbaum P. "Sex-specific pediatric percentiles for ventricular size and mass as reference values. 2010 Mar;3(2):65-76.
10. Pinto NM, Weng C, Wilkins-Haug L, Blei D, Babington L, Patel M, Maron BA. "Functional capacity in patients ." Pediatr Cardiol. 2015 Feb;36(2):334-40.
11. Brown DW, Gauvreau K, Powell AJ, Lang P, del Nido PJ, Odegard KC, Geva T. "Cardiovascular, : age-related differences in ventricular volumes, biventricular function, and the impact of pulmonary artery distortion." J Am Coll Cardiol. 2011 Feb 22;57(8):831-8.