CT ANGIOGRAPHIC UTILIZATION IN PATIENTS WITH DEXTRO-TRANSPOSITION OF GREAT ARTERIES : A CROSS COUNTRY COMPARATIVE CROSS SECTIONAL ANALYSIS OF PAKISTAN AND IRAN
Main Article Content
Keywords
Transposition of the Great Arteries, Congenital heart disease, Pakistan, Iran.
Abstract
Introduction: Transposition of the Great Arteries (TGA) is one of the most common types of congenital heart disease (CHD). Recent advances in computed tomography angiography (CTA) have helped in the detection of this condition. The data regarding the prevalence of the
Material and Methods: A cross-sectional study was conducted comparing patient cohorts from Pakistan and Iran. Patients diagnosed with CHD as confirmed by CTA, aged less than 18-year-old were included in this study. Data regarding demographics, nationality, and any CHDs was extracted via patient interviews which were further supplemented by screening of the hospital records. Our data analysis was conducted using SPSS version 21 (Chicago, IL: IBM SPSS Statistics) where a p-value less than 0.05 was statistically significant.
Results: A total of 170 patients from Pakistan and 31 patients from Iran were included in this study. A total of 101 (59.4%) males were present in the Pakistani cohort. Levocardia was the most common cardiac axis in both of our populations (n=119, 70.0% for Pakistan and n=31, 100.0% for Iran). Ventricular septal defect (VSD) was noted in 154 (90.6%) and 15 (48.4%) of the patients from the Pakistani and Iranian cohort. The prevalence of patent ductus arteriosus (PDA) differed significantly between the Iranian population (n=27, 87.1%) and the Pakistani population (n=92, 54.1%) p<0.001.
Conclusion: Our study highlights an important association of PDA that warrants further investigation while considering the limitations of this study so that a more robust investigation can be performed in the future.
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Dr Liaqat
(Clinical fellow NICVD karachi )
Dr Omesh kumar
( Clinical fellow NICVD karachi )
Dr Lachham
( Clinical fellow NICVD karachi )
Dr sumaiya muhammad iqbal memon
( Senior registrar Adult cardiology NICVD Karachi )
Dr Poonam
(Resident Cardiology NICVD Karachi )
Dr kanwal fatima amir
(Associate Professor Cardiology NICVD karachi )