Pattern of Congenital Heart Disease a Hospital-Based Study

Abstract

Background: The congenital heart disease occurs
in 0,8% of live births and they have a wide spectrum
of severity and about 30-40% of patients with
congenital heart disease are symptomatic during the
1st year of life, and these disease still one of the
frequent cause of morbidity and hospital admission
among the pediatric age group.
Objective: This study was carried out to identify
the specific types of CHD, sex and age distribution
and the most common pattern of presentation among
hospitalized patients.
Methods: This is a retrospective study of 89
patients with congenital heart disease admitted to the
fifth unit in Child Welfare Hospital in Baghdad from
January 2003 to January 2004. The diagnosis was
established by two dimensional and Doppler
echocardiography examination. The pattern of
congenital heart disease, mode of presentation, male
to female incidence, and the effect of different
lesions on the growth parameters had been studied.
Results: Out of 1023 patients, 89 patients 8.6%
had congenital heart disease. The most common
congenital heart disease were ventricular septal
defect 51.8%, Tetralogy of Fallot 17.9%, Patent
ductus arteriosus (13.5%), Transposition of great
arteries 8.9%, Pulmonary stenosis 4.4%, and Atrial
septal defect 3.4%. The most common presentation
was respiratory infection and heart failure in a
cyanotic patients and cyanosis in cyanotic groups.
Conclusion: Patent ductus arteriosus and atrial
septal defect defects were more common in female
while all other lesions had equal male to female
incidence or slightly more common in male.
Key Words: Congenital heart disease; hospital
based-study.