PATTERN OF CONGENITAL HEART DISEASE AT LIAQUAT UNIVERSITY HOSPITAL HYDERABAD

OBJECTIVE: To find out the frequency of various Congenital heart disease among affected children from birth to 12 years of age at Liaquat University Hospital Hyderabad. Setting: Study was conducted in pediatric Department of Liaquat University Hospital Hyderabad. Study design: This descriptive study was conducted over a period of one year from April 2006 to March 2007. Patients and Method: Eighty Children up to 12 year of age with clinical suspicion of congenital heart disease were evaluated for type of lesion, gender and age at presentation. They were subjected to chest X-ray, ECG and detailed echocardiography which confirmed the final diagnosis. The results was analyzed on SPSS window version 10. Results: Out of eighty cases fifty were male (62.5%) and thirty were female (37.5%). Fifty eight (72.5%) children were having cyanotic heart disease. Among Acyanotic lesion VSD was present in 42 patients (52.5%), ASD were 7 (8.75%) 6 have secondum types. PDA was present in 6 (7.50%) patients. A total of 7 (8.75%) patients had the TOF and 3 (3.75%) had TGA in association with VSD in one and ASD in 2 patients. Severe pulmonary stenosis was seen in 3 (3.75%) patients 2 were in association with ASD. Single ventricle and dextrocardia were seen in 3 (3.75%) patients each. Complex cardiac lesion was seen in 2 (2.5%) patients. Conclusion: Majority of Congenital heart disease in children at Tertiary care Hospital are acynotic, VSD is the commonest acynotic lesion while TOF is the commonest cyanotic lesion. Early detection of these defect is important for proper management and the gold standard for diagnosis of these defect is 2D echocardiography with Doppler examination.