The echocardiographic and radiological profile of Clinically diagnosed congenital heart disease in children

  • Dr. Sandeep Bhaskar Associate Professor of Paediatrics, Vydehi Institute of Medical Sciences & Research Centre, Bangalore, Karnataka, India
  • Dr. Sneha P Senior Resident of Paediatrics, Vydehi Institute of Medical Sciences & Research Centre, Bangalore, Karnataka, India
  • Dr. Manjunath Babu R Professor of Paediatrics, Akash Institute of Medical Sciences, Devanahalli, Karnataka, India
  • Dr. Chithambaram Professor of Paediatrics, PES Institute of Medical Sciences& Research, Kuppam, Andhra Pradesh, India
Keywords: Congenital heart disease, Acyanotic Congenital heart disease, Cyanotic CHD, Chest X-Ray, ECHO

Abstract

Introduction: Congenital heart disease (CHD) if diagnosed clinically early and confirmed by Chest X-ray and ECHO, can be appropriately managed.

Objectives: To observe the clinical profile of CHD in clinically diagnosed CHD in children To correlate the clinical profile with radiological and echocardiographic findings in the study group.

Methods: It’s a cross-sectional study. The duration was 18 months. All children in the age group of 1 month to 18years of age with history & clinical findings suggestive of CHDs were taken, assessed, subjected to Chest X-ray & 2 DECHO & were correlate.

Results: Total no. of cases admitted during the study period was 5423, 624 had CHD among which 50 fulfilling the criteria were taken. Clinically CCHD was in 34%, ACHD in 66%. Clinical correlation with X-ray was 83% and with ECHO was 87 %.

Conclusion: ACHD is more common, Chest x-ray findings correlated closely. ECHO correlation with the clinical diagnosis was very accurate especially in isolated lesions and some cases were identified which had been missed clinically. Hence Clinical Diagnosis with X-ray and ECHO helps in increased identification & earlier intervention of CHDs.

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References

Mir, D. (2019). Time to diagnosis, clinical features of patients admitted with congenital heart diseases in a teaching hospital. Journal Of Medical Science And Clinical Research, 7(4). doi: 10.18535/jmscr/v7i4.108

Karthiga, S., Shweta Pathak, and Monica Lazarus. Clinical and anthropometric profile of congenital heart disease in children admitted in pediatric ward. International Journal of Scientific Study 5.5 (2017): 112-117.

Kondapalli, C., Gondi, K., & Madana, S. Evaluation of congenital heart disease clinically and by echocardiography in children of age group 0-12 years. International Journal Of Contemporary Pediatrics, 2019:6(2), 507. doi: 10.18203/2349-3291.ijcp20185516

Molaie, A., Abdinia, B., Zakeri, R., & Talei, A. Diagnostic value of chest radiography in pediatric cardiovascular diseases: A retrospective study in Tabriz, Northwest of Iran. International Journal of Pediatrics, 32.1(2015): 9-13.

Sharmin, L. S., Haque, M. A., Bari, M. I., & Ali, M. A. Pattern and clinical profile of congenital heart disease in a teaching hospital. TAJ: Journal of teachers association, 21.1, (2008). 58-62.

Pacileo G, Di Salvo G, Limongelli G, Miele T, Calabrò R. Echocardiography in congenital heart disease: usefulness, limits and new techniques. J Cardiovasc Med (Hagerstown). 2007 Jan;8(1):17-22. doi: 10.2459/01.JCM.0000247430.36581.c2.

Eskedal, L., Hagemo, P., Eskild, A., Aamodt, G., Seiler, K., & Thaulow, E. A population-based study of extra-cardiac anomalies in children with congenital cardiac malformations. Cardiology In The Young, 2004:14(6), 600-607. doi: 10.1017/s1047951104006043.

Reddy, Rakshit, and Amar Taksande. "Clinical Profile of Congenital Heart Disease in a Tertiary Care Hospital in Central India." Journal of Datta Meghe Institute of Medical Sciences University 11: 81-86.

Gelb BD. History of Our Understanding of the Causes of Congenital Heart Disease. Circ Cardiovasc Genet. 2015 Jun;8(3):529-36. doi: 10.1161/CIRCGENETICS.115.001058.

Meshram, Rajkumar Motiram, and Vishal Shankarrao Gajimwar. "Prevalence, profile, and pattern of congenital heart disease in Central India: A prospective, observational study." Nigerian Journal of Cardiology 15.1 (2018): 45.

el Hag AI. Pattern of congenital heart disease in Sudanese children. East Afr Med J. 1994 Sep;71(9):580-6. PMID: 7875091.

Schoenwolf, G. C., Bleyl, S. B., Brauer, P. R., & Francis-West, P. H. Larsen's human embryology E-book. Elsevier. (2020).

Morton SU, Brodsky D. Fetal Physiology and the Transition to Extrauterine Life. Clin Perinatol. 2016 Sep;43(3):395-407. doi: 10.1016/j.clp.2016.04.001.

Kiserud T, Acharya G. The fetal circulation. Prenat Diagn. 2004 Dec 30;24(13):1049-59. doi: 10.1002/pd.1062.

Karthiga, S., Shweta Pathak, and Monica Lazarus. "Clinical and anthropometric profile of congenital heart disease in children admitted in pediatric ward." International Journal Of Scientific Study 5.5 (2017): 112-117.

S, A. (2017). Study of Signs, Symptoms and Investigations of Congenital Heart Disease in A Teaching Hospital. Journal Of Medical Science And Clinical Research, 05(05), 21801-21805. doi: 10.18535/jmscr/v5i5.94

Shyamsunder, D. (2018). Clinical Profile of Congenital Heart Disease in RIMS Hospital. Journal Of Medical Science And Clinical Research, 6(12). doi: 10.18535/jmscr/v6i12.182.

Saxena A. Congenital Heart Disease in India: A Status Report. Indian Pediatr. 2018 Dec 15;55(12):1075-1082.

Laya BF, Goske MJ, Morrison S, Reid JR, Swischuck L, Ey EH, et al. The accuracy of chest radiographs in the detection of congenital heart disease and in the diagnosis of specific congenital cardiac lesions. Pediatr Radiol. 2006 Jul;36(7):677-81. doi: 10.1007/s00247-006-0133-2.

Swenson, Jeanine M., et al. "Are chest radiographs and electrocardiograms still valuable in evaluating new pediatric patients with heart murmurs or chest pain?." Pediatrics 99.1 (1997): 1-3.3

Klewer SE, Samson RA, Donnerstein RL, Lax D, Zamora R, Goldberg SJ. Comparison of accuracy of diagnosis of congenital heart disease by history and physical examination versus echocardiography. Am J Cardiol. 2002 Jun 1;89(11):1329-31. doi: 10.1016/s0002-9149(02)02341-x.

CITATION
DOI: 10.17511/ijpr.2021.i04.04
Published: 2021-08-31
How to Cite
Dr. Sandeep Bhaskar, Dr. Sneha P, Dr. Manjunath Babu R, & Dr. Chithambaram. (2021). The echocardiographic and radiological profile of Clinically diagnosed congenital heart disease in children. Pediatric Review: International Journal of Pediatric Research, 8(4), 189-195. https://doi.org/10.17511/ijpr.2021.i04.04
Section
Original Article