Spectrum of Cyanotic Heart Defects and Their Modes of Presentation at Cardiology Clinic in a Tertiary Care Hospital.
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Date
2016-11
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Abstract
Background: Cyanotic Congenital heart defect (CHD) is the high risk group which requires prompt medical attention.
Immediate management can drastically alter the natural history otherwise most of the children will succumb to their defect
very early in infancy. It is thus important to have reliable information of the profile of various cyanotic CHDs as well as their
mode of presentation for the early detection. Methods: The study was carried out in Department of Pediatrics and Center
of Cardiology, Jawaharlal Nehru Medical College, Aligarh. All patients referred with complaints or clinical examination
suggestive of congenital heart defects were further evaluated with echocardiography. On echocardiography patients having
congenital heart defects were included as cases which were further divided into cyanotic and acyanotic heart defects,
preterms having PDA and PFO and those with acquired heart defects were excluded. The profile and mode of presentation
of various cyanotic CHDs was further described in detail. Results: Acyanotic heart defects were 290(72.50%) of the total
heart defects, while the contribution of cyanotic heart defects was 110 (27.50%). Out of all CHDs, VSD was the most
common lesion with contribution of 152 (38.00%) cases, while among the cyanotic heart defect, Tetralogy of Fallot (TOF)
was the most common lesion (18% of total cases). Spectrum of various cyanotic lesions were TOF 65.45%, Single
Ventricle 12.72%, TAPVC (Total Anomalous Pulmonary Venous Connection) 8.18%, TGA(Transposition of Great Arteries)
7.27%, Tricuspid Atresia 3.63%, Ebsteins malformation 1.81% and Truncus Arteriosus 0.90%. Conclusion: Profile of
various cyanotic CHDs was similar to the previous studies, however spectrum of various CHDs was quite wide, a large
number of cases were missed in infancy and presented late.
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Keywords
Cyanotic Congenital heart disease, profile, TOF, TAPVC, Single Ventricle
Citation
Gupta Akash, Abqari Shaad, Shahab Tabassum, Rabbani M U, Ali S Manazir, Firdaus Uzma. Spectrum of Cyanotic Heart Defects and Their Modes of Presentation at Cardiology Clinic in a Tertiary Care Hospital. Annals of International Medical and Dental Research. 2016 Nov-Dec; 2(6): 5-8.