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Prevalence and Pattern of Congenital Heart Disease in Uttarakhand, India

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Abstract

Objective

To find the prevalence and pattern of congenital heart disease (CHD) at a tertiary care hospital in Uttarakhand, India.

Methods

A thorough history and clinical examination was done for all the live births and children up to 18 y of age who presented to the institute over a period of 3 y from July 2008 through June 2011. Those suspected of having a CHD, were further evaluated with ECG, chest radiography and the diagnosis was confirmed by color Doppler echocardiography.

Results

Of the 36541 children examined, 312 were identified as having congenital heart defects, thus giving a prevalence of 8.54 per 1000 children attending hospital. Only one fifth cases were diagnosed in neonatal period and the diagnosis was delayed beyond infancy in more than half of the cases. Ventricular septal defect (30.45%), atrial septal defect (17.63%), patent ductus arteriosus (9.62%), pulmonary stenosis (6.41%), tetralogy of Fallot (5.45%) and transposition of great arteries (5.13%) were the commonest defects observed. Only 9.29% of children with CHD underwent definitive treatment.

Conclusion

The prevalence of CHD at a tertiary referral hospital in Uttarakhand India is 8.54 per 1000 children. VSD and TOF are the most common acyanotic and cyanotic congenital heart defects respectively.

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Acknowledgements

The authors thank Dr. Prakash Keshaviah, Chairman Research Committee of the HIMS and his team for permission to publish this manuscript.

Contributions

NKB: concept and study design, generation and interpretation of data, drafting and critical intellectual inputs; MD: generation and interpretation of data, drafting; RK, AP, AR: generation of data, drafting; BPK: concept and study design, critical intellectual inputs. All authors approved the final draft submitted for publication.

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None.

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Authors and Affiliations

  1. Department of Pediatrics, Himalayan Institute of Medical Sciences, Doiwala, Dehradun, Uttarakhand, 248140, India

    Nowneet Kumar Bhat, Anubhav Patel, Anil Rawat & Braham Prakash Kalra

  2. Department of Medicine, Himalayan Institute of Medical Sciences, Doiwala, Dehradun, Uttarakhand, India

    Minakshi Dhar

  3. Department of Medicine, Cardiology Unit, Himalayan Institute of Medical Sciences, Doiwala, Dehradun, Uttarakhand, India

    Ritesh Kumar

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  1. Nowneet Kumar Bhat
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  2. Minakshi Dhar
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  3. Ritesh Kumar
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  4. Anubhav Patel
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  5. Anil Rawat
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  6. Braham Prakash Kalra
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Correspondence to Nowneet Kumar Bhat.

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Bhat, N.K., Dhar, M., Kumar, R. et al. Prevalence and Pattern of Congenital Heart Disease in Uttarakhand, India. Indian J Pediatr 80, 281–285 (2013). https://doi.org/10.1007/s12098-012-0738-4

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  • DOI: https://doi.org/10.1007/s12098-012-0738-4

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