Pattern of congenital heart disease at Ibn-Seena Teaching Hospital-  Mosul/Iraq

Shakir Mustafa, Bashar

	Pattern of congenital heart disease at Ibn-Seena Teaching Hospital- Mosul/Iraq
Medical Journal of Tikrit
Article 1, Volume 18, Issue 182, 2012, Pages 115-120
Author
Bashar Shakir Mustafa
Abstract
The vast majority of congenital heart disease (CHD) have no known cause, congenital heart defects are the most commonly occurring birth defect ,which happen during the first crucial eight weeks of the baby s development.CHD range from simple to complex problems ,some can be watched by the child s physicians and managed with medication and others will require surgery .early recognition has great implications on prognosis. Objectives: To study age, gender distribution and frequency of congenital heart disease in children referred to echocardiography in Ibn-Seena Teaching Hospital. Method: This is a retrospective descriptive study on all patients with the suspected diagnosis of congenital heart disease referred for echocardiography over a period of two years from February 2008 to February 2010. Patients from day one of life till 14 years were included. The study was conducted in the pediatric cardiology clinic in Ibn_seena teaching Hospital. Result: A total of (676) children were included. There were 359 males (53.1%) and 317 females (46.8%) with a ratio of 1.13:1. About Eighty five percent ( 84.9%) of the children had a cyanotic cardiac lesions, Ventricular septal defect followed by atrial septal defect, pulmonary valve stenosis and patent ductus arteriosus, were the most common A cyanotic congenital heart lesions. Fiveteen (15.09%) of them had cyanotic cardiac lesions, Tetralogy of Fallot (TOF) followed by transposition of the great arteries were the commonest cyanotic congenital heart lesions. There was a males dominance in A.S ,P.S, TOF and Atrioventricular septal defect (69.2%,66.6%,65.5% and 64.2% respectively).More females had PDA (66.1%). Conclusion: The majority of patients with CHD detected have non-cyanotic CHD. VSD is the commonest non- cyanotic lesion and TOF cyanotic lesion. In order to avoid complications, early detection of congenital heart disease is of most importance for proper management 2D-echo with Doppler examination forms the gold standard for diagnosis

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