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- Title
Study of congenital heart disease in neonates: clinical profile, diagnosis, immediate outcome and short-term follow-up.
- Authors
Bhat, Nisar Ahmad; Bhat, Irshad Ahmad; Ahmad, Nisar; Iqbal, Qazi
- Abstract
Aim: Study of congenital heart disease in neonates: clinical profile, diagnosis, immediate outcome and short-term follow-up. Material and methods: This is a hospital-based study done on 50 full term neonates suspected of congenital heart disease both inborn and referred cases admitted into Neonatal Intensive Care Unit (NICU) during the period From june 2014 to may 2016.history and examination of cases included in the study were recorded in the proforma designated for the study. Preterm babies and babies with genetic syndrome were excluded from the study. Detailed history of presenting complaints, pregnancy, family history, consanguinity, socio-economic status as per modified BG Prasad's classification were taken as per the proforma designed for the study. Results: Nearly half of the cases presented in the first week (44%) followed by those in fourth week(42%), third week(8%), second week(6%) in decreasing order. the sex distribution of the neonates included in the study. 58% were male and42%were female. cardiac anomalies were present in 5 cases (10%), in which anorectal malformation was the commonest association with congenital heart disease. Nearly half of the cases survived the neonatal period and these children were followed up for a period of six months. At the end of this period, nearly 37% of children suffered from repeated respiratory tract infection and 22% were failing to thrive and 14% had congestive cardiac failure. 30% of children thrived well and among them 4 cases were operated for PDA and TGA respectively at 2 months of age. Conclusions: Neonates with CHD have a unique presentation and they carry poor outcome unless diagnosed early and managed appropriately. Babies presenting with multiple anomalies should be screened for any underlying structural heart disease.
- Subjects
CONGENITAL heart disease; PREMATURE infants; NEWBORN infants; NEONATAL intensive care units; HEART failure
- Publication
Journal of Cardiovascular Disease Research (Journal of Cardiovascular Disease Research), 2021, Vol 12, Issue 6, p1063
- ISSN
0975-3583
- Publication type
Article