CLINICO-ECHOCARDIOGRAPHIC PROFILE OF CONGENITALHEART DISEASE IN CHILDREN ADMITTED IN TERTIARY CARECENTRE

Abstract

Congenital Heart Disease (CHD) comprises one of the major diseases in pediatric age group
and is one of the leading causes of death in children with congenital malformations.
This study aimed to assess spectrum and clinical presentation of congenital heart disease and to
study clinico-echocardiographic correlation in CHD patients. In this prospective study all
children (Term neonate to adolescents (0 to 19 years) with history and examination suggestive
of congenital heart disease were included. Diagnosis was confirmed by echocardiography with
color Doppler.
In this study 91 out of 99 clinically suspected cases were confirmed to have congenital heart
diseases by 2D-echo with color Doppler. Acyanotic heart disease (73.6%) were more common
than cyanotic CHD (26.4%) which was statistically significant (p value <0.001). Most common
age of presentation was in infancy (65.94%) which was statistically significant (p=0.003).Most
common presentation was breathlessness (82%) in acyanotic CHD patients. Cyanosis was the
most common presentation in cyanotic CHD patients. Wasting was documented in 26 cases
(28.57%) and Stunting in 18 (19.19%) cases which were statistically significant (p<0.001).
Clinico-echocardiographic correlation was present in 57 out of 91 cases (62.6%).
So high index of suspicion, history, physical examination, chest x-ray and ECG along with 2-DEchocardiography & color Doppler helps to diagnose most of the Congenital Heart Diseases.