::INDO AMERICAN JOURNAL OF PHARMACEUTICAL SCIENCES::

CODEN : IAJPBB
issn 2349-7750

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TITLE:

CLINICAL PRESENTATION OF CONGENITAL HEART DISEASES IN CHILDREN FROM 2 MONTHS TO 15 YEARS REPORTED AT CHILDREN HOSPITAL LAHORE

AUTHORS:

Ayesha Farooq, Dr. Sh Muhammad Usman Yamin Chawla, Dr. Saima Masood, Dr. Muneeb Ahmad Raza, Zain Ul Abidin, Muhammad Tariq Aziz

ABSTRACT:

Objective: The objective of this study is to observe the clinical presentation of CHD from 2 months to 15 years and confirm CHD findings in echo at Children Hospital Lahore. Methods: This descriptive study was conducted at Children Hospital and Institute of child health care Lahore. Duration of study was 3 months.75 patients of congenital heart disease without age and gender discrimination were selected by consecutive sampling. Those patients Presented with Syndromes and associated other diseases, Acquired heart diseases and Complex cardiac lesion were excluded. Results: Among 75 patients 56% were male and 44% female. Congenital heart defects were diagnosed commonly between 2 months to 1 Year 29.3% than from 1-5 year (24%), 5-10 year (12%) and 10-15 year (n=8, 10.7%) Asymptomatic patients mostly present in 2-5 year of age. At 0.16-2 year of age child present with sweating &interrupted feeding, respiratory distress, murmur, syncope and tachypnea and less commonly cyanosis spell, fits. While in 2-5 year of age they present with murmur, syncope and respiratory distress and tachypnea and at 5-15 years child was murmur, chest pain, respiratory distress, tachypnea and syncope. Commonest single lesion congenital heart defects confirmed by echocardiography was Ventricular septal defect 45.4%, Patent ductus arteriosus 21.2%, Teratology of fallot 16.60%, Atrial septal defect 10.6% and complete atrioventricularseptal defect 6.1% and with dual lesion was Ventricular septal defect with pulmonary stenosis 33.30% followed by Atrial septal defects with pulmonary stenosis 22.20% and Transposition of great arteries with pumonary stenosis 22.20% each . The less common were Atrial septal defect with Patent ductus arteriosus and complete atrioventricularseptal defect with pulmonary stenosis 11.10% each. Conclusion: Murmur, sweating &interrupted feeding, respiratory distress, chest pain, syncope, tachypnea, cyanosis, spell and fits are important clinical presentations of congenital heart defects from 2 months to 15 years of age. Tran thoracic echo is an important tool for confirmation of clinically suspected and asymptomatic congenital heart defects from 2 months to 15 years of age. Key Words: CHD, Echocardiography, Complications.