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TITLE:

ANALYSIS OF PREVALENCE OF CONGENITAL HEART DEFECT IN POPULATION OF PAKISTAN

AUTHORS:

Muhammad Muntazir Mahdi, Sharafat Ali, Nadir Aman

ABSTRACT:

Introduction: Congenital heart disease (CHD) is a very common heart defect in the population of Pakistan. Globally, its prevalence is about 10/1000 live births. In Pakistan very few studies have been reported regarding the prevalence. Unfortunately, routine screening of heart of infants is not common in Pakistan. So it is very difficult to calculate exact pervasiveness of CHD in Pakistan. Objectives: Hence, this study was aimed at detecting congenital heart disease in infants in population of Abbottabad district. Methodology: This cross sectional study was conducted in DHQ Hospital Layyah during 2018 to 2019. 1683 infants who visited OPD for different complaints were assessed for congenital heart disease with the help of echocardiography. Results: out of 1683 infants, 303 (18%) were confirmed with congenital heart disease. Among the confirmed cases, 62.5 percent were males and 37.5 % were females. 78 % of the cases were between ages 1 to 3 months. The patients came with different presenting complaints like respiratory infection (48 %), underweight (31 %) and cyanosis (4%). Majority of cases were that of acyanotic congenital heart disease (98%). Ventricular septal defect (77.9%) was the most common congenital heart disease detected, followed by patent ductus arteriosus (PDA) 11.5%, atrioventricular septal defect (ASD)7.9 %, tetratology of Fallot (TOF) 0.9 %, aortic stenosis2%. Conclusion: There is an utmost need to improve the efficacy of doctors of our pediatric OPDs to be able to detect heart murmur in our infant population. This can result in significant decrease in morbidity and mortality of congenital heart disease.

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