DOI: http://dx.doi.org/10.18203/2349-3933.ijam20163729

A study of prevalence and pattern of congenital heart disease and rheumatic heart disease among school children

Suryakant H. Nisale, Vidyadhar G. Maske

Abstract


Background: Early detection of congenital heart disease is of paramount importance to improve the quality of life of children and prevent morbidity and mortality. Early detection among school children is a novel approach which is time saving and cost effective. The objective was to study prevalence and pattern of congenital heart disease and rheumatic heart disease among school children.

Methods: An institution based cross sectional study was conducted from July2008 to March 2009 among school children of all schools having 1st Standard to 10th Standard in Latur district. After obtaining necessary permissions and consent, students were screened for congenital heart disease by the health team.

Results: The prevalence of congenital and rheumatic heart disease was found to be 4.6 per 10,000 school children. The most common type of congenital heart disease found was VSD and ASD in 25.2% of cases each. They both together constituted more than 50% of the congenital heart disease among school children. The next most common type was PDA in 14.1% of cases followed by TOF in 11.7%. Rheumatic heart disease in the form of MS was seen in 12.3% of cases among the school children. PS constituted in 4.9%, TA in 4.3% followed by AS in 1.2% of cases. Ebstein anomaly and Bicuspid aortic valve was seen in one case each. In the present study, females were found affected more than males. In case of PS and TA, males outnumbered females. Ebstein anomaly and bicuspid aortic valve was present only in females.

Conclusions: Prevalence of congenital and rheumatic heart disease was 4.6 per 10,000. VSD and ASD were the most common types of congenital heart disease. 


Keywords


Congenital heart disease, Prevalence, Pattern, School children

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References


Saxena A. Congenital heart disease in India: a status report. Indian J Pediatr. 2005;72:595-8.

Kapoor R, Gupta S. Prevalence of congenital heart disease, Kanpur, India. Indian Pediatr. 2008;45:309-11.

Wanni KA, Shahzad N, Ashraf M. Prevalence and spectrum of congenital heart diseases in children. Heart India. 2014;2(3):76-9.

Van der Linde D, Konings EE, Slager MA. Birth prevalence of congenital heart disease worldwide: a systematic review and meta-analysis. J Am Coll Cardiol. 2011;58(21):2241-7.

Sipek A, Gregor V, Sipek A. Incidence of congenital heart defects in the Czech Republic-current data. Ceska Gynekol. 2010;75(3):221-42.

Ishikawa T, Iwashima S, Ohishi A. Prevalence of congenital heart disease assessed by echocardiography in 2067 consecutive newborns. Acta Pediatr. 2011;100(8):e55-60.

Misra M, Mittal M, Verma AM. Prevalence and pattern of congenital heart disease in school children of eastern Uttar Pradesh. Indian Heart J. 2009;61:58-60.

Sawant SP, Amin AS, Bhat M. Prevalence, pattern and outcome of congenital heart disease in Bhabha atomic research centre hospital, Mumbai. Indian J Pediatr. 2013;80(4):286-91.

Bhat NK, Dhar M, Kumar R. Prevalence and pattern of congenital heart disease in Uttarakhand, India. Indian J Pediatr. 2013;80(4):281-5.

Mohammad N, Shaikh S, Memon S. Spectrum of heart disease in children under 5 years of age at Liaquat University Hospital, Hyderabad, Pakistan. Indian Heart J. 2014;66(1):145-9.

Bhardwaj R, Kandoria A, Marwah R. Prevalence of congenital heart disease in rural population of Himachal - a population-based study. Indian Heart J. 2016;68(1):48-51.

Ashraf M, Chowdhary J, Khajuria K. Spectrum of congenital heart diseases in Kashmir, India. Indian Pediatr. 2009;46(12):1107-8.

Glen S, Burns J, Bloomfield P. Prevalence and development of additional cardiac abnormalities in 1448 patients with congenital ventricular septal defects. Heart. 2004;90(11):1321-5.

Smitha R, Karat SC, Narayanappa D. Prevalence of congenital heart diseases in Mysore. Indian J Human Genet. 2006;12(1):11-6.