Pattern of congenital heart diseases among children attending a pediatric cardiology OPD of a tertiary level hospital in West Bengal, India: a retrospective study
Keywords:Congenital heart diseases, Congenital anomalies, Social impact
Background: Congenital heart disease (CHD) is one of the most common congenital defects worldwide. The prevalence of CHD is low in India mostly due to under detection. The knowledge regarding socio-demographic factors, other congenital anomalies/syndromes and social impacts associated with CHDs in India is grossly lacking.
Methods: This was a retrospective study. Details of all diagnosed pediatric (age 0-14 years) cases of CHD were recorded by a single cardiologist from the year 2013 to 2020. Duplicate entries were removed and CHDs were classified according to Q20-Q28 of tenth revision of international classification of diseases (ICD). For description purposes, the CHDs were divided into 10 sub-groups.
Results: Total 9247 cases of CHDs were recorded during the study period. Ventricular septal defect was the most commonly identified CHD (32.1%). Most cases were acyanotic (69.8%) and presented first time at age of more than two years. Almost 1.5% cases were associated with other non-cardiac congenital defect or syndrome. In 1.0% of cases either mother or the child faced social or family problem due to the disease.
Conclusions: CHD is an emerging public health problem. It is associated with other congenital anomalies/syndrome. Mandatory screening for birth defects needs to be initiated at all birth facilities. At birth counseling of the parents need to be implemented due to the associated social issues.
Zimmerman MS, Smith AGC, Sable CA, Echko MM, Wilner LB, Olsen HE, et al. Global, regional, and national burden of congenital heart disease, 1990–2017: a systematic analysis for the global burden of disease study 2017. Lancet Child Adolesc Health. 2020;4(3):185-200.
Liu Y, Chen S, Zühlke L, Black GC, Choy MK, Li N, Keavney BD. Global birth prevalence of congenital heart defects 1970-2017: updated systematic review and meta-analysis of 260 studies. Int J Epidemiol. 2019;48(2):455-63.
Bouma BJ, Mulder BJ. Changing landscape of congenital heart disease. Circ Res. 2017;120(6):908-22.
Linde DVD, Konings EE, Slager MA, Witsenburg M, Helbing WA, Takkenberg JJ, et al. Birth prevalence of congenital heart disease worldwide: a systematic review and meta-analysis. J Am Coll Cardiol. 2011;58(21):2241-7.
Saxena A. Congenital heart disease in India: a status report. Indian Pediatr. 2018;55(12):1075-82.
Bhat NK, Dhar M, Kumar R, Patel A, Rawat A, Kalra BP. Prevalence and pattern of congenital heart disease in Uttarakhand, India. Indian J Pediatr. 2013;80(4):281-5.
Dixit R, Rai SK, Yadav AK, Lakhotia S, Agrawal D, Kumar A, et al. Epidemiology of congenital heart disease in India. Congenit Heart Dis. 2015;10(5):437-46.
GBD 2017 Congenital Heart Disease Collaborators. Global, regional, and national burden of congenital heart disease, 1990-2017: a systematic analysis for the global burden of disease study 2017. Lancet Child Adolesc Health. 2020;4(3):185-200.
Gaziano TA, Bitton A, Anand S, Abrahams-Gessel S, Murphy A. Growing epidemic of coronary heart disease in low- and middle-income countries. Curr Probl Cardiol. 2010;35(2):72-115.
Panza GA, Puhl RM, Taylor BA, Zaleski AL, Livingston J, Pescatello LS. Links between discrimination and cardiovascular health among socially stigmatized groups: a systematic review. PLoS One. 2019;14(6):0217623.
ICD. Fact sheet: International statistical classification of diseases and related health problems 10th revision, 2016. Available at: http://apps.who.int/classifications/icd10/browse/2016/en . Accessed on 21 March 2021.
Saxena A, Mehta A, Sharma M, Salhan S, Kalaivani M, Ramakrishnan S, et al. Birth prevalence of congenital heart disease: A cross-sectional observational study from North India. Ann Pediatr Cardiol. 2016;9(3):205-9.
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.
Zhao QM, Liu F, Wu L, Ma XJ, Niu C, Huang GY. Prevalence of congenital heart disease at live birth in China. J Pediatr. 2019;204:53-8.
Abqari S, Gupta A, Shahab T, Rabbani MU, Ali SM, Firdaus U. Profile and risk factors for congenital heart defects: A study in a tertiary care hospital. Ann Pediatr Cardiol. 2016;9(3):216-21.
Khasawneh W, Hakim F, Abu Ras O, Hejazi Y, Abu-Aqoulah A. Incidence and patterns of congenital heart disease among Jordanian infants, a cohort study from a university tertiary center. Front Pediatr. 2020;8:219.
Meshram RM, Gajimwar VS. Prevalence, profile, and pattern of congenital heart disease in Central India: a prospective, observational study. Niger J Cardiol. 2018;15(1):45-9.
Kaeley N, Ahmad S, Rawat A. Prevalence and demographic profile of patients with adult congenital cardiac disease in the state of Uttrakhand: a recently created North Indian state. J Clin Prev Cardiol. 2018;7(4):128-31.
Iyer PU, Moreno GE, Fernando Caneo L, Faiz T, Shekerdemian LS, Iyer KS. Management of late presentation congenital heart disease. Cardiol Young. 2017;27(6):31-9.
Naik S, Irshad M, Kachroo A, Ahmad M. A study of prevalence and pattern of congenital heart disease at Sopore, Kashmir, North India. Int J Contemp Pediatr. 2019;6(2):275-9.
Animasahun BA, Madise-Wobo AD, Kusimo OY. Cyanotic congenital heart diseases among Nigerian children. Cardiovasc Diagn Ther. 2017;7(4):389-96.
Engelfriet P, Mulder BJ. Gender differences in adult congenital heart disease. Neth Heart J. 2009;17(11):414-7.
Prefumo F, Rossi AC. EP09.08: mode of delivery in fetuses with congenital heart disease: a systematic review of the literature. Ultrasound Obstet Gynecol. 2019;54(1):288.
Rakkappan I, Shirin MJ. Pattern of congenital heart disease in newborn at a tertiary care hospital. 2020;7(12):6.
Ahankari A, Bapat S, Myles P, Fogarty A, Tata L. Factors associated with preterm delivery and low birth weight: a study from rural Maharashtra, India. F1000Research. 2017;6:72.
26. Maharana B. Correlates of Spontaneous and Induced Abortion in India: An Investigation using a Nationwide Large Scale Survey Data. :16.
Stoll C, Dott B, Alembik Y, Roth MP. Associated noncardiac congenital anomalies among cases with congenital heart defects. Eur J Med Genet. 2015;58(2):75-85.
Lemacks J, Fowles K, Mateus A, Thomas K. Insights from parents about caring for a child with birth defects. Int J Environ Res Public Health. 2013;10(8):3465-82.
Rashtriya Bal Swasthya Karyakram. Child Health Screening and Early Intervention Services. National Health Mission. Available at: http://nhm.gov.in/images/pdf/programmes/RBSK/Resource_Documents/RBSK_Job_Aids.pdf. Accessed on 24 March 2021.