Presentations of Congenital Heart Disease in Children

Congenital heart disease (CHD) is the utmost widely recognized class of natal deserts. CHD involves wide scope of cardiovascular deformities from basic structures exhibiting in the prompt infant time frame to mellow imperfections, for example, bicuspid aortic valve, which might not be predictable till parenthood. Early finding for those below 1yr of age having critical congenital heart disease (CCHD) diminishes both mortality and grimness while postponed analysis has been appeared to prompt noteworthy mortality.

This study aim for study age, gender distribution and frequency of clinical presentation of CHD.

A prospective study accompanied through 3 years since 1^st of July 2015 till 1^st of July 2018 & encompass 198 patients with CHD consult the outpatient clinic in Al-Diwaniyah city, Al-Qadisiyah, Iraq, each patient was recorded the 1^st time diagnosed as CHD; with history, examination, send for x-ray of chest, ECG, & ECHO study & also record the cause of presentation at 1^st time when he was diagnosed as CHD.

In our study, total cases were 198, male 118 (60%), female 80 (40%). Age of presentation, in acyanotic CHD results were{<1month 26%, 1-3m 38%, 3-6m 21%, 6-12m10%, >1year 5%}, in cyanotic CHD results were {<1month 73%, 1-3m 27%}. According to causes of presentation in acyanotic 47% were presented with chest infection, 18% had heart failure & failing to thrive ”HF+FTT”, 35% had murmur discovered on routine examination of baby at outpatient clinic while in cyanotic type 100% the cause of presentation were cyanosis.

Many patients with CHD discovered by routine physical examination, so full cardiac examination must be done for all patients as a routine role after delivery before discharge from hospital.