scholarly journals Clinical Study of Pregnancy with Congenital Heart Disease in a Tertiary Care Centre

2017 ◽  
Vol 6 (7) ◽  
pp. 977-978
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Clinical Study ◽  
Congenital Heart ◽  
Tertiary Care ◽  
Care Centre ◽  
Tertiary Care Centre

Caring for adults with congenital cardiac disease: successes and challenges for 2007 and beyond

2007 ◽  
Vol 17 (S4) ◽  
pp. 87-96 ◽  
Author(s):  
Joseph A. Dearani ◽  
Heidi M. Connolly ◽  
Richard Martinez ◽  
Hector Fontanet ◽  
Gary D. Webb
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Family Planning ◽  
Cardiac Disease ◽  
Congenital Heart ◽  
Tertiary Care ◽  
Care Centre ◽  
Tertiary Care Centre ◽  
Congenital Cardiac Disease ◽  
Adult Congenital

AbstractPatients with congenital cardiac disease require lifelong medical care. Current challenges that face practitioners who care for adults with congenital heart disease include identifying the best location for procedures, which could be a children’s hospital, an adult hospital, or a tertiary care facility; providing appropriate antenatal management of pregnant women with congenitally malformed hearts, and continuing this care in the peripartum period; and securing the infrastructure and expertise of the non-cardiac subspecialties, such as nephrology, hepatology, pulmonary medicine, and haematology. The objectives of this review are to outline the common problems that confront this population of patients and the medical community, to identify challenges encountered in establishing a programme for care of adults with congenitally malformed hearts, and to review the spectrum of disease and operations that have been identified in a high volume tertiary care centre for adult patients with congenital cardiac disease. Three chosen examples of the fundamental problems facing the practitioner and patient in the United States of America in 2007 are the neglected patient with congenital cardiac disease, weak infrastructure for adults with congenital cardiac disease, and family planning and management of pregnancy for patients with congenital cardiac disease.Patients with adult congenital cardiac disease often do not receive appropriate surveillance. Three fundamental reasons for this problem are, first, that most adults with congenitally malformed hearts have been lost to follow-up by specialists, and are either receiving community care or no care at all. Second, patients and their families have not been educated about their malformed hearts, what to expect, and how to protect their interests most effectively. Third, adult physicians have not been educated about the complexity of the adult with a congenitally malformed heart. This combination can be fatal for adults with complications related to their congenitally malformed heart, or its prior treatment. Two solutions would improve surveillance and care for the next generation of patients coming out of the care of paediatric cardiologists. The first would be to educate patients and their families during childhood and adolescence. They would learn the names of the diagnoses and treatments, the problems they need to anticipate and avoid, the importance of expert surveillance, career and family planning information, and appropriate self-management. The second solution would be to encourage an orderly transfer of patients from paediatric to adult practice, usually at about 18 years of age, and at the time of graduation from high school.Clinics for adults with congenital cardiac disease depend upon multidisciplinary collaboration with specialties in areas such as congenital cardiac imaging, diagnostic and interventional catheterization, congenital cardiac surgery and anaesthesia, heart failure, transplantation, electrophysiology, reproductive and high risk pregnancy services, genetics, pulmonary hypertension, hepatology, nephrology, haematology, and others. None of these services are easily available “off the rack”, although with time, experience, and determination, these services can develop very well. Facilities with experienced personnel to provide competent care for adults with congenital cardiac disease are becoming increasingly available. Parents and patients should learn that these facilities exist, and be directed to one by their paediatric caregivers when the time comes for transition to adult care.With the steady increase in the number of adults with congenital heart disease, an ever increasing number of women with such disease are becoming pregnant. Services are not widely available to assess competently and plan a pregnancy for those with more complex disease. It is essential to have a close interplay between the obstetrician, the adult congenital cardiologist, the fetal medicine perinatologist, and neonatologist.In both a community based programme and a tertiary care centre, the nuances and complexities of congenital cardiac anatomy, coupled with the high probability of previous operation during childhood, makes the trained congenital cardiothoracic surgeon best suited to deal with the surgical needs of this growing population. It is clear that the majority of adults with congenital heart disease are not “cured”, but require lifelong comprehensive care from specialists who have expertise in this complex arena. There is a growing cadre of healthcare professionals dedicated to improving the care of these patients. More information has become available about their care, and will be improved upon in the next decade. With the support of the general paediatric and paediatric cardiologic communities, and of the Adult Congenital Heart Association, and with the persistence of the providers of care for adults with congenital cardiac disease currently staffing clinics, the care of these patients should become more secure in the next decade as we mature our capabilities.

scholarly journals Pregnancy outcome in women with congenital heart disease in a tertiary care centre

2018 ◽  
Vol 5 (1) ◽  
pp. 38-42
Author(s):  
Lipika Adhikari ◽  
Sandip Sarkar ◽  
Amitava Das ◽  
Priyanka Sannigrahi ◽  
Prateek Chawdhary
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Pregnancy Outcome ◽  
Congenital Heart ◽  
Tertiary Care ◽  
Care Centre ◽  
Tertiary Care Centre

scholarly journals TO FIND OUT THE SPECTRUM OF CONGENITAL AND ACQUIRED HEART DISEASE AT TERTIARY CARE CENTRE OF WESTERN RAJASTHAN

2019 ◽  
Vol 3 (5) ◽  
Author(s):  
Dr. Yatendra Kumar Sahu ◽  
Dr. J. P. Soni ◽  
Dr. Pradeep Singh Rathore ◽  
Dr. Sandeep Choudhary
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Congenital Heart ◽  
Pediatric Population ◽  
Tertiary Care ◽  
Developed Countries ◽  
Care Centre ◽  
Tertiary Care Centre ◽  
Mortality And Morbidity ◽  
Acquired Heart Disease

Background: Congenital heart disease (CHD) is one of the major causes of mortality and morbidity in the pediatric population of both the developing and developed countries. Objective: To find the prevalence and pattern of CHD in a tertiary care centre of Western Rajasthan Methods: A descriptive type of study conducted during the period of January 2017 to December 2018, a total of 163842 patients sought medical help in pediatric department of Dr SN Medical college hospital. All data were analyzed by SPSS-software. Results: The prevalence of heart disease was 0.89% in our study. The prevalence of congenital heart disease (CHD) was 0.84% and acquired heart disease was 0.05% in this study. Conclusion: Prevalence of heart disease was 0.89% among the hospital attending patients could be an underestimation of the actual disease burden in our community. Increased awareness regarding cardiac diseases reduces the mortality and morbidity associated with these ailments. Keywords: Children, congenital-heart disease, echocardiography, prevalence

scholarly journals Spectrum of congenital heart disease in neonates in a tertiary care centre of Northern India

2018 ◽  
Vol 5 (4) ◽  
pp. 1505
Author(s):  
Mahvish Qazi ◽  
Najmus Saqib
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Congenital Heart Defects ◽  
Congenital Heart ◽  
Cleft Lip ◽  
Heart Diseases ◽  
Heart Defects ◽  
Tertiary Care ◽  
Mode Of Delivery ◽  
Tertiary Care Centre

Background: Congenital heart defects (CHDs) are an important cause of mortality and morbidity in children representing a major global health burden. Not much of Indian data is available particularly from this part of the country. So, authors conduct a retrospective study to know the spectrum of congenital heart disease in our set up.Methods: A retrospective hospital based study was carried out in the neonatal intensive care unit of SMGS Hospital, Jammu from January 2017 until December 2017 to see the spectrum of CHD.Results: There were 5552 neonates admitted during the study period out of which 68 were found to have CHD. The prevalence was 12.24 per 1000 admitted neonates. Out of 68 admitted neonates, 41were males (60.3 %) and 27 females (39.7%). Clinically Respiratory distress (51.47%) was the commonest presenting symptom followed by Cyanosis (16.18%), refusal of feed (13.23%) and murmer (10.3%).46 (67.65%) newborn had acyanotic and 22 (32.35%) cyanotic congenital heart lesions. Ventricular septal defect (27.94%) was the commonest acyanotic congenital heart defects whereas Tetrology of Fallot (14.70%) was the commonest cyanotic congenital heart diseases. Cleft lip and Cleft Palate was found in 12.5% followed by Down’s syndrome in 3.57% of cases of newborns with CHD. The mode of delivery was spontaneous in 64.71% followed by Elective LSCS were 23.53% and Emergency LSCS were 11.76%.Conclusions: There is an urgent need for government and non‑government organizations to establish well‑equipped cardiothoracic surgical centers across the country especially in Jammu to cater for children with CHDs.

Spectrum of congenital heart disease in a tertiary care centre of Eastern India

2017 ◽  
Vol 4 (2) ◽  
pp. 314 ◽  
Author(s):  
Anuspandana Mahapatra ◽  
Rachita Sarangi ◽  
Partha Pratim Mahapatra
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Congenital Heart ◽  
Tertiary Care ◽  
Tertiary Care Centre ◽  
Female Ratio ◽  
Echocardiographic Study ◽  
Diagnostic Modalities ◽  
Male To Female ◽  
Indian Data

Background: Congenital heart disease (CHD) is not an uncommon entity in our country. The prevalence of CHD is 9.3 per 1000 life birth in Asia which is found to be highest globally. Not much of Indian data is available particularly from this part of the country. So we conduct a retrospective study to know the spectrum of congenital heart disease in our set up.Methods: This is a retrospective hospital based study carried out over a period of 20 months (2015 March - 2016 November) where all suspected children (< 14 years) of CHD were subjected to echocardiographic study. The age, sex, clinical presentation and echo findings were well documented. Results: The total number CHD diagnosed were 231 and were more common among males (54.5%) with male to female ratio is 1.2:1. CHD were diagnosed more commonly between 1 month to 1 Year (40.25%). The commonest type of acyanotic CHD in our study was ventricular septal defect (VSD) (36.3%) and cyanotic CHD is tetralogy of Fallot (11.25%). The major clinical finding was a detection of a murmur (84.8%) followed by tachycardia (41.5%) and tachypnea (36.3%).Conclusions: In this era of most accurate diagnostic modalities, any clinical suspicion of congenital heart disease should be confirmed by echocardiography to hasten the diagnosis, timely management and prevention of complications.  

scholarly journals Spectrum of congenital heart disease in a tertiary care centre of Northern India

2019 ◽  
Vol 6 (3) ◽  
pp. 927
Author(s):  
Amber B. Mir ◽  
Kaisar Ahmed ◽  
Muzafar Jan ◽  
Sitaraman Radakrishnan
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Congenital Heart ◽  
Tertiary Care ◽  
Health Sector ◽  
Geographical Location ◽  
Childhood Mortality ◽  
Common Disease ◽  
Tertiary Care Centre ◽  
Mortality And Morbidity

Background: Congenital heart disease (CHD) is very common disease and it is the major cause of childhood mortality and morbidity. Not much of Indian data are available particularly from the northern part of the country. It is important to mention that this part of India is unique with respect to its demographic and geographical location. There are needs to further explicate the spectrum and epidemiology of the CHD in this part of the country.Methods: A prospective hospital-based study carried out over a period of 24 months (January 2016 to January 2018) where all suspected children (<14 years) of CHD were subjected to echocardiographic study. The age, sex, clinical presentation and echo findings were well documented.Results: Out of total 3210 cases CHD was diagnosed in 2072 cases (64.54%). Most CHDs were diagnosed between 1 month and 6 years of age in both cyanotic and a cyanotic disease group. Incidence of a cyanotic CHD was n=1529 (47.6%) and cyanotic CHD was n=543 (17%) with the ratio of acyanotic to cyanotic 2.8:1. Ventricular septal defect was commonest CHD (35.85%) among acyanotic CHD and Tetralogy of Fallot was the commonest (12.2%) among cyanotic CHD.Conclusions: Burden of CHD is highly underestimated and unrecognised, especially in this part of the country. This study can provide observed data that can help in policy making in the health sector. The contrasting result with respect to complex CHD in present study indicates need for good and effective antenatal cardiac screening in high risk mothers.

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