Evaluation of the prevalence and distribution of congenital heart diseases who presented to a pediatric cardiology outpatient clinic

Year 2020, , 153 - 157, 25.06.2020

Hanife Tuğçe Çağlar , Ahmet Sert

https://doi.org/10.16899/jcm.732216

Abstract

Introduction: The present study aimed to determine the prevalence and distribution of congenital heart disease in patients who presented to the paediatric cardiology outpatient clinic in Turkey.
Methods: File records of the children who underwent transthoracic echocardiography within the 3-year period between January 2013 and December 2015 at the paediatric cardiology outpatient clinic were retrospectively evaluated. Congenital heart diseases were grouped as follows: diseases with a left-to-right shunt, obstructive diseases, cyanotic diseases, cardiac malposition, vascular ring and unclassified diseases. Prevalence of the diseases, distribution among gender and age groups were investigated.
Results: This study included 12,342 subjects; 6996 (56.7%) subjects were male and 5346 (43.3%) subjects were female. The subjects were aged between 1 day and 18 years, and the mean age was 6.86 ± 5.39 years; 27.7% of the subjects were determined to have congenital heart disease. The prevalence of congenital heart disease was higher in males and in the 0–1 month age group. Of the subjects with congenital heart disease, 87% had a disease with a left-to-right shunt, 21.2% had an unclassified disease, 7% had obstructive disease, 1.6% had cyanotic disease, 0.8% had a vascular ring and 0.7% had cardiac malposition.
Conclusion: We recommend performing echocardiography on patients presenting to a paediatric cardiology outpatient clinic. Conducting echocardiographic examination on new-borns who are referred to the paediatric cardiology department within the first month of life would enable detecting, particularly the diseases with a left-to-right shunt and cyanotic congenital heart diseases, and ensure timely treatment planning.

Keywords

childhood, congenital heart diseases, prevalence

References

• 1. Tennant PW, Pearce MS, Bythell M, Rankin J. 20-year survival of children born with congenital anomalies: a population-based study. Lancet 2010; 375: 649-656. 2. Posch MG, Perrot A, Berger F, Ozcelik C. Molecular genetics of congenital atrial septal defects. Clin Res Cardiol 2010; 99: 137-147. 3. Marelli AJ, Ionescu-Ittu R, Mackie AS, Guo L, Dendukuri N, Kaouache M. Lifetime prevalence of congenital heart disease in the general population from 2000 to 2010. Circulation 2014; 130: 749-756. 4. Ergün Ç. Konjenital Kalp Hastalıkları. Turkiye Klinikleri J Int Med Sci 2006; 2: 51-59. 5. Özkutlu S, Günal N. Türkiye'de Doğumsal Kalp HastalıklarıPrevalans, Tanıdaki Sosyoekonomik ve Kültürel Problemler, Yeni Tanı Metodlarının Uygulanabilirliği, Çözümler. Turkiye Klinikleri J Cardiol 2003; 16: 369-371. 6. Aydın GB, Olguntürk R, Tunaoğlu FS. Ankara kent merkezinde masum üfürüm ve konjenital kalp hastalığı sıklığı. Turk Klinikleri J Pediatr 2001; 10: 121-124. 7. Park MK. Specific Congenital Heart Defects. In: Park MK, editor. Pediatric Cardiology of Practitioners. 6th ed. Philadelphia: Elsevier Sounders 2014. p. 155-320. 8. van der Linde D, Konings EE, Slager MA, et al. Birth prevalence of congenital heart disease worldwide: a systematic review and meta-analysis. J Am Coll Cardiol 2011; 58: 2241-2247. 9. Marelli AJ, Mackie AS, Ionescu-Ittu R, Rahme E, Pilote L. Congenital heart disease in the general population: changing prevalence and age distribution. Circulation 2007; 115: 163-172. 10. Egbe A, Uppu S, Lee S, Stroustrup A, Ho D, Srivastava S. Temporal variation of birth prevalence of congenital heart disease in the United States. Congenit Heart Dis 2015; 10: 43-50. 11. Kula S, Çevik A, Olguntürk FR, Tunaoğlu FS, Oğuz AD, İlhan MN. Distribution of congenital heart disease in Turkey. Turk J Med Sci 2011; 41: 889-893. 12. Webb G, Gatzoulis MA. Atrial septal defects in the adult recent progress and overview. Circulation 2006; 114: 1645-1653. 13. Lindsey JB, Hillis LD. Clinical update: atrial septal defect in adults. Lancet 2007; 369: 1244-1246. 14. Hoffman JI, Rudolph AM. The natural history of ventricular septal defects in infancy. Am J Cardiol 1965; 16: 634-653. 15. Penny DJ, Vick GW. Ventricular septal defect. Lancet 2011; 377: 1103-1112. 16. Baspinar O, Karaaslan S, Oran B, Baysal T, Elmaci AM, Yorulmaz A. Prevalence and distribution of children with congenital heart diseases in the central Anatolian region, Turkey. Turk J Pediatr 2006; 48: 237-243. 17. Abbag F. Pattern of congenital heart disease in the Southwestern region of Saudi Arabia. Ann Saudi Med 1998; 18: 393-395. 18. Šamánek M, Voříšková M. Congenital heart disease among 815,569 children born between 1980 and 1990 and their 15-year survival: a prospective Bohemia survival study. Pediatr Cardiol 1999; 20: 411-417. 19. Ho ML, Bhalla S, Bierhals A, Gutierrez F. MDCT of partial anomalous pulmonary venous return (PAPVR) in adults. J Thorac Imaging 2009; 24: 89-95. 20. Otto CM, Burwash IG, Legget ME, et al. Prospective study of asymptomatic valvular aortic stenosis clinical, echocardiographic, and exercise predictors of outcome. Circulation 1997; 95: 2262-2270. 21. Güven H, Bakiler AR, Kozan M, Aydınlıoğlu H, Helvacı M, Dorak C. Yenidoğan servislerinde konjenital kalp hastalıkları. Çocuk Sağlığı ve Hastalıkları Dergisi 2006; 49: 8-11.