Abstract
Objective: To evaluate the cardiac status of newborns in terms of
structural and functional heart diseases.
Methodology: This descriptive study was conducted at Paediatric
Cardiology Department of “The Children’s Hospital and The Institute of
Child Health”, Multan, Pakistan, from January 2017 to December 2019.
Neonates aged 0-28 days and referred for echocardiographic evaluation
were enrolled. Diagnostic findings were confirmed with the assistance of
echocardiography. We were focused on analyzing total number and types
of heart diseases along with gender distribution during the study period.
Results: During the study period, a total of 2729 newborns were
evaluated. We noted 1523 (55.8%) newborns as structurally and
functionally normal, 866 (31.7%) had congenital heart disease, 69 (2.5%)
duct dependent lesions, 248 (9.1%) persistent pulmonary hypertension
and 23 (0.8%) left ventricular (LV) dysfunction but with structurally normal
heart. Newborns with LV dysfunction might have hypoxic myocardial
damage, metabolic derangements or acute myocarditis. Ventricular Septal
Defect (VSD) followed by Patent Ductus Arteriosus (PDA) and Atrial Septal
Defect (ASD) were the most frequent types of acyanotic CHD observed in
248 (28.2%), 171 (19.7%) and 100 (11.5%) neonates respectively while
Tetralogy of Fallot (TOF) was the most common type of cyanotic CHD 74
(8.5%).
Conclusion: VSD followed by PDA, ASD and TOF were the most
common types of CHD among neonates. Diagnosis of congenital heart
defects in the early age is pointing towards improvement in healthcare
facilities
Muhammad Sohail Arshad, Waqas Shakir, Hafiz Muhammad Anwar-ul-Haq, Mudasser Adnan, Munir Ahmad. (2021) Cardiac Evaluation In Newborns: An Echocardiography Based Study, Pakistan Heart Journal, Volume-54, Issue-1.
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