TO STUDY THE SPECTRUM OF NEONATAL CONGENITAL CARDIAC DISORDERS

Background:Congenital heart disease (CHD) is the commonest of all congenital lesions and is the most common type of heart disease among children. Congenital heart disease, in a definition proposed by Mitchell et al is a gross structural abnormality of the heart or intrathoracic great vessels that is actually or potentially of functional significance. It is the most common cause of major congenital anomalies, representing a major global health problem. Twenty-eight percent of all major congenital anomalies consist of cardiac anamolies. In India, 10% of the present infant mortality may be accounted for by Congenital Heart Disease as reported by Saxena et al.

Aim: To study the Spectrum of Neonatal Congenital Cardiac Disorders

Material and methods:It was an observational prospective study carried out in the Neonatology Section, Department of Pediatrics, GB Panth Childrens hospital Srinagar  from November 2017 to August 2019.

Results:During the two year study, 471 neonates were diagnosed with congenital heart disease in which 335 (71.1%) were acyanotic and 136 (28.9%) were cyanotic. Males and females comprised of 253 and 218 respectively with a male to female ratio of 1.2:1. The most common cyanotic CHD was d-transposition of great arteries (d-TGA) 39 (8.3%), followed by tetralogy of Fallot (TOF) 23 (4.9%) and single ventricle (double inlet left ventricle [DILV] with pulmonary arterial hypertension/pulmonary stenosis [PAH/PS]) 17 (3.6%).  In our study the most common acyanotic CHD was ventricular septal defect (VSD) 103 (32.5%) followed by atrial septal defect (ASD) 98 (20.8%) and PDA 47 (10.0%).

Conclusion:Congenital heart disease (CHD) is a common congenital disorder of the neonatal population. Early diagnosis and timely management are key factors for optimal outcome of this problem.