Journal of Health and Medical Sciences
ISSN 2622-7258
Published: 27 August 2019
The Prevalence and the Common Types of Cyanotic Congenital Heart Diseases in Albaha, Saudi Arabia
Abdulmajid Mustafa Almawazini, Abdulrahman Matar Abdullah Alzahrani, Zaher Hassan Saadi, Hazem Abdulmajid Almawazini, Mohammad Abdulmajid Almawazini, Saeed Daifalla Zahrani, Saud Hussien Alsaadi, Mohammed Abdulla Eidoh, Abdulrahman Mohammed Alghamdi, Ahmed Mohammed Al Antar
King Fahad Hospital Albaha, Cairo University, Al Ahliyya Amman University
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10.31014/aior.1994.02.03.53
Pages: 332-336
Keywords: Cyanotic Congenital Heart Disease, Prevalence, and Presentation
Abstract
Background: Cyanotic congenital heart disease accounts about one-third of all congenital heart disease, and the prevalence of it vary from center to another due to related factors. Objectives: The study aimed to provide the prevalence and the most common types and distribution of CCHD in children less than 14 years of age in Albaha area Saudi Arabia. Methods: Hospital-based retrospective observational cross-sectional study involved all cases of Cyanotic congenital heart disease (CCHD) diagnosed at the King Fahad Hospital Albaha, Saudi Arabia, between January 2006 and January 2019. All patients were screened by echocardiography to confirm the diagnosis. Results: Total of 314 patients were diagnosed as cyanotic congenital heart disease (CCHD) in our center. There were 158 males (50.32%) and 156 females (49.68%). The age of patients was from 1 day to 14 years with a mean of 35.42±4.1 months. The neonatal period was the modal age at diagnosis. Approximately 80% of the children had been diagnosed at the age of < 1 yr and 20% of cases diagnosed after that. Tetralogy of Fallot (TOF) was the most common CCHD; it was diagnosed in 125 pts 39.81%. Double Outlet Right Ventricle (DORV) diagnosed in 48 pts 15.29%. Transposition of the Great Arteries (TGA) diagnosed in 34 pts 10.82. Pulmonary atresia 20 pts, 6.37%., Truncus arteriosus 20 pts, 6.37%., and Hypoplastic Left Ventricle Syndrome 20 pts, 6.37%. The other cyanotic congenital heart disease (CCHD) was 13.16%. Cyanosis was the common clinical presentation in all patients. Conclusions: The prevalence of cyanotic congenital heart disease in Albaha area was 14.62% of all congenital cardiac abnormalities, and no significant difference between male and female patients was seen. The most common types were TOF. Cyanosis was the most common clinical presentation. The outcome can be improved by early diagnosis. CCHD screening program associated with physical examination can help in early diagnosis.
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