PATTERN OF CONGENITAL HEART DISEASE AT LADY READING HOSPITAL PESHAWAR

Background: Congenital heart disease is a defect in the structure of heart and great vessels present at birth. Early recognition will help to treat the child and if possible get corrective surgery done. The aim of this study was to see the pattern of congenital heart disease in our set-up. Material & Methods: This descriptive study was conducted at Department of Pediatrics, Lady Reading Hospital, Peshawar, from June 2010 to July 2011. Patient from birth to 10 years of age with clinical and echocardiographic evidence of congenital heart disease were included. Demographic profile was noted. Results: A total of 114 patients with clinical and echocardiographic evidence of congenital heart disease were included. They were 60(52.6%) males and 54(47.4%) females with a male to female ratio of 1.1:1. Among these, 79(69.30%) had acyanotic and 35(30.7%) cyanotic congenital heart disease. Ventricular septal defect (29%) followed by patent ductus arteriosus (14.9%), atrial septal defect (10.5%) and pulmonary valve stenois (7.1%) were the most common acynotic congenital heart diseases, whereas Fallot's tetrology (12.3%) followed by transposition of great vessels (7%) were the commonest cyanotic congenital heart diseases. Conclusion: Congenital heart diseases are not uncommon in our set-up. VSD is the commonest acyanotic and Fallot's tetrology as cyanotic congental heart disease.