Incidence and Patterns of Congenital Heart Disease Among Jordanian Infants, a Cohort Study From a University Tertiary Center

Frontiers in Pediatrics

article

Wasim Khasawneh¹  Fakhri Hakim²  Omayma Abu Ras¹  Yara Hejazi²  Abdullah Abu-Aqoulah¹ 

[1] Department of Pediatrics and Neonatology, Faculty of Medicine, Jordan University of Science and Technology;Department of Pediatrics, King Abdullah University Hospital

关键词: congenital heart disease;    infants;    cyanotic;    acyanotic;    patterns of CHD;   

DOI  :  10.3389/fped.2020.00219

学科分类：社会科学、人文和艺术（综合）

来源: Frontiers

【 摘 要 】

Background: Data is limited about the incidence of congenital heart disease in Jordan. The goal of this study is to determine the incidence and patterns of congenital heart diseases (CHD) among Jordanian infants evaluated at King Abdullah University Hospital. Methods: A retrospective chart review was conducted for all infants who had an echocardiogram evaluation in the 3-years period July 2016–June 2019. All included infants had a 2-dimentional echocardiogram with a Doppler vascular study performed by the same cardiologist. Infants with a structural congenital heart disease were included in the analysis. Results: A total of 1,028 infants were evaluated at the cardiology department during the study period. Eight hundred and sixty-five had an abnormal echo finding. Two hundred and ninety-eighth were diagnosed with CHD. The incidence of CHD was 25 per 1000 live births. Fifty one percent were premature infants. The majority of cases were mild CHD. Patent ductus arteriosus was the most common acyanotic lesion followed by ventricular septal defect and atrial septal defect with a prevalence of 44, 25, and 25%, respectively. Cyanotic CHD constituted 6% of all CHD. Tetralogy of Fallott was the most common cyanotic CHD. The main indication for referral was hearing a heart murmur during physical examination. Conclusion: Although the incidence of CHD in our cohort was relatively high, the majority of cases were acyanotic mild CHD with favorable prognosis. A wider population-based study is needed to evaluate the incidence and better understand the patterns and distribution of CHD at a national level.

【 授权许可】

CC BY