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ORIGINAL ARTICLE
Year : 2020  |  Volume : 15  |  Issue : 1  |  Page : 7-11

Clinical presentation of cyanotic congenital heart diseases in the pediatric population


Department of Pediatrics, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Science (Deemed to be University), Wardha, Maharashtra, India

Correspondence Address:
Dr. Ashish Varma
Department of Pediatrics, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Science (Deemed to be University), Sawangi, Wardha - 442 001, Maharashtra
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jdmimsu.jdmimsu_74_18

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Background: The cases of cyanotic heart diseases are commonly admitted for medical and surgical management. Aims and Objective: The aim was to study the clinical presentation of congenital cyanotic heart diseases. Materials and Methods: For inclusion in the study, children suffering from congenital cyanotic heart diseases from age of 2 months admitted in the pediatric wards and intensive care unit were included in the this study. Results: During the study period of 1 year, 80 cases were included. This study noted that males were 55% than females. Presenting complaints in majority of patients was difficulty in breathing .They also had repeated episodes of LRTI in past. Malnutrition was seen in more than 50% of the cases of cyanotic congenital heart disease. SPO2was low in majority of these children; SpO2levels were above 90% among 12 patients (15%). Cyanosis was the most frequent sign. The apex beat was diffuse in 26 cases, more common in cases with increased pulmonary blood flow 18 (70%). Thrill was most common in tetralogy of fallot (TOF) physiology cases. The palpable P2 was observed in eight cases and palpable epigastric pulsations seen in three children in increased pulmonary blood flow cyanotic heart diseases. On auscultation, second heart sound findings were that the soft S2 was observed mostly in TOF and loud S2 in increased pulmonary blood flow cyanotic heart diseases. The shunt murmurs were observed in 12 cases and ventricular septal defect was seen in 8 cases and atrial septal defect in 4 cases. The most common murmur was ejection systolic murmur in the study. The most common congenital cyanotic disease was TOF 38 (47.5%), while the complication was congestive heart failure 14 (37%). On X-ray showed cardiomegaly and electrocardiogram revealed right axis deviation. Conclusion: The cyanotic heart diseases present with mostly cyanosis, difficulty in breathing, and low oxygen saturation. The general signs were more common than systemic signs.


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