Epidemiological study of congenital heart disease

Epidemiological study of congenital heart disease
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DOI:
10.1007/bf02723241
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发表时间:
2001-06-01
影响因子:
4.3
通讯作者:
Shukla, D. K.
Shukla, D. K.
中科院分区:
医学4区
文献类型:
--
作者:
Chadha, S. L.;Singh, Neerpal;Shukla, D. K.

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对印度德里 11833 名 15 岁以下儿童进行了一项基于社区的先天性心脏病调查。先天性心脏病是根据临床病史和/或临床检查诊断的。在检查的样本中,有 50 人被发现患有先天性心脏病,总患病率为 4.2/1000(男孩为 4.6/1000,女孩为 3.7/1000)。患病率略高于该国进行的其他研究。原因很明显。本研究是基于社区的,而其他研究是基于医院或学校的。病变类型与其他研究报告的相似。病变按发生频率顺序依次为室间隔缺损(46%)、房间隔缺损(18%)、动脉导管未闭(14%)、法洛氏四联症(10%)、主动脉瓣狭窄(4%)和肺动脉瓣狭窄(4%)。与其他研究一样,室间隔缺损是最常见的病变。男孩的患病率在0-4岁和5-9岁年龄段较高,女孩在青春期(10-14岁)患病率较高。
A community based survey of congenital heart disease was carried out on a random sample of 11833 children below 15 years in Delhi, India. Congenital heart disease was diagnosed on clinical history and/or clinical examination. Out of the examined sample, 50 were found suffering from congenital heart disease, giving an overall prevalence of 4.2/1000 (4.6/1000 in boys and 3.7/1000 in girls). The prevalence rate was slightly higher than other studies carried out in the country. The reason is obvious. The present study is community based while other studies were hospital or school based. The type of lesions were similar to those reported from other studies. The lesions in order of frequency were ventricular septal defect (46%), atrial septal defect (18%), patent ductus arteriosus (14%), Fallot's tetrology (10%), aortic stenosis (4%), and pulmonary stenosis (4%). Like other studies ventricular septal defect was the commonest lesion. The prevalence rate was higher in the age group 0-4 years and 5-9 years in boys whereas it was higher in adolescent age group (10-14 years) in girls.