Research Article
Volume 7 Issue 2 - 2020
Congenital Heart Diseases in Saudi Arabia: Epidemiologic Overview during the Period of 1988 - 2008
Abdullah Alabdullagader1*, Amin Alagib2 and Ahmed Ibrahim3
1Senior Consultant Paediatric Cardiologist, Electro physiologist, Prince Sultan Cardiac Centre-Alhassa, Saudi Arabia
2Paediatric Consultant, Assistant Professor, University of Medical Sciences and Technology, Sudan
3Consultant of Epidemiology, Prince Sultan Cardiac Centre- Alhassa, Saudi Arabia
*Corresponding Author: Abdullah Alabdullagader, Senior Consultant Paediatric Cardiologist, Electro physiologist, Prince Sultan Cardiac Centre-Alhassa, Saudi Arabia.
Received: December 31, 2019; Published: January 11, 2020




Abstract

Background: Congenital heart disease is the most common congenital disorder in newborns. The prevalence of congenital heart disease is unclear, with underestimates of patients who actually have the diseases. In this study, we present an overview of the frequency, prevalence, geographical distribution, extra cardiac disorders and some factors associated with congenital heart diseases in children in Saudi Arabia.

Aim: To describe frequency, distribution and prevalence of congenital heart diseases and associated extra cardiac diseases in children during the period of 1988 - 2008 in Saudi Arabia.

Methods: Descriptive retrospective study of congenital heart diseases for databases collected from all paediatric and maternal hospitals in Saudi Arabia. A total number of 4465 patients were reported from all regions in Saudi Arabia. All patients with congenital heart defects had their diagnoses confirmed by paediatric cardiologist with use of at least echocardiography.

The frequency and prevalence of the anomalies were classified according to ICD-10 classification of congenital heart diseases. Types of congenital heart diseases were compared between geographical areas.

Findings: A total number of 4465 patients were diagnosed with congenital heart diseases, with prevalence of 2.01 per 1000 in children age 0- 4 years of age. The majority of them of them 3436 (77%) were reported from central region. The stratification of the diseases was as fellow: 1078 (24.1%) VSD, 786 (17.6%) PS, 493 (11%) ASD, 473 (10.6%) PDA, 229 (5.1%).

TOF and 202 (4.5%) HLHS. There was an overall statistically significant difference in reported CHD diseases (51% vs. 49%; 0.05) for male to female respectively. Several extra cardiac anomalies were observed associated with CHD, the most frequent were, chromosomal anomaly which was mainly Down syndrome 32.3%, genito-urinary abnormality 14%, Hematological disorders 9.4%, metabolic and endocrine disorders 9.2% and central nervous system defect 8.5%. Ventricular septal defect was the most frequent cyanotic anomaly, and tetralogy of Fallot was the most frequent cyanotic anomaly.

Conclusion: Children with congenital heart defects were mainly reported from central region, ventricular septal defect was the most frequent heart defect, Down syndrome predominant extra cardiac disease.

Keywords: Congenital Heart Disease; Epidemiology; Extra-Cardiac Anomalies

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Citation: Abdullah Alabdullagader., et al. “Congenital Heart Diseases in Saudi Arabia: Epidemiologic Overview during the Period of 1988 - 2008”. EC Cardiology 7.2 (2020): 01-07.

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