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ORIGINAL ARTICLE
Year : 2019  |  Volume : 39  |  Issue : 4  |  Page : 182-188

Pediatric echocardiography in University of Nigeria teaching hospital, Ituku-Ozalla: “Real-world cardiology – Experience from a center in Nigeria”


1 Department of Paediatrics, College of Medicine, University of Nigeria Enugu Campus, Enugu, Nigeria
2 Great Ormond Street Hospital for Children NHS Foundation Trust, London, UK
3 Royal Victoria Hospital, Belfast, UK

Correspondence Address:
Dr. Josephat M Chinawa
Department of Paediatrics, College of Medicine, University of Nigeria Enugu Campus, Enugu
Nigeria
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jmedsci.jmedsci_1_19

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Objectives: The main objective is to showcase the overall pattern and distribution of cardiac diseases diagnosed by echocardiography and to highlight the difficulties encountered in delivering a Pediatric Cardiology/Cardiac Service at University of Nigeria Teaching Hospital. Materials and Methods: There were 308 children seen from July 2011 to June 2016. Their echo reports and case notes were retrieved and analyzed using SPSS version 20 (Chicago). Results: Their age range was from 3 days to 18 years mean (6.5 ± 4.2 years). One hundred and seventy-five (57.0%) were male and 133 (43.0%) were female with male: female ratio of 1.3:1. Of these, 211 had structural heart disease with 154 being congenital heart disease (CHD) and 57 were acquired heart disease, giving the prevalence of 0.44% and 0.16%, respectively. Isolated ventricular septal defect was highest acyanotic CHD with 44.1%, while tetralogy of Fallot was highest with 14.3% in cyanotic group. Some rare anomalies were also seen; one case of left ventricular noncompaction syndrome, Eisenmenger's syndrome, and Ebstein's anomaly representing 0.6%, respectively. The outcome was satisfactory with 35.5% receiving surgery with 7.7% mortality. The cost of procedures and dearth of interventional equipment were some of the challenges encountered. Conclusion: Although there exists low prevalence of echo diagnosed cardiac disease, a good number of them could not get surgical intervention due to cost.


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