- 期刊
- OpenAccess
Pediatric Echocardiography in University of Nigeria Teaching Hospital, Ituku-Ozalla: ＂Real-World Cardiology -Experience from a Center in Nigeria＂
摘要
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.
延伸閱讀
- Chang, J. K., Lin, C. C., Hwang, D. C., & Hsieh, K. S. (2008). The Clinical Application of Real-Time Three Dimensional Color Echocardiography to Monitor Balloon Atrial Septostomy in Cyanotic Neonates with Congenital Heart Disease and Transposition of the Great Ar. 重症醫學雜誌, 9(3), 150-155. https://doi.org/10.30035/TCCM.200809.0001
- Arwui, C. C., Darko, E. O., Deatanyah, P., Gordon, S. W., Lawluvi, H., Kpeglo, D. O., & Reynolds, G. E. (2011). Biological Shielding Design Effectiveness of the Brachytherapy Unit at the Korle Bu Teaching Hospital in Ghana Using Mcnp5 Monte Carlo Code. Research Journal of Applied Sciences, Engineering and Technology, 3(5), 426-433. https://www.airitilibrary.com/Article/Detail?DocID=20407467-201105-201411070021-201411070021-426-433
- Ozturk, O., Ozturk, U., & Karahan, M. Z. (2017). Assesment of Right Ventricle Function with Speckle Tracking Echocardiography after the Percutaneous Closure of Atrial Septal Defect. Acta Cardiologica Sinica, 33(5), 523-529. https://doi.org/10.6515/ACS20170106A
- Obisesan, O. J., Olowe, O. A., & Taiwo, S. S. (2015). Phenotypic Detection of Genitourinary Candidiasis among Sexually Transmitted Disease Clinic Attendees in Ladoke Akintola University Teaching Hospital, Osogbo, Nigeria. Journal of Environmental and Public Health, 2015(), 75-81. https://doi.org/10.1155/2015/401340
- Sawe, H. R., Mfinanga, J. A., Ringo, F. H., Mwafongo, V., Reynolds, T. A., & Runyon, M. S. (2015). Morbidity and Mortality following Traditional Uvulectomy among Children Presenting to the Muhimbili National Hospital Emergency Department in Dar es Salaam, Tanzania. Emergency Medicine International, 2015(), 3-7. https://doi.org/10.1155/2015/108247