Volume : IX, Issue : V, May - 2019
Congenital Heart Disease in Infants of Diabetic Mothers, their clinical profile and echocardiographic findings in Tertiary care hospital
Amber B. Mir, Uruj Altaf Qureshi, Muzafar Jan
Abstract :
Objective: The study aimed to determine clinical presentation and the prevalence of different types of Congenital Heart Disease (CHD) through echocardiogram and to perceive the utility of Echocardiogram in a diagnosis of CHD in Infant of Diabetic Mother (IDM). Methods: A prospective cross–sectional study was carried out at the tertiary care center over a period of 12 months. 75 consecutive neonates born to diabetic mothers both gestational diabetes or type 2 ,type 1 diabetes mellitus admitted in neonatal intensive care unit[NICU] were included in this study. All the patients were evaluated for congenital heart disease by echocardiography by a pediatric cardiologist of the same institute within 7 days of admission. Results: Out of 75 neonates, male were 45 and females 30 with M:F ratio of 1.5:1. 33.3% were preterm, 60% were term and 6.6% post term. Fetal macrosomia with birth weight more than 4000 grams was present in 28%.Common clinical presentations were fast eathing (44.5%) and cyanosis [17.3%].Isolated murmur in 16%. Cardinal clinical signs were respiratory distress [70.6%] and low saturation [13.3%]. The common echocardiographic findings were Patent foramen ovale (84%), Patent ductus arteriosus (58.6%), Interventricular septal hypertrophy in [30.6%]. Among the significant CHD ventricular septal defect, coarctation of aorta and Transposition of the Great Vessels were seen. Conclusion: There is need of high index of suspicion, detailed history, clinical examination, and echocardiography to diagnose the CHD in infants of diabetic mothers
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DOI : 10.36106/ijar
Cite This Article:
CONGENITAL HEART DISEASE IN INFANTS OF DIABETIC MOTHERS, THEIR CLINICAL PROFILE AND ECHOCARDIOGRAPHIC FINDINGS IN TERTIARY CARE HOSPITAL, Amber B. Mir, Uruj Altaf Qureshi, Muzafar Jan INDIAN JOURNAL OF APPLIED RESEARCH : Volume-9 | Issue-5 | May-2019
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CONGENITAL HEART DISEASE IN INFANTS OF DIABETIC MOTHERS, THEIR CLINICAL PROFILE AND ECHOCARDIOGRAPHIC FINDINGS IN TERTIARY CARE HOSPITAL, Amber B. Mir, Uruj Altaf Qureshi, Muzafar Jan INDIAN JOURNAL OF APPLIED RESEARCH : Volume-9 | Issue-5 | May-2019
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