The Prevalence Of Congenital Heart Diseases Among Down's Syndrome Children In Diwaniyah Governorate

Abstract

Objective :A survey was carried out to assess the prevalence of congenital heart diseases (CHD).
Patients And Methods: among (180) Down's syndrome (DS)children in institute for mentally handicapped (Alraga institute) and outpatients referred for ECHO study in Diwaniyah Teaching Hospital.
REULTS: It was found that (61.1%) of DS cases studied had CHD with a M:F ratio of 1.5:1. The commonest type of CHD found was ventricular septal defect (VSD), followed by atrial septal defect (ASD), mitral valve prolapse(MVP), tetralogy of fallot (TOF), ,patent ductus arteriosus (PDA) and co-arctation of aorta in (54.5 %, 17.2 %, 14.5 %, 11.8 %, 0.9%, 0.9% respectively). The most common mode of presentation of CHD was recurrent chest infection. It was found that about 17.5% of cases with VSD had spontaneous closure, while only (7.5%) were treated surgically. The rest are left untreated.