Patterns of Congenital Heart Disease in Northern Jordan

Nabeh Oweis

Abstract


Objective: To study the pattern of Congenital Heart Diseases (CHD) of the children who are referred to one of the main referral hospitals (Princess Rahmah Teaching Hospital for Children) in the north of Jordan.

Methods: A prospective study of all the children referred to the Echocardiography clinic because of suspected heart problems. Cases of congenital heart disease were identified and analyzed to verify the pattern in Northern Jordan over a two-year period; starting on January 2000.

Results: Of the 1038 case suspected clinically to have heart diseases, 455 (44%) heart defects were identified by Echocardiography (Echo) in 399 children. Ventricular Septal Defect (VSD), being the commonest, was noticed in 189 (41%), followed by Pulmonary Stenosis (PS), that was noticed in 93 (20%) of the cases. The overall female to male sex ratio was 1.25:1.0. The sex distribution for VSD was 60% for female versus 40% for male. There is no sex difference among children with pulmonary stenosis. Female predominance was also noticed in Atrial Septal Defect (ASD) and Patent Ductus Arteriosus (PDA) by 64% for each defect. One third of the patients with congenital heart diseases were diagnosed by the age of three months.

Conclusion: This is the first study on congenital heart diseases in Northern Jordan. It shows that VSD is the commonest; being similar in this respect to the previous reports elsewhere, but have an unexplained higher incidence of PS.

Keywords


Congenital Heart Disease, Northern Jordan, Ventricular Septal Defect, Pulmonary Stenosis, Patent Ductus Arteriosus

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