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To find the frequency of clinical presentation of congestive cardiac failure in children with ventricular septal defect.
Material and method:
This Cross sectional Descriptive study was conducted at department of pediatrics, Khyber teaching hospital, Peshawar from June 2018 till December 2019.
A total of 209 patients with ventricular septal defect were included in this study. There were 146 (69.9%) male and 63 (30.1%) female. Minimum age of the patient was 0.9 years and maximum age was 8.5 years. The most common type of VSD was peri-membranous which was found in 86.6% of patients, followed by muscular VSD in 10% and sub-atrial infundibular VSD in 3.3% of patients. Feeding difficulty was found in 90% of patients, dyspnea in 59.8% of patients, repeated chest infection was seen in 49.8%, failure to thrive in 69.9%, tachycardia in 83.3%, displaced apex beat in 59.8%, cardiomegaly in 90%, hepatomegaly in 43.1%, VSD murmur in all 100% of patients and edema was observed in 56.5% and tachypnea in 40.7% of patients with majority of patients presenting with combination of more than three clinical features.
Ventricular septal defect is not uncommon in our population. Peri-membranous type is the most common type found in our study. This study proves that the clinical picture of VSD has a big variety and care must be taken while these clinical features are observed in younger age groups or its combination to get the correct diagnosis in time.
Ventricular septal defect (VSD), Congestive Cardiac Failure (CCF)
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