Past and Present Pattern of Congenital Heart Disease at Dhaka Shishu Hospital: A Situation Analysis

Congenital heart disease (CHD) is the most common congenital problem in children. In order to avoid complications, reduce mortality and for proper management early detection of congenital heart disease is of utmost importance.Acyanotic heart diseases were commonly found both in past and present (75% and 78.5% respectively) and among them Ventricular Septal Defect (VSD) was found the most common CHD (32.7% and 26.9% respectively). Atrial Septal Defect (ASD) was found 2nd most common CHD (25.6% and 21.2% respectively). Only 11.9% CHD were diagnosed during neonatal period in the past whereas 27.6% were diagnosed in the recent time. Rare CHD were detected more frequently in recent time. VSD is the commonest non-cyanotic lesion whereas TOF is the commonest cyanotic lesion both in past and present, though their frequency reduced than before. Early detection and detection of rare CHD during recent time may reflect the advancement of diagnostic skill and facilities as well as awareness.