Clinical Profile of Pediatric Patients with Acyanotic Congenital Heart Disease in Dr. Soetomo General Hospital Surabaya

Abstract

Congenital Heart Diseases (CHD) are classified as Acyanotic or Cyanotic CHD. Prevalence of CHD
according to various studies is 8-10 per 1000 live births worldwide, 10% of cases became infant mortality
in developing countries. This research aims to study the characteristics and clinical presentations in children
with acyanotic CHD in Dr. Soetomo General Hospital. A retrospective observational study from children with
acyanotic type of CHD from medical record outpatient clinic in the Division of Neonatology and Pediatric
Ward at Dr. Soetomo General Hospital from June to December 2016. Age, sex, heart defect, comorbid and
nutritional status were taken from the medical record. The most dominant clinical profile was female with
a mean age of 4 years. Atrial Septal Defect was the most common type of left-to-right shunt, followed by
Ventricular Septal Defect, and Patent Ductus Arteriosus. Pulmonary Stenosis was the most common type
of obstructive lesion, followed by Aortic Stenosis. Complications of acyanotic CHD were dominated by
recurrent respiratory tract infections followed by growth and developmental disorder, and heart failure. The
most common nutritional status was moderate malnutrition.