Distribution and Characteristics of the Heart Disease in Pediatric Age Group in Southern Iran

authors:

avatar Mohammad Borzoee 1 , * , avatar M Jannati 2

Pediatric Cardiology Division, Department of Pediatrics, Shiraz University of Medical Sciences, Shiraz, Iran
Cardiovascular Research Center, Shiraz University of Medical Sciences, Shiraz, Iran

how to cite: Borzoee M , Jannati M . Distribution and Characteristics of the Heart Disease in Pediatric Age Group in Southern Iran. Int Cardiovasc Res J. 2008;2(1):e68628. 

Abstract

Background: The spectrum of heart diseases among pediatric age group may be different between communities
and, in this connection there is no documented report from Iran.
Patients and Methods: We studied cardiac problems among Iranian pediatric age group referred to the pediatric
cardiology and cardiac surgery out-patient clinic, in a tertiary center for possibility of heart disease.
Results: Of 2341 patients, aged from 1 day to 16 years referred, during 2001 and 2003, to the above center, 1817
(77.6%) patients had cardiac diseases. The most common reason for referrals was abnormal heart sounds on
routine physical examination (49%). Congenital heart diseases (CHD) were the most frequent cardiac problems
(76.1%), followed by mitral valve prolaps (8.3%) and rheumatic cardiac involvement including sub-clinical findings
(7.9%). Other significant disturbances were associated chromosomal abnormalities, genetic disorders, and
electrical and conduction problems.
Conclusion: Although rheumatic carditis has very low incidence compared with congenital heart diseases (nearly
1/10), it is still a significant problem in this region and a planning for its better prevention is essential.

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