TITLE:
Cardiac Echography in Pediatrics at the Regional Hospital of Diourbel: Indication and Result
AUTHORS:
Aliou Mar Coundoul, Abdou Aziz Faye, Khadim Bop, Amadou Lamine Fall, Papa Moctar Faye, Ndeye Fatou Boye, Ndeye Tenning Faye, Ousmane Ndiaye
KEYWORDS:
Echocardiography, Pediatrics, Indications, Diourbel
JOURNAL NAME:
World Journal of Cardiovascular Diseases,
Vol.13 No.9,
September
25,
2023
ABSTRACT: Childhood heart disease is a real public health problem. In our contexts,
care remains a major challenge. Doppler echocardiography remains the essential
examination for diagnosis. The objective of our study was to describe the
different clinical indications for cardiac ultrasound in children and the main
pediatric heart diseases at the Diourbel Heinrich Lübke Regional Hospital. This
was a descriptive and analytical retrospective study spanning from 2020 to
2022; covering a series of 140 cases. The study was carried out using patient
clinical observation sheets and consultation sheets. We identified 140
ultrasounds. The average age of patients was 35.96 months with extremes of 0.03
months and 192 months. The female sex was predominant, with an M/F sex ratio of
0.72. Ultrasound was systematically requested in 67.14% of the study
population. The indications found were mainly: heart murmur, polymalformative
syndrome, respiratory failure, bronchiolitis, cardiomegaly, suspicion of heart
disease, cardiomegaly, pre-therapeutic and pre-operative assessment. A total of
71 cardiac abnormalities were found in 65 patients, i.e. a prevalence of 46.42%. Congenital heart disease was more
frequent (found in 49 patients, a prevalence of 35%) and was dominated by the
CIA. There was a female predominance in almost all heart diseases except in the
case of endocarditis where codominance is found. Our study has made it possible, through
echocardiography, to evaluate the indications for echocardiography in children,
to determine the prevalence of heart disease in children and also to assess the
relevance of requests for echocardiography.