Key result
Acute myocarditis accounts for ~43% of pediatric CHF cases, surpassing congenital heart disease.
Why the study?
The frequency of common causes of congestive heart failure among children in a tertiary care hospital was not well defined.
Cross-Sectional (n=90)
No
Acute myocarditis, congenital heart disease, and severe anemia are the most common causes of congestive heart failure in children in this tertiary care setting.
Informs etiology-focused evaluation in similar settings; observational data leaves open generalizability and requires prospective validation.
Objective: To determine the frequency of common causes of congestive heart failure among children in a tertiary care hospital. Study Design: Cross-sectional study Place and Duration of Study: Department of Paediatrics Medicine, Services Hospital, Lahore from 1st January 2018 to 30th June 2018. Methodology: Ninety children were enrolled. Demographic information like name, age, gender, weight of child was noted. Complete blood count, echocardiography and chest X-ray were done. Children underwent assessment for presence of causes of congestive heart failure. Results: Fifty six (62.22%) were between 2-30 months of age whereas 34 (37.78%) were between 31-60 months of age with mean age 29.4±12.47 months. There were 40 (44.44%) males and 50 (55.56%) females. The causes of CCF were acute myocarditis in 39 (43.33%), congenital heart disease in 31 (34.44%) and severe anemia in 20 (22.33%). Conclusion: Acute myocarditis is one of the common causes of congestive heart failure in children aftersevere anemiaand congenital heart disease.
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Islam et al. (2022) conducted a cross-sectional in Congestive heart failure (n=90). Etiology of congestive heart failure was evaluated on Frequency of common causes of congestive heart failure. Acute myocarditis was the leading cause of congestive heart failure in children, accounting for 43.33% of cases, followed by congenital heart disease (34.44%) and severe anemia (22.33%).
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