Distribution and characteristics of the heart disease in pediatric age group in southern Iran

ABSTRACT

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. 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. 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. 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