Surgery For Congenital Heart Disease In The North - Research Paper by Huntu

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Surgery For Congenital Heart Disease In The North Essay

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“Surgery for Congenital heart disease in the North East – an agonizing wait”

Introduction:

Congenital heart Disease (CHD) refers to structural or functional heart disease, which is present at birth, some of these diseases may be detected later. These are seen in neonates, infants, older children and some are detected in adults also. The reported incidence of CHD is 8-10/1000 live births from various parts of the world. Nearly 30-50% of these CHD are critical, requiring intervention in the first year of life itself. Cardiac surgery for repair of CHD has been around for several decades. Rapid and tremendous advances have taken place for accurate diagnosis of CHD even before birth and also for its management. If intervened in time, majority of children are expected to lead normal productive lives.

Unfortunately many of these children with CHD born in developing and underdeveloped countries do not get the timely and necessary care leading to high morbidity and mortality. The situation is deplorable in the North East Region (NER) as there is not a single modern cardiac surgery unit in any of the government or non-governmental health care institutes to cater to the needs of many children suffering from CHD in the region.

Magnitude of the problem:

Due to paucity of data from developing countries, it is difficult to estimate the total burden of the problem. Based on epidemiological studies in different parts of the world, some rough estimates can be obtained regarding the prevalence of CHD in the underprivileged regions.

It is estimated that 1,50,000 to 2,00,000 children are born with CHD in India every year. Of these, nearly 80,000 would require early intervention to survive the first year of life. Approximately 10% of the present infant mortality rate in India may be accounted for by CHD alone. In this way every year a large number of children are added to the total pool of cases with CHD, besides a large number of adults with CHD primarily because of...

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