Animasahun Barakat Adeola, Madise-Wobo Akpoembele Deborah, Kusimo Olusola Yejide
Department of Paediatrics and Child Health, Lagos State University College of Medicine, Ikeja, Lagos, Nigeria.
J Tehran Heart Cent. 2017 Oct;12(4):160-166.
Most of the recent reports on acquired heart diseases (AHDs) among Nigerian children are either retrospective or cover a short period of time with fewer subjects. The last report on AHDs among children in Lagos was about a decade ago; it was, however, not specific to children with AHDs but was part of a report on structural heart diseases among children in Lagos. The present study was carried out to document the prevalence and profile of different AHDs in children and to compare the findings with those previously reported. We conducted a quantitative, nonexperimental, prospective, and cross-sectional review of all consecutive cases of AHDs diagnosed with echocardiography at the Lagos State University Teaching Hospital between January 2007 and June 2016. Comparisons between the normally distributed quantitative data were made with the Student t test, while the χ test was applied for the categorical data. The subjects with AHDs were 73 males and 52 females, with a male-to-female ratio of 1.4:1. The children were aged 15 days to 14 years, with a mean of 6.61 ± 4.26 years. Rheumatic heart disease was the most common AHD, documented in a quarter of the children, followed by dilated cardiomyopathy and pericardial effusion in 20.8% and 17.3%, respectively. Less common lesions encountered were Kawasaki disease, mitral valve prolapse, hyperdynamic circulation, and supraventricular tachycardia. Rheumatic heart disease was still the most common AHD in the children in the present study. Dilated cardiomyopathy and pericardial effusion are on the increase as has been reported earlier.
最近关于尼日利亚儿童后天性心脏病（AHDs）的大多数报告要么是回顾性的，要么涵盖的时间段较短且研究对象较少。上一份关于拉各斯儿童AHDs的报告大约是在十年前；然而，它并非专门针对患有AHDs的儿童，而是拉各斯儿童结构性心脏病报告的一部分。本研究旨在记录儿童中不同AHDs的患病率和概况，并将研究结果与先前报告的结果进行比较。我们对2007年1月至2016年6月期间在拉各斯州立大学教学医院通过超声心动图诊断的所有连续性AHDs病例进行了定量、非实验性、前瞻性和横断面研究。对呈正态分布的定量数据采用Student t检验进行比较，对分类数据采用χ检验。患有AHDs的受试者中男性73例，女性52例，男女比例为1.4:1。这些儿童年龄在15天至14岁之间，平均年龄为6.61±4.26岁。风湿性心脏病是最常见的AHD，四分之一的儿童患有该病，其次是扩张型心肌病和心包积液，分别占20.8%和17.3%。较少见的病变包括川崎病、二尖瓣脱垂、高动力循环和室上性心动过速。在本研究中，风湿性心脏病仍是儿童中最常见的AHD。如先前报道的那样，扩张型心肌病和心包积液的发病率在上升。
