Suresh V, Rao A S, Yavagal S T
Department of Cardiology, Sri Jayadeva Institute of Cardiology, Bangalore.
Indian Heart J. 1995 Mar-Apr;47(2):125-8.
A retrospective analysis of 3790 consecutive patients with congenital heart disease (CHD) who underwent haemodynamic and angiographic studies at Sri Jayadeva Institute of Cardiology, Bangalore, from April 1981 to April 1994 has been done. The incidence of various CHD has been compared with that in other series from Asian and Western countries. Out of 6985 patients who underwent haemodynamic studies, 3790 had CHD (54.3%). Approximately 63 percent (2386) of these cases had shunt lesions like atrial septal defect (ASD), ventricular septal defect (VSD) and patent ductus arteriosus (PDA). Among them, 15 percent (367) had pulmonary arterial hypertension of various grades. The overall incidence of pulmonary arterial hypertension is higher than that reported in the Western literature. Corrective surgery was done in approximately 63 percent of cases. Ethnic differences in the incidence of CHD were found in this study when compared to the Eastern and Western literature. Congenital aortic stenosis and coarctation of aorta were less common compared to Western countries and Tetralogy of Fallot was less common compared to Eastern countries.
对1981年4月至1994年4月期间在班加罗尔的斯里贾亚德瓦心脏病学研究所接受血流动力学和血管造影研究的3790例连续性先天性心脏病（CHD）患者进行了回顾性分析。已将各种CHD的发病率与来自亚洲和西方国家的其他系列研究中的发病率进行了比较。在6985例接受血流动力学研究的患者中，3790例患有CHD（54.3%）。这些病例中约63%（2386例）患有分流性病变，如房间隔缺损（ASD）、室间隔缺损（VSD）和动脉导管未闭（PDA）。其中，15%（367例）患有不同程度的肺动脉高压。肺动脉高压的总体发病率高于西方文献报道的发病率。约63%的病例接受了矫正手术。与东西方文献相比，本研究发现CHD发病率存在种族差异。与西方国家相比，先天性主动脉狭窄和主动脉缩窄不太常见；与东方国家相比，法洛四联症不太常见。
