Cardiology and Cardiovascular Medicine



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Andreas Synetos

Andreas Synetos

First Department of Cardiology
University of Athens, Medical School
Paleo Psychico
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Usman Rashid


Usman Rashid published latest article in Annals of pediatric cardiology entitled Pattern of congenital heart disease in a developing country tertiary care center: Factors associated with delayed diagnosis. This article is available in PubMed with an unique identification number PMID: 27625517 and it is published in . The coauthors of this article are Rashid U, Qureshi AU, Hyder SN, Sadiq M.

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Cardiology, Cardiovascular Medicine.

Latest Publication Details

Article Title: Pattern of congenital heart disease in a developing country tertiary care center: Factors associated with delayed diagnosis.

Co-Author(s): Rashid U, Qureshi AU, Hyder SN, Sadiq M

Affiliation(s): Department of Pediatric Cardiology, The Childrens Hospital and Institute of Child Health, Lahore, Pakistan.

PMID 27625517, Year 0

Abstract: To determine the delay in diagnosis of various types of congenital heart defects in children and factors associated with such delay.For this observational study, 354 patients having congenital heart disease (CHD) presenting for the first time to the Department of Cardiology, Childrens Hospital, Lahore, Pakistan, between January 1, 2015 and June 30, 2015, were enrolled after obtaining informed verbal consent from the guardian of each child. Demographical profile and various factors under observation were recorded.Among the 354 enrolled children (M: F 1.7:1) with age ranging from 1 to 176 months (median 24 months), 301 (85.1%) had delayed diagnosis of CHD (mainly acyanotic 65.3%), with median delay (8 months). Main factors for delay were delayed first consultation to a doctor (37.2%) and delayed diagnosis by a health professional (22.5%). Other factors included delayed referral to a tertiary care hospital (13.3%), social taboos (13.0%), and financial constraints (12.3%). Most children were delivered outside hospital settings (88.7%). Children with siblings less than two (40%) were less delayed than those having two or more siblings (60%, P < 0.001).Diagnosis of congenital heart defect was delayed in majority of patients. Multiple factors such as lack of adequately trained health system and socioeconomic constraints were responsible for the delay. There is a need to develop an efficient referral system and improve public awareness in developing countries for early diagnosis and management of such children.

Journal: Annals of pediatric cardiology

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