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Journal of Tropical Pediatrics 2000 46(6):357-362; doi:10.1093/tropej/46.6.357
© 2000 by Oxford University Press
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Congenital heart disease among school children in Alexandria, Egypt: an overview on prevalence and relative frequencies

A BassiliA,Z, SA MokhtarB, NI DabousC, SR ZaherD, MM MokhtarE and A ZakiA

A Department of Medical Statistics, Medical Research Institute, B Department of Biostatistics, C Department of Family Health, High Institute of Public Health, D Faculty of Medicine, Department of Paediatrics, Paediatric Cardiology Unit, E Department of Human Genetics, Medical Research Institute, Alexandria University, Alexandria, Egypt Z Corresponding author Fax: 002 03 4214659 E-mail: amalot@yahoo.com

A study was undertaken to determine the prevalence and relative frequencies of congenital heart diseases diagnosed by echocardiography among school children in Alexandria, Egypt. The study was conducted during a 1-year period (1 May 1995-1 May 1996) at the Student' Health Insurance Hospital, which is a referral center for all health insurance units, providing an echocardiography service. The prevalence of congenital heart diseases (CHD) among school children accounted for 1.01/1000. There was a male predominance in cases of pulmonary stenosis and single ventricle, while in cases of patent ductus arteriosus, mitral valve prolapse, and partial atrioventricular canal there was a female predominance. The commonest cardiac defects were ventricular septal defects, pulmonary stenosis, and atrial septal defects. Pulmonary stenosis ranked the second commonest defect and is a peculiar finding in our Egyptian population. The mere presence of these cardiac defects in school children is an indicator of the poor quality of care provided to this growing childhood population.


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