adult with congenital heart disease

adult with congenital heart disease
What measures should be taken for the Detection of Occult / hidden cases of congenital heart disease CHD? Since there are still a large number of occult / hidden / asymptomatic cases of CHD, particularly in the late cyanotic or acyanotic (cyanosis in which can not occur)-Group, urgent steps are needed for early detection. Such cases can be divided into different camps, especially in the schools / colonies, etc. But in many of the late diagnosed cases, as described above, treatment / surgery is not possible.

It is appropriate, if at the time of birth, a pediatrician examined all the babies for congenital lesion of the heart, and when the suspect, an echocardiography should be carried out so that the disease can be diagnosed right at birth, and the necessary steps the treatment can be planned and in time.

It is not difficult diagnosis / suspicion / detection of congenital lesions in the heart, say, in the general population. The doctor in addition to detailed clinical examination is particularly necessary to auscultate the heart of every child or adult, as the case may be, for the heart sounds and murmurs. There is a fair clue of various congenital cardiac lesions, but all the murmurs of the heart may not be pathological. There are also so-called innocent murmurs. However, once the disease is suspected, the diagnosis can be caused by various tests, especially echocardiography.

Also a rare / Uncommon cardiac diseases can be diagnosed with fair accuracy of clinical examination of the heart. Thus, in different camps, which will be proposed, by various voluntary organizations that not much will be expected to incur expenditure. Routine tests, like ECG and X-rays, etc., are required if "there is at least some clue on auscultation / Clinical investigation on the presence of CHD.

The case of a Chinese woman suffering from a congenital heart defect, fracture of the sinus of Valsalva, which is not very common, was in the British Medical Journal in its edition of 16 March 1968. In the same year, a similar case in an Indian patient was suspected clinically by the author. Advanced tests such as echocardiography, etc. were not available at this time. The patient was operated in Mumbai by Dr. CN Dastur, Honorary President cardiac surgeon and Honorary Professor of Surgery, Topiwala National Medical College and BYL Nair Charitable Hospital. Dr. Dastur, confirmed the diagnosis, the author wrote, "" The rupture of sinus Valsalva was in the right ventricle as postulated by you.

Therefore, a clinical trial / auscultation of the heart go a long way in the detection of subclinical cases of congenital lesions of the heart. And so is a general recognition of this fact is all that is necessary so that the people themselves corne us for such a routine check-ups of her children from her doctor, or a report in the various camps to be held from time to time . Unless this is achieved, the target can not be reached. And people, especially the late cases, which are not fit for the operation, can the suffering of the morbidity of the disease, the chronic in many cases.