Author(s)

Maiga Belco¹, Bâ Hamidou Oumar^2*, Sacko Karamoko¹, Dembélé Adama¹, Sanogo Nouhoum¹, Cissé Mohamed Elmouloud¹, Togo Pierre¹, Diakité Abdoul Aziz¹, Dicko-Traoré Fatoumata¹, Sylla Mariam¹

¹Pediatric Department UH GT, Bamako, Mali.
²Cardiology UH GT, Bamako, Mali.

Introduction: Children’s heart disease is a major public health problem in developing countries and especially in Mali. The purpose of our work was to determine frequency, different types of heart disease and their short term evolution in the pediatric department. Methods: We performed a retrospective study among children aged 0 to 15 years, hospitalized in the pediatric department from January to December 2015 and whose diagnosis was confirmed using trans-thoracic echocardiography. Results: We included 103 cases of heart disease out of a total of 8613 admissions in the pediatric department, giving an hospital prevalence of 1.2%. Mean age was 4.1 years (from 1 day to 15 years) and children under 5 years were the most affected with 73.80% of cases. Male predominance was noted (sex ratio = 1.2). Respiratory distress was the most common circumstance of discovery (93.20%). Cardiac murmur and tachycardia were the most common cardiac signs with respectively 88.35% and 83.50%. Congenital heart disease accounted for 70.87% and was dominated by ventricular septal defect (VSD) with 30.13%. Acquired heart disease (29.13% of the sample) was dominated by mitral regurgitation (MR) with 56.67%. Mortality rate was 31.9% for congenital heart disease and 11.1% for acquired heart disease. Conclusion: children’s heart disease is responsible for high mortality. Early detection improves the management of this pathology, which remains frequent.

Cardiac Disease, Congenital, Acquired, Pediatric, Bamako

Belco, M. , Oumar, B. , Karamoko, S. , Adama, D. , Nouhoum, S. , Elmouloud, C. , Pierre, T. , Aziz, D. , Fatoumata, D. and Mariam, S. (2018) Epidemiological and Clinical Study of Cardiac Diseases in the Pediatric Department of the University Hospital Gabriel Touré (UH GT), Bamako (Mali). World Journal of Cardiovascular Diseases, 8, 328-336. doi: 10.4236/wjcd.2018.87032.