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.. Objectives: To determine the spectrum of pediatric heart disease in a newly established cardiac centre in South Punjab. Study Design: Descriptive observational case series. Setting: Department of Pediatric Cardiology of Cardiac Center Bahawal Victoria Hospital (BVH) Bahawalpur. Period: Six months from July 2019 to December 2019. Material & Methods: All consecutive patients of any gender, age range from first day of life to18 years, diagnosed as having heart disease (congenital/ acquired) on echocardiography were enrolled. Patients of isolated bicuspid aortic valve, premature neonates having PDA or those who already had balloon, device or surgical intervention done for congenital heart disease were excluded from the study. The spectrum of heart diseases in children was assessed by categorizing them as having acquired, acyanotic and cyanotic heart defects. Results: A total of 624 patients were enrolled in the study on the basis of inclusion criteria. There were 56.7 % male (n=354) and 43.3% female (n=270) with male to female ratio 1.3:1. Majority of the patients were of infant age group (66%, n=412). Congenital heart disease (CHD) was present in 87% of the patients (n=543) while 13% (n=81) had acquired heart disease (AHD). Acyanotic heart lesions were found in 73.1% of patients while cyanotic congenital heart diseases (CCHD) were 26.9 %. Ventricular septal defect was the most common CHD (33%) followed by atrial septal defect (14.9%) and patent ductus arteriosus (13.1%). Tetralogy of Fallot was the most common CCHD (10.1%) followed by transposition of great arteries (7.4%). Among AHD, 55.6% were of rheumatic heart disease followed by cardiomyopathy (27.2), pericardial effusion (8.6%) and infective endocarditis (4.9%). Conclusion: The VSD, ASD, PDA, TOF and TGA remain the most common CHD in descending order while RHD is the most common acquired heart disease in children at our centre.

Spectrum of pediatric heart disease in newly established cardiac center in South Punjab.