What does it mean to have a congenital heart disease?
What does it mean to have a congenital heart disease? An 8-month-old baby had difficulty in breathing, his heartbeat was very fast and even he was not able to eat. This was the reason that he was brought to the hospital in emergency in a very serious condition. A cardiac examination revealed that the main duct of his heart had narrowed (coarctation of aorta). Not only this, there was extreme pressure on his lungs and he had cardiac failure. The blood pressure record of his lower limb was not being recorded at all. How is it treated in such a situation? Is surgery the only option to open the narrow tube, or can it be done with least rip-off methods?
The answer is ‘yes’, treatment options are also available without surgery or surgery, and that is balloon dilatation of narrow tubes. Successful balloon dilatation of the infant’s Coarctation of Aorta took place, and then after this process her heart was recovered. We talked in detail to Dr. Munesh Tomar, a pediatric cardiologist about this, he has shared many important information.
What is congenital heart disorder:
Pediatric cardiologist Dr. Munesh Tomar says, Congenital Heart Disease is a malformation present in the structure of the heart and its major tubes from birth itself. One out of every 125 infants born (8 to 10 out of every 1000) has a congenital heart disorder, which is incidentally the most common congenital malformation. Many of these children can be treated, leading to long-term diagnosis and good results. These appear mainly in the newborn, but in our country, it is not uncommon to see older children suffering from uncontrolled congenital heart deformity for the first time. Lack of health awareness and lack of availability of health facilities are the main reasons for late congenital heart failure.
About 30 per cent of these malformations are in great need of intervention in the early stage of the newborn, failing which only congenital heart failure is a common cause of infant mortality in India and contributes to about 10 per cent of infant mortality. .
Congenital Heart Disease: How to know if a child has a heart disorder?
1. History of blueness (cyanosis): Cyanosis is a serious heart disease, which needs immediate treatment.
2. Frequent chest infections can be a symptom of heart disease in a child. In this infection, fever, high breath, and problems in the chest are usually given antibiotics to cure it.
3. Does the child have problems eating and his weight is not increasing properly? Inability to breastfeed or sweat while drinking milk is an early symptom of congenital heart disease.
4. In older children, there is a complaint of high heartbeat, they are not able to do much exercise, get tired quickly and sometimes there is a problem of dizziness (fainting). Children with high blood pressure or abnormal heartbeat should have a detailed examination of their heart by the pediatric cardiologist.
What should parents do?
A detailed examination of the heart of a child with suspected congenital heart failure should be done by an infant cardiologist. A detailed examination of the heart is essential for planning disease control and determining the timing of mediation.
Some children need only medical stability, while most require mediation in the form of heart surgery (open heart surgery / closed heart surgery) or non-surgical intervention (percutaneous interventions, such as ASD / PDA / AV fistula. Instrument closure, balloon dilatation of aortic valve / pulmonary valve / coarctation of aorta, stenting of coarctation of aorta / pulmonary artery, etc.).
How long do people with congenital heart failure live?
Due to high advances in medical care and treatments, children with heart disorders are living longer and healthier lives. Many of them are now adults. For children and adults with congenital heart failure, it is important to see a heart doctor regularly throughout the life.
Treatment facilities in india
In the last three decades, facilities for congenital heart failure have progressed significantly in India. Many centers have come up with treatment facilities for children with congenital heart failure. Newborns with significant congenital malformations are being successfully treated at these centers with good results. The sad thing is that most of these centers are located in Delhi and southern part of India and are mainly in the private sector.
Unfortunately some of the most populous states such as Uttar Pradesh, Bihar, Madhya Pradesh, Assam, Orissa have no resources to treat these young children suffering from CHD. Very few government hospitals have facilities for operation of young children with congenital heart failure.
But the government has come up with several schemes to provide support for congenital malformations including heart. The National Child Health Program (RBSK) was launched in February 2013. In this, screening of all children between 0 and 18 years of age is mandatory so that early detection of cardiac defects as well as birth defects can be identified and possible.
Another very important scheme for medical treatment of people of India including children with heart defects is ‘Ayushman Bharat Yojana’, which was launched in September 2018. The need of the hour is that people are now made aware of the problem, its treatment facilities and the good result of timely treatment.
Inputs: Dr. Munesh Tomar, Pediatric Cardiologist, LLRM Medical College, Meerut