Summary:
Congenital heart disease (CHD) is the commonest of all
congenital lesions and is the most common type of heart
diseases among children. Anthropometric evaluation is very
important for early recognition of growth failure in children
with cyanotic and acyanotic congenital heart diseases.
This comparative cross sectional study was undertaken with
the objective to compare the growth of children with cyanotic
and acyanotic congenital heart disease using anthropometric
measurement in Department of Paediatrics, Sylhet MAG
Osmani Medical College Hospital from March, 2014 to
September, 2014. Sixty children aged 6 months to 60 months
with CHD, were included in this study, where 30 children
with cyanotic and 30 children with acyanotic CHD,
confirmed by Echocardiogram.
All the children (100%) with cyanotic congenital heart
disease were underweight (Weight for age Z score). Among
them, 23.33% had moderate and 76.67% had severe
underweight. In children with acyanotic congenital heart
disease, 93.33% had underweight. Among them, 20% had
moderate and 73.33% had severe underweight. The p-value
was 0.35008. In cyanotic congenital heart disease, 96.67%
children had stunting. Among them, 13.33% had moderate
and 83.33% had severe stunting. In acyanotic congenital
heart disease, 43.33% children had stunting. Among them,
33.33% had moderate and 10% had severe stunting. There
was significant statistical deference in between the two
groups, (p-value was <0.0001). In cyanotic congenital heart
disease, 43.33% children had wasting. Among them, 30%
had moderate and 13.33% had severe wasting. In acyanotic
congenital heart disease, 76.67% children had wasting.
Among them, 30% had moderate and 46.67% had severe
wasting. There was significant deference in the groups (p
value was 0.0077).
Growth failure was common in children with both cyanotic
and acyanotic congenital heart disease. There was no
significant difference in weight for age Z score (WAZ) of
patients with cyanotic and acyanotic CHD but stunting was
significantly higher in patients with cyanotic CHD and
wasting was significantly higher in patients with acyanotic
CHD.
Key words: Congenital heart disease (CHD), cyanotic
congenital heart disease, acyanotic congenital heart disease,
TOF (Tetralogy of Fallot), VSD (Ventricular septal defect),
underweight, stunting, wasting, WAZ (Weight for Age Z score).
(J Bangladesh Coll Phys Surg 2018; 36: 64-69