Objective: To observe presentation of Pediatric congenital cardiac defects to the Emergency Department (ED) of a tertiary care hospital in Pakistan. Methods: This is a retrospective chart review of patients under the age of 16 years with congenital cardiac defects presenting to the Emergency Department of Aga Khan University Hospital over a period of eighteen months, from January 2012 to June 2013. Study population was divided into two groups; first group constituted children with undiagnosed congenital cardiac defects, whereas second group constituted children with diagnosed congenial cardiac defects presented to ED. In?previously diagnose cases each visit was counted as a separate encounter. Results: Out of 133 children, 44 (33.5%) were diagnosed congenital cardiac disease for the first time (Group-1) in ED, while 89 (66.5%) children were diagnosed cases of congenital heart disease (Group-2). Among Group-1; main reasons for ED visits were cyanosis, cardiac failure, murmur evaluation and cardiogenic shock where as in Group-2; main presentations were cardiac failure, hyper cyanotic spells, gastroenteritis, lower respiratory tract infection, and post-operative issues. There were total 13 deaths. Conclusion: High index of suspicion is necessary for early diagnosis and management of children with congenital heart disease in the pediatric emergency department. doi: https://doi.org/10.12669/pjms.36.3.1592 How to cite this:Bano S, Akhtar S, Khan U. Pediatric congenital heart diseases: Patterns of presentation to the emergency department of a tertiary care hospital. Pak J Med Sci. 2020;36(3):---------. doi: https://doi.org/10.12669/pjms.36.3.1592 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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机译：目的：遵守巴基斯坦第三级护理医院急诊部（ED）对儿科先天性心脏缺陷的介绍。方法：这是16岁以下的患者的回顾性图表审查，先天性心脏缺陷在2012年1月至2013年6月至2013年6月。学习人口分为两份团体;第一组构成未确诊的先天性心脏缺损的儿童，而第二组构成患有诊断为ED的诊断性心脏缺陷的儿童。在？先前诊断案件每次访问被计算为单独的遭遇。结果：133名儿童，44名（33.5％）在ED的第一次（组-1）中诊断先天性心脏病，而89名（66.5％）儿童被诊断为先天性心脏病（组-2）。第1组; ed参观的主要原因是紫绀，心脏衰竭，杂音评估和体内休克，在-2组中;主要演示文稿是心力衰竭，超缝毒术法术，胃肠炎，降低呼吸道感染和术后问题。总有13人死亡。结论：高度怀疑指数对于儿科急诊部的先天性心脏病儿童早期诊断和管理是必要的。 DOI：https://doi.org/10.12669/pjms.36.3.1592如何引用这一点：Bano S，Akhtar S，Khan U.儿科先天性心脏病：介绍急诊科医院的急诊部门模式。 Pak J Med Sci。 2020; 36（3）：---------。 DOI：https://doi.org/10.12669/pjms.36.3.1592这是一个在Creative Commons归因许可（http://creativommommons.org/licenses/by/3.0）下分发的开放式访问文章，哪些只要正确引用原始工作，允许在任何媒体中不受限制使用，分发和再现。
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