Pediatric heart diseases in Madina, Saudi Arabia. Current status and future expectations.

OBJECTIVE To demonstrate the magnitude of pediatric heart disease problem in Madina, current situation of heart service, obstacles and future expectations. METHODS We conducted this cross sectional study in Madina Maternity and Children Hospital, Madina, Kingdom of Saudi Arabia from January 2007 to June 2008. The study was approved by the Ethical Committee. A computer based program was established to register the data of all children attended the pediatric cardiology unit. RESULTS A total of 4348 children were seen in the study period; 2301 were follow up cases while 2047 were new cases. Of the new cases, 794 (38.8%) were found to have heart diseases. Of this, 705 have CHD (cardiomyopathies 34, rheumatic heart disease 26, mitral valve prolapse 15, Kawasaki disease 9, and arrhythmia 5). Ventricular septal defect was the most common CHD (34.5%), and followed by atrial septal defect (8.9%). Other CHDs were as follows pulmonary stenosis (7.9%), patent ductus arteriosus (6%), atrioventricular septal defect (3.8%), aortic stenosis (3.5%), dextro-transposition of great arteries (3.5%), tetralogy of fallot (3%), coarctation of aorta (2.8%), and others (26%). Three hundred and ten patients required referral to the cardiac centers in Riyadh for catheterization or surgical intervention. Urgent referral was required in 128 patients. All patients were transferred via medical evacuation service. CONCLUSION Pediatric heart disease constitutes a major health problem in Madina. The majority of patients have CHD. The need for cardiac centre in Madina was emphasized to avoid problems of transportations.