Congenital Heart Disease: Symptoms & Treatment
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00:00 In Pakistan, the birth rate of children with heart disease has become very high.
00:06 A report has also come out in this regard.
00:08 This report shows that 60,000 children are born with heart disease every year.
00:14 60% of children die from heart disease in the first few years of life due to unprecedented treatment.
00:21 It is being said in Pakistan that more than 50 people die of heart disease every hour.
00:28 In this regard, the expert of heart disease says that the current health system of the country does not restrict the treatment of third-degree patients.
00:36 This is also a reason that the number of people with heart disease is increasing.
00:42 The World Health Organization says that every year, 400,000 heart patients die in Pakistan.
00:47 This is 29% higher than the proportion of other diseases.
00:52 This is a huge number. 29%.
00:54 What is the issue? This disease is congenitive.
01:00 If we do not know what the disease is, but if we know one thing, then how helpful it can be to address it.
01:11 We have with us Associate Professor Dr. Abdul Sattar Sheikh.
01:15 He is the Head of Pediatric Cardiac Services, NICBD.
01:19 Dr. Aslam, Assalam-o-Alaikum.
01:20 Assalam-o-Alaikum.
01:21 I hope you are fine.
01:22 I am fine.
01:23 What is this congenital heart disease?
01:27 When we hear about children, we see that they are very heart-wrenching.
01:34 Is this the only heart disease?
01:37 What are the other heart diseases?
01:39 We do not have awareness in people.
01:42 Especially in rural areas, where the status of education is poor.
01:48 They do not know that heart diseases are also present in the body.
01:53 They think it is a heart attack.
01:56 But if we look at the ratio of heart diseases, then 25% of heart diseases are present.
02:08 And 40% of heart diseases are found in the mother's womb.
02:17 Why?
02:18 Because they cannot survive.
02:20 When a child is born, there are different types of heart diseases.
02:24 You must have heard about heartworms.
02:26 The valves of the heart are not properly made.
02:29 The nerves are not good.
02:30 The food is crooked.
02:31 The food is weak.
02:33 The nerves are attached in the wrong place.
02:35 They combine with each other.
02:37 The most dangerous of all is blue baby.
02:41 The child is born blue.
02:43 The baby is pink.
02:47 The baby is born blue.
02:50 We call it cyanotic baby.
02:53 This is the most serious disease of the heart.
02:58 Why is this a congenital disease?
03:05 What are the causes?
03:08 There are multiple reasons.
03:11 First, it is genetic.
03:14 It is a gene.
03:17 Second, it is a genetic disease.
03:20 It is an inter-family marriage.
03:21 It is a genetic disease.
03:23 It is a family marriage.
03:26 Like the case of thalassemia.
03:28 This disease is more common.
03:30 It is more common.
03:33 The mother's health,
03:40 whether it is weight, nutrition status,
03:43 micro-micronutrients,
03:46 blood pressure, sugar,
03:48 or other diseases,
03:49 affect the child's growth.
03:54 The heart is a major organ.
03:56 If the mother's weight is not right,
03:58 nutrition is not right,
03:59 blood pressure will increase during pregnancy,
04:01 sugar level will not be in control,
04:03 or if she has taken a medicine
04:05 that has a direct effect on the child,
04:07 or a radiation.
04:09 The mother does not know that
04:11 when the child is pregnant,
04:13 we should not get an X-ray done.
04:15 Or the mother should not take the medicine herself.
04:18 Many mothers say that
04:21 they have a headache,
04:23 they take the medicine,
04:24 but no one says that they have taken it.
04:25 So, never take it.
04:27 The self-medication habit should be eliminated.
04:30 Yes, absolutely.
04:32 I will tell you more than that.
04:34 If there is a mother who has an early pregnancy,
04:37 early marriage,
04:39 early pregnancy,
04:40 the mother's nutritional status is not good,
04:43 or multiple pregnancies,
04:45 or late pregnancy,
04:47 that also affects the child.
04:49 Tell us, how many chances of survival are there?
04:52 When does it become clear
04:54 to what extent the child's heart is affected?
04:56 According to recent advances,
04:58 in the mother's womb,
05:00 we know that
05:02 in the fourth or fifth month of pregnancy,
05:05 ultrasound is called fetal echocardiography.
05:10 In the mother's womb,
05:12 by doing fetal echocardiography,
05:14 we can see that
05:16 how the heart structures are formed.
05:18 Is there any defect?
05:19 If there is a defect,
05:20 which is it, minor or major?
05:21 If it is major,
05:22 we define it as
05:24 whether the child can survive or not.
05:27 From here, we know
05:29 that when the baby is born,
05:31 if we know immediately
05:33 that the baby has a congenital heart defect,
05:36 or any kind of heart disease,
05:40 we can diagnose
05:42 whether it is minor, major or serious.
05:44 For that, we have started an awareness program
05:47 for the pediatrician
05:50 and have told them
05:51 to screen the children immediately
05:53 to see if there is any heart disease.
05:56 Normally, we tell mothers and families
05:59 that if your child is blue,
06:02 if the heartbeat is fast,
06:04 if the weight is not increased,
06:05 if the chest is not damaged,
06:06 if the baby starts sweating while drinking milk,
06:08 if the growth is not proper,
06:10 if there are shocks,
06:11 then the baby should be screened
06:13 by doing fetal echocardiography.
06:16 Thank you so much, Dr. Abdul Latif.
06:19 Thank you.
06:20 It is very important to be aware.
06:23 If you get to know,
06:24 early diagnosis is very important.