Asymptomatic congenital heart disease in children with skeletal chest deformity


Noor Mohammad Noori 1 , Shahrokh Rajaei 2 , * , Tahereh Boryri 3

1 Professor Department of Pediatrics, Research Center for Children and Adolescents Health, Zahedan University of Medical Sciences, Zahedan, Iran.

2 Associate Professor Department of Pediatrics, Clinical Research Development Center of Children Hospital, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.

3 MSc of Midwifery, Zahedan University of Medical Sciences, Zahedan, Iran.

How to Cite: Noori N M, Rajaei S, Boryri T. Asymptomatic congenital heart disease in children with skeletal chest deformity, Hormozgan Med J. 2013 ; 17(1):e87908.


Hormozgan Medical Journal: 17 (1); e87908
Published Online: April 14, 2012
Article Type: Research Article
Received: September 25, 2011
Accepted: April 14, 2012


Introduction: With respect to high association of skeletal chest deformity with cardiac
abnormalities, these patients should be evaluated for evidence of cardiac involvement. So,
we used echocardiography to investigate this association.
Methods: This case-control study was done on 144 patients with skeletal chest deformity
referred to OPD clinic. 240 persons were selected as control group, without any skeletal
chest deformity and matched by age and sex with case group. Both groups were evaluated
by 2-D color Doppler echocardiography and data were analyzed by SPSS software.
Results: Mean age of males and females in case group was 7.48±4 and 6.93±3.94 and in
control group was 7.81±4.16 and 8.43±4.02, respectively. 76.39% of case group and
36.67% of control group had asymptomatic CHD. This difference was statistically
significant (P<0.05). 52 patients out of 70 patients with pigeon chest deformity, had heart
disease and 60% with Mitral Valve Prolapses (MVP). 37 patients out of 62 patients with
pectus excavatum deformity had heart disease and MVP was more frequent (59.67%). In 12
patients with scoliosis, MVP was in 6 patients (50%). We found that in control group,
prevalence of asymptomatic CHD in patients with positive family history of skeletal chest
deformity was 1.25 times more than patients without positive family history.
Conclusion: Since the prevalence of MVP in this study was high, we suggest that all
patients with skeletal chest deformity, especially in presence of cardiac murmur should be
evaluated for cardiac abnormalities.



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