ISSN 2326-7283
African Journal of Internal Medicine ISSN: 2326-7283 Vol. 2 (6), pp. 047-051, August, 2013. © International Scholars Journals
Full Length Research Paper
The Rejuvenation of Cardiac Catheterization for congenital heart diseases in Nigeria: Profiles, Challenges and Prospects
1BA Animasahun, 2A Johnson, 3OO Ogunkunle, 4OA Idowu, 5Sunita Maheshwari, 1OF Njokanma, 6F Bode-Thomas, 3SI Omokhodion
1Department of Paediatrics and Child Health, Lagos State University, College of Medicine, Ikeja, Lagos, Nigeria.
2First Cardiology Consultants, No 20A Thompson Avenue, Ikoyi, Lagos, Nigeria.
3Department of Paediatrics, University College Hospital, Ibadan, Nigeria.
4Reddington Multispecialist Hospital 13, Idowu Martins Street, Victoria Island, Lagos, Nigeria.
5Narayana Hrudayalaya Institute of Cardiac Sciences, Bangalore, India.
6Jos University Teaching Hospital Jos, Plateau State, Nigeria.
*Corresponding author. E-mail:[email protected]. Tel. +2348037250264
Accepted 15 April, 2013
Abstract
Cardiac catheterization had not been available locally for about three decades but resurfaced about 3 years ago. This study aimed at documenting the profiles of the patients who had undergone cardiac catheterization since its availability, the challenges encountered and the prospects associated with the procedure at the study. Patients referred for cardiac catheterization between May 2010 and September 2012 were studied consecutively. Profile of the patients including diagnosis at referral and indication for cardiac catheterization were documented. Twenty-four patients were recruited into the study, 21 (87.5%) from public hospital and 3 (12.5%) from private hospital. The age ranged between one to 62 years with a mean age + SD of 14.5+ 9.0 years. 66.7% were females while 33.3% were males with M/F of 1: 2. Fifteen (62.5%) had acyanotic congenital heart disease while 9 (37.5%) had cyanotic congenital heart disease. Thirteen had diagnostic cardiac catheterization while eleven had device closure of acyanotic congenital heart defect. Diagnostic and interventional cardiac catheterization is now available in Nigeria, high degree of manpower training, cost and local availability of consumables are major limiting factor to its use. Regional and International collaboration could be mutually beneficial.
Keywords: Cardiac catheterization, congenital heart disease, cyanosis, acyanosis, profile.