Indian Pediatrics

, Volume 55, Issue 12, pp 1075–1082 | Cite as

Congenital Heart Disease in India: A Status Report

  • Anita SaxenaEmail author
Special Article


Considering a birth prevalence of congenital heart disease as 9/1000, the estimated number of children born with congenital heart disease in India is more than 200,000 per year. Of these, about one-fifth are likely to have serious defect, requiring an intervention in the first year of life. Currently advanced cardiac care is available to only a minority of such children. A number of cardiac centers have been developed over the last 10 years. However, most are in the private sector, and are not geographically well-distributed. Challenges to pediatric cardiac care include financial constraints, health-seeking behavior of community, and lack of awareness. Government of India is taking a number of steps for improving health of children through its various program and schemes that are likely to benefit children with congenital heart disease, especially those who are vulnerable and marginalized.


Epidemiology Birth defects Congenital heart defects Echocardiography 


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  1. 1.
    Dolk H, Loane M, EUROCAT Steering Committee. Congenital Heart Defect in Europe: 2000–2005. Newtownabbey, Northern Ireland: University of Ulster; March 2009. Available from: http://eurocat.biomedical.–Report.pdf. Accessed May 18, 2017.Google Scholar
  2. 2.
    Bernier PL, Stefanescu A, Samoukovic G, Tchervenkov CI. The challenge of congenital heart disease worldwide: epidemiologic and demographic facts. Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu. 2010;13:26–34.CrossRefPubMedGoogle Scholar
  3. 3.
    Hoffman JIE. The global burden of congenital heart disease. Cardiovascular J Africa. 2013;24:141–5.CrossRefGoogle Scholar
  4. 4.
    Hoffman JIE. Incidence of congenital heart disease: I. Postnatal incidence. Pediatr Cardiol. 1995;16:103–13.CrossRefPubMedGoogle Scholar
  5. 5.
    Saxena A. Congenital heart disease in India: A status report. Indian J Pediatr. 2005;72:595–8.CrossRefPubMedGoogle Scholar
  6. 6.
    Hoffman JI, Kaplan S. The incidence of congenital heart disease. J Am Coll Cardiol. 2002;39:1890–900.CrossRefPubMedGoogle Scholar
  7. 7.
    van der Linde D, Konings EM, Slager MA, Witsenburg M, illem Helbing A, Johanna JM, et al. Birth prevalence of congenital heart disease worldwide. A systematic review and meta–analysis. J Am Coll Cardiol. 2011;58:2241–7.CrossRefPubMedGoogle Scholar
  8. 8.
    Kothari SS, Gupta SK. Prevalence of congenital heart disease. Prevalence of congenital heart disease. Indian J Pediatr. 2013;80:337–9.PubMedGoogle Scholar
  9. 9.
    Kapoor R, Gupta S. Prevalence of congenital heart disease, Kanpur, India. Indian Pediatr. 2008;45:309–11.PubMedGoogle Scholar
  10. 10.
    Bhat NK, Dhar M, Kumar R, Patel A, Rawat A, Kalra BP. Prevalence and pattern of congenital heart disease in Uttarakhand, India. Indian J Pediatr. 2013;80:281–5.CrossRefPubMedGoogle Scholar
  11. 11.
    Wanni KA, Shahzad N, Ashraf M, Ahmed K, Jan M, Rasool S. Prevalence and spectrum of congenital heart diseases in children. Heart India. 2014;2:76–9.CrossRefGoogle Scholar
  12. 12.
    Kiran B, Chintan S, Reddy C, Savitha S, Medhar SS, Keerthana TN. Study of prevalence of congenital heart diseases in children in a rural tertiary care hospital. J Pediatr Res. 2016;3:887–90.Google Scholar
  13. 13.
    Abqari S, Gupta A, Shahab T, Rabbani MU, Ali SM, Firdaus U. Profile and risk factors for congenital heart defects: A study in a tertiary care hospital. Ann Pediatr Cardiol. 2016;9:216–21.CrossRefPubMedPubMedCentralGoogle Scholar
  14. 14.
    Mahapatra A, Sarangi R, Mahapatra PP. Spectrum of congenital heart disease in a tertiary care centre of Eastern India. Int J Contemp Pediatr. 2017;4:314–6.CrossRefGoogle Scholar
  15. 15.
    Khalil A, Aggarwal R, Thirupuram S, Arora R. Incidence of congenital heart disease among hospital live births in India. Indian Pediatr. 1994;31:519–27.PubMedGoogle Scholar
  16. 16.
    Vaidyanathan B, Sathish G, Mohanan ST, Sundaram KR, Warrier KK, Kumar RK. Clinical screening for congenital heart disease at birth: A prospective study in a community hospital in Kerala. Indian Pediatr. 2011;48:25–30.CrossRefPubMedGoogle Scholar
  17. 17.
    Sawant SP, Amin AS, Bhat M. Prevalence, pattern and outcome of congenital heart disease in Bhabha atomic research centre hospital. Indian J Pediatr. 2013;80:286–91.CrossRefPubMedGoogle Scholar
  18. 18.
    Saxena A, Mehta A, Sharma M, Salhan S, Kalaivani M, Ramakrishnan S, et al. Birth prevalence of congenital heart disease: A cross sectional observational study from North India. Ann Pediatr Cardiol. 2016;9:205–9.CrossRefPubMedPubMedCentralGoogle Scholar
  19. 19.
    Gupta I, Gupta ML, Parihar A, Gupta CD. Epidemiology of rheumatic and congenital heart disease in rural children. J Indian Med Assoc. 1992;90:57–9.PubMedGoogle Scholar
  20. 20.
    Vashishtha VM, Kalra A, Kalra K, Jain VK. Prevalence of congenital heart disease in school children. Indian Pediatr. 1993;30:1337–40.PubMedGoogle Scholar
  21. 21.
    Thakur JS, Negi PC, Ahluwalia SK, Sharma R, Bhardwaj R. Congenital heart disease among school children in Shimla hills. Indian Heart J. 1995;47:232–5.PubMedGoogle Scholar
  22. 22.
    Chadha SL, Singh N, Shukla DK. Epidemiological study of congenital heart disease. Indian J Pediatr. 2001;68:507–10.CrossRefPubMedGoogle Scholar
  23. 23.
    Misra M, Mittal M, Verma AM, Rai R, Chandra G, Singh DP, et al. Prevalence and pattern of congenital heart disease in school children of eastern Uttar Pradesh. Indian Heart J. 2009;61:58–60.PubMedGoogle Scholar
  24. 24.
    Rama Kumari N, Bhaskara Raju I, Patnaik AN, Barik R, Singh A, Pushpanjali A, et al. Prevalence of rheumatic and congenital heart disease in school children of Andhra Pradesh, South India. J Cardiovasc Dis Res. 2013;4:11–4.CrossRefPubMedPubMedCentralGoogle Scholar
  25. 25.
    Saxena A. Echocardiographic prevalence of congenital cardiac malformations among 14,716 asymptomatic school children in India. Presented at EuroEcho Imaging 2013.Google Scholar
  26. 26.
    Bhardwaj R, Kandoria A, Marwah R, Vaidya P, Singh B, Dhiman P, et al. Prevalence of congenital heart disease in rural population of Himachal–A population–based study. Indian Heart J. 2016;68:48–51.CrossRefPubMedPubMedCentralGoogle Scholar
  27. 27.
    Nisale SH, Maske GM. A study of prevalence and pattern of congenital heart disease and rheumatic heart disease among school children. Int J Adv Med. 2016;3:947–51.CrossRefGoogle Scholar
  28. 28.
    Kothari SS. Pediatric cardiac care for the economically disadvantaged in India: Problems and prospects. Ann Ped Cardiol. 2009;2:95–8.CrossRefGoogle Scholar
  29. 29.
    Kumar RK. The nuts and bolts of pediatric cardiac care for the economically challenged. Ann Ped Cardiol. 2009; 2:99–101.CrossRefGoogle Scholar
  30. 30.
    Pezzella T. Worldwide maldistribution of access to cardiac surgery. J Thorac Cardiovasc Surg. 2002;123:1016–17.CrossRefPubMedGoogle Scholar
  31. 31.
    Kumar RK, Shrivastava S. Pediatric heart care in India. Heart. 2008;94:984–90.CrossRefPubMedGoogle Scholar
  32. 32.
    Kumar RK. Congenital heart disease profile: Four perspectives. Ann Pediatr Cardiol. 2016;9:203–4.CrossRefPubMedPubMedCentralGoogle Scholar
  33. 33.
    Raj M, Paul M, Sudhakar A, Varghese AA, Haridas AC, Kabali C, et al. Micro–economic impact of congenital heart surgery: Results of a prospective study from a limitedresource setting. PLoS One. 2015;10:e0131348.Google Scholar
  34. 34.
    Liu J. Challenges and progress of the pediatric cardiac surgery in Shanghai Children’s Medical Center: A 25–year solid collaboration with Project HOPE. Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu. 2009;12:12–8.CrossRefGoogle Scholar
  35. 35.
    Ramakrishnan S, Khera R, Jain S, Saxena A, Kailash S, Karthikeyan G, et al. Gender differences in the utilisation of surgery for congenital heart disease in India. Heart. 2011; 97:1920–5.CrossRefPubMedGoogle Scholar
  36. 36.
    Saxena A. Pediatric cardiac care in India: Current status and the way forward. Future Cardiol. 2018;14:1–4.CrossRefPubMedGoogle Scholar
  37. 37.
    Saxena A, Mehta A, Ramakrishnan S, Sharma M, Salhan S, Kalaivani M, et al. Pulse oximetry as a screening tool for detecting major congenital heart defects in Indian newborns. Arch Dis Child Fetal Neonatal Ed. 2015;100:F416–21.Google Scholar
  38. 38.
    Pezzella AT. Cardiothoracic surgery residency program in Shanghai, China. Ann Afr Chir Thor Cardiovasc. 2009;4:81–99.Google Scholar
  39. 39.
    Maheshwari S, Kiran VS. Cardiac care for the economically challenged: What are the options? Ann Pediatr Cardiol. 2009;2:91–4.CrossRefPubMedPubMedCentralGoogle Scholar
  40. 40.
    Lahariya C. ‘Ayushman Bharat’ program and universal health coverage in India. Indian Pediatr. 2018;55:495–506.PubMedGoogle Scholar

Copyright information

© Indian Academy of Pediatrics 2018

Authors and Affiliations

  1. 1.Department of CardiologyAll India Institute of Medical SciencesNew DelhiIndia

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