Catching congenital heart diseases early : the ten- point approach for Bhutan
Congenital heart disease is the most common birth defect and is the main reason for out country referral of pediatric patients from
Bhutan. Given the limited resources and expertise, detecting congenital heart defects is often delayed, resulting in delayed initiation
of treatment and management of associated complications. Congenital heart diseases, if detected early, can be appropriately
treated and complications minimized. A ten-point approach consisting of antenatal diagnosis, neonatal pulse oximetry, well
child visits, sick child visits, immunization clinics, school health checkups, pediatric echocardiographers, pediatric cardiologists,
basic echocardiography skills in pediatric residents and comprehensive birth defect surveillance is suggested, in order to catch
congenital heart defects early in life.
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Copyright (c) 2016 Purushotam Bhandari
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