Tag: Echocardiography

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ssnimcj2026v11i2s10


Original
Diagnostic Value of Chest X-Ray in Ischemic Cardiomyopathy  Validated by Echocardiography
*Khan PR,1 Ferdouse F,2 Hasan M,3 Ahmed TU,4 Haque A5

  1. *Dr. Parvez Rahman Khan, Assistant Professor, Cardiology, Community Based Medical College Bangladesh Mymensingh.  drprkhan36@gmail.com. ORCID: https://orcid.org/0009-0006-0601-7817
  2. Dr. Farzana Ferdouse, Assistant Professor (in situ), Radiology & Imaging, Mymensingh Medical College Hospital, Mymensingh. ORCID: https://orcid.org/0009-0003-0142-2213
  3. Dr. Mehedee Hasan, Registrar, Cardiology, Community Based Medical College Hospital Bangladesh, Mymensingh. ORCID: https://orcid.org/0009-0006-1882-2004
  4. Dr. Tofayel Uddin Ahmed, Associate Professor & Head, Cardiology, Community Based Medical College Bangladesh, Bangladesh Mymensingh. ORCID: https://orcid.org/0009-0009-2030-1111
  5. Dr. Amdadul Haque, Associate Professor, Cardiology, Community Based Medical College  Bangladesh, Mymensingh. ORCID: https://orcid.org/0009-0001-3303-8293

*For correspondence

Abstract
Background: Ischemic cardiomyopathy (ICM) is one of the leading causes of heart failure in Bangladesh and worldwide. Chest radiography is the most universally available and affordable cardiac imaging tool. Knowing how well its findings correlate with echocardiographic indices of ventricular dysfunction can help doctors make faster and more accurate diagnoses, especially where echocardiography is not immediately available.
Methods: This was a cross-sectional observational study conducted in the Department of Cardiology, Community Based Medical College & Hospital (CBMCB), Mymensingh, from January 2025 to January 2026. A total of 96 purposively selected patients with confirmed ICM were enrolled. All patients underwent standard posteroanterior chest radiography and comprehensive transthoracic echocardiography (TTE). Key echocardiographic indices including left ventricular ejection fraction (LVEF), left ventricular end-diastolic diameter (LVEDD), left ventricular end-systolic diameter (LVESD), and regional wall motion abnormality (RWMA) were correlated with radiographic findings. Data were analyzed using SPSS version 22.
Results: Mean age was 57.2 ± 9.4 years; 68 patients (70.8%) were male. Mean LVEF was 30.2 ± 6.8%. Cardiomegaly (Cardio Thoracic Ratio, CTR >0.5) was the commonest radiographic finding (80.2%), followed by pulmonary vascular congestion (73.0%), Kerley B lines (50.0%), and pleural effusion (46.9%). Cardiomegaly correlated significantly with LVEDD (r = +0.64, p<0.001) and inversely with LVEF (r = −0.58, p<0.001). Pulmonary congestion was strongly associated with LVEF ≤30% (p=0.003). RWMA was present in 92.7%. Sensitivity of chest radiography for detecting severe LV dysfunction (LVEF ≤30%) was 83.1%, with specificity 71.4%.
Conclusion: Chest radiographic findings in ICM — particularly cardiomegaly and pulmonary congestion — correlate meaningfully with echocardiographic indices of ventricular dysfunction. Though radiography cannot replace echocardiography, it serves as a valuable, low-cost surrogate that can guide early diagnosis and timely referral.

[Shaheed Syed Nazrul Islam Med Col J 2026, July; 11 (2):170-179]
DOI: https://www.doi.org/10.69699/ssnimcj.2026.11.2.10

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SSNIMCJ 2023 v8 i2 a6

Original Contribution

Prevalence and Spectrum of Congenital Heart Disease in Children Admitted
into Tertiary Care Hospital of Kishoreganj: A Multicenter Study

1. *Dr Mohammad Nuruzzaman, Senior Consultant (Paediatrics), Shaheed Syed Nazrul Islam Medical College
Hospital, Kishoreganj. nuruzzamansomc31@gmail.com
2. Dr Mohammad Solaiman Tanveer, Assistant Professor(Cardiology), Shaheed Syed Nazrul Islam Medical
College, Kishoreganj
3. Dr AKM Masudul Gani Bhuiyan, Junior consultant (Paediatrics), Shaheed Syed Nazrul Islam Medical College
Hospital, Kishoreganj
4. Dr AHM Muslima Akter, Assistant professor(Paediatrics), President Abdul Hamid Medical College, Kishoreganj
5. Dr Md. Arafat Rahman Royal, Registrar(Paediatrics),Jahurul Islam Medical College Hospital, Kishoreganj
*For correspondence

Abstract
Background: Birth defect is one of the important cause of morbidity and mortality in children.
Congenital heart disease (CHD) is the most common birth defect that causes significant childhood
mortality. This study was done to find out the prevalence of CHD and their type in Children
admitted into district tertiary care hospital of Kishoreganj.
Methods: This prospective cross sectional study was carried out in the department of Pediatrics of
3 medical college hospital of Kishoreganj. This study was done over a period of 1year from
January 2022 to December 2022. Children with the confirmed diagnosis of CHD with the age
ranging from 1st day of life to 12 years were analyzed considering the type of CHD.
Results: In our study prevalence of CHD was 12.56 per 1000 admitted child. In the present study
total 267 cases of CHD were found. Maximum cases of CHD were admitted between 2 month
to12month age group. Out of 267 cases 125(46.82%) were male and 142 (53.18%) were female.
The male-female ratio was 1:1.4.In the present study 75.66% (202) patient had acyanotic CHD and
24.34% (65) patient had cyanotic CHD. The commonest CHD was found VSD (28.46%) which
was followed by ASD (18.35%), Multiple acyanotic CHD (13.11%), PDA(11.24%), TOF and it
variant Pentalogy of Fallot (10.5%), Complex cyanotic CHD (6%), d-TGA (4%) and PS(3%).
Conclusion: In the present study wide ranges and significant number of CHD cases were found.
Acyanotic CHD is the commonest type of CHD. Increase number of multiple acyanotic CHDand
complex cyanotic CHD found in the present study.

[Shaheed Syed Nazrul Islam Med Col J 2023, Jul; 8 (2):107-114]
Keywords: Prevalence,Congenital heart disease, Echocardiography

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