Heart disease in children is mostly referred to as congenital heart disease symptoms manifestations vary in size, and can be completely asymptomatic in mild cases, or with palpitations, shortness of breath, weakness, hemoptysis or cyanosis in severe cases. Congenital heart disease is due to the fetal heart development in the mother defective or partially arrested caused by the specific etiology is not clear, can be related to genetic, maternal disease or drug factors. There are many varieties, and the clinical presentation depends mainly on the size and complexity of the malformation. Complex and severe malformations can present soon after birth with serious symptoms, even life-threatening. The main symptoms are: 1. Frequent colds, recurrent respiratory infections and susceptibility to pneumonia. 2. Poor growth and development, wasting and excessive sweating. 3. Weak sucking at breastfeeding, difficulty in breastfeeding, or infant refusal to eat, choking and coughing, and usually shortness of breath. 4. Children complain of easy fatigue and poor stamina. 5. bruising of lips and nails or bruising after crying or activity, pestle-like fingers and toes. 6. fondness for squatting, fainting, hemoptysis. 7. Auscultation reveals a heart murmur. If children are suspected of having heart disease, early standardized treatment is recommended to avoid delay.