Cardio in paeds Flashcards
William’s syndrome affect what chromosome ?
chromosome 7
clinical features of william’s syndrome ?
elfin-like facies - flat upturned nose
wide vermillion border, small spaced teeth
characteristic like affect - very friendly and social
learning difficulties
short stature
transient neonatal hypercalcaemia
SUPRAVALVULAR AORTIC STENOSIS
what is PDA?
connection between pulmonary artery and the aorta
why is PDA common in premature babies ?
ductus arteriosus closes with the first breaths due to increased pulmonary flow which enhances prostaglandins clearance
PDA is ore common in
premature babies, born at high altitude or maternal rubella infection in the first trimester
clinical features in PDA?
continious machiene murmur
bounding and collapsing pulse
wide pulse pressure
heaving apex beat
managemnet of PDA?
given to neonate If echo shoes patent ductus arteries one week after delivery : INDOMETHACIN AND IBUPROFEN - inhibits prostaglandin synthesis
IF ASSOCIATED WITH ANOTHER CONGENITAL HEART DEFECT AMENABLE TO SURGERY - PROSTGLANDIN E1 - to keep the DUCT OPEN
X
C
X
Cause if ebstien anomaly ?
Lithium in utero
Ebstien anomaly ?
congenital heart defect characterised by low insertion of the tricuspid valve
Clinical Features of ebstien anomaly
Cyanotic spells due to R to L shunt
Tricuspid regurgitation - Pansystolic murmur - worst in inspiration
hepatomegaly
Ebstien anomaly anatomical features
patent foramen ovale (PFO) or atrial septal defect (ASD) is seen in at least 80% of patients, resulting in a shunt between the right and left atria
Ebstien anomaly usually has what on ECG ?
Wolff-Parkinson White syndrome - SVT
