Cardiology: Inherited conditions

Question 1

What is the management of hypertrophic obstructive cardiomyopathy?

Answer 1

Amioderone
Beta blockers 
Cardioverter defibrillator 
Dual chamber  pacemaker 
Endocarditis prophylaxis

Question 2

What is the most common cause of an atrial spetal defect?

Answer 2

Ostium secundum

Question 3

What is the most common congenital heart defect found in adults?

Answer 3

atrials eptal defect - ostium secundum (10 - 15% of all heart defects)

Question 4

What are the two causes of atrial spetal defects?

Answer 4

Ostium secundum

Ostium primum

Question 5

What atrial defect is found in 25% of patient with downs syndrome?

Answer 5

Atrial septal defect - ostium primum

Question 6

What heart abnormality is associated with fetal alcohol syndrome?

Answer 6

Atrial septal defcts

Question 7

Are atrial septal defects cyanotic or acyanotic? Why?

Answer 7

Acyanotic. There is oxygenated blood going tnto the right hand side. Cyanotic occurs when deoxygenated blood goes into the body.

Question 8

What are the signs and symptoms of atrial septal defect?

Answer 8

Ejection systolic murmur with fixed splitting of S2 due to delayed pulmonic valce closure compared to the aortic valve

Question 9

What are the potential complications of an atrial septal defect?

Answer 9

DVt crossing the atria and causing a paradoxical embolism for example in the brain

Question 10

How are ASDs managed?

Answer 10

Children may be monitored initially as these may close on their own but surgery may also be needed.

Question 11

What might you see on an ECG of an atrial septal defect?

Answer 11

Right bundle branch block and right axis deviation

Question 12

What heart defects are associated with CHARGE syndrome?

Answer 12

Tetraolgy of fallot

Ventricula septal defects

Question 13

What heart defect might you get in turners syndrome?

Answer 13

Coarctation of the aorta

Question 14

What congenital heart defect is associated with a radio femoral delay?

Answer 14

Coarctation of the aorta