Cardiovascular Flashcards
Which maternal illnesses can cause congenital heart disease?
- Rubella
- Toxoplasmosis
- SLE
- DM
Which maternal drugs can cause congenital heart disease?
- Warfarin
- Phenytoin
- Alcohol
- Recreational
What heart defect is common in Turner’s?
Co-arctation
What heart defect is common in Marfan’s?
Aortic Aneurysm
What closes the ductus arteriosus?
Oxygenated blood
What can cause cyanotic congenital heart disease?
Tetralogy of Fallot
What can cause acyanotic congenital heart disease?
Left to Right shunts
Outflow obstruction
Which heart defects are left to right shunts?
Ventricular septal defect
Persistent ductus arteriosus
Atrial septa defect
What can cause outflow obstruction in congenital heart disease?
Pulmonary stenosis
Aortic stenosis
Coarctation of the aorta
What is a VSD? What type of murmur is it and how can it be managed?
- L to R shunt
- Pan-systolic murmur at L sternal edge
- Furosemide until 6months old then surgery
Patent Ductus Arteriosus - When does it close, what type of murmur, and treatment
- Usually closes by 3 months
- Asymptomatic with continuous systolic murmur
- Treatment = prostaglandin inhibitor for closure - Ibuprofen
- Surgical ligation
Atrial septal defect - What type of shunt, what type of murmur, what condition is it common in?
- Left to right shunt
- Widely split S2
- T21
How do you treat Co-arctation of the aorta?
- ## Prostaglandins to keep ductus arteriosus open - opposite of PDA
What does aortic stenosis sound like?
- Harsh ejection systolic murmur
What signs are there for aortic stenosis?
- LVH
- Syncope and dizziness
