Congenital Flashcards
most common congenital heart defect
VSD
types of ASD
otisum secundum + ostium primum
most common ASD
ostium secundum
symptoms ASD
ejection systolic murmur, fixed spitting S2 // embolism
what is seen on ECG of ostium secundum
RBBB + RAD
what is seen on ECG of ostium primum
RBBB + LAD and prolonged PR
which type of ASD presents earlier
ostium primum
what % of VSD close with no intervention
50%
what chromosomal disorders are assoc with VSD
downs (T21) // edwards (T18) // (T13) // cri-du-chat
when can VSDs be detected in utero
20 week scan
presentation SVD in babies
failure to thrive // HF: raised RR + HR, pale
what type of murmur is present in VSD
panystsolic murmur
how can large VSDs be managed
diuretics or surgery
complications VSD (5)
aortic regurg // infective endocarditis // eisenmengers // R HF // pulm hypertension
what condition is pregnancy contraindicated in
pulmonary hypertension
what shunt does ASD/ VSD cause
left –> right
what is eisenmengers
reversal of left to right shunt
what is eisenmengers assoc with (3)
ASD / VSD / patent ductus arteriosus
features eisenmengers
murmur resolves // cyanosis // clubbing // RV failure // haemoptysis + embolism
mx eisenmengers
heart + lung transplant
what is patent ductus arteriosus
ductus arteriosus does not close so connection between pulmonary vein and aorta
RF for ductus arteriosus (3)
premature // high altitude birth // rubella infection 1st trimester
presentaation patent ductus arteriosus (4)
left subclavicular thrill // continuous murmur // bounding + collapsing pulse // heaving apex beat
medical mx of patent ductus arteriosus
indomethacin or ibuprofen
