Congenital And Genetic Cardiac Diseases Flashcards

1
Q

What are some signs of potential congenital cardiovascular diseases in utero?

A

Nuchal folds

Cystic hygroma

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2
Q

What cardiovascular congenital disease is more likely to occur in children with Down syndrome?

A

ventricular septal defect

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3
Q

What cardiovascular congenital abnormalities are children with turners syndrome more likely to have?

A

Aortic coarctation

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4
Q

What is a common cardiac congenital abnormality in people with William’s syndrome?

A

Supravalvar aortic stenosis

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5
Q

What cardiac abnormality do children with Noonan syndrome often have?

A

Pulmonary stenosis

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6
Q

what are some of the congenital diseases which result in neck webbing and cardiac abnormalities?

A
turner's syndrome
noonan's syndrome
cardio-facio-cutaneous syndrome
leopard syndrome
costello syndrome
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7
Q

what is a common pathway in which gene disruption causes a variety of congenital diseases?

A

MAPK pathway

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8
Q

what are characteristics of 22q11 deletion syndrome?

A
CATCH 22
cardiac abnormality
abnormal facies
thymic hypoplasia
cleft palate
hypoparathyroidism
22q11 deletion
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9
Q

what are different versions of severity of 22q11 deletion syndrome?

A
DiGeorge's syndrome (more severe)
Shprinzen syndrome (less severe)
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10
Q

what are some complications in later life in people with 22q11 deletion syndrome?

A

they can develop psychiatric disorders later in life

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11
Q

what is Marfan’s syndrome?

A

genetic disease caused by Fibrillin 1 mutation

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12
Q

what type of disease is Marfan’s syndrome?

A

connective tissue disease

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13
Q

what is used to diagnose Marfan’s syndrome?

A

GHENT criteria

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14
Q

what are the main criteria to diagnose Marfan’s syndrome?

A

eye problems (myopia, lens subluxation)
cardiac abnormality (dilated aortic root)
skeletal (>7 out of 14 factors)
family history (direct relative affected)
genetics (Fibrillin 1 mutation)

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15
Q

why does Marfan’s cause connective tissue destruction

A

because it is secreted along with another enzyme, which is in excess when Fibrillin is abnormal, and destroys connective tissue

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16
Q

what are the main investigations for Marfan’s syndrome?

A

echocardiogram
MRI and/or pelvic Xray
genetic testing
family testing

17
Q

how is cardiac disease in Marfan’s syndrome managed?

A

beta blockers and ACEis to keep aortic dilatation to a minimum
prophylactic surgery to avoid aneurysms

18
Q

what are some genetic diseases which can result in sudden cardiac death, and what structures do they affect?

A

Long QT syndrome and Brugada syndrome - ion channels
Hypertrophic cardiomyopathy - sarcomere
ARVC - cell junctions
dilated cardiomyopathy - cytoskeleton

19
Q

how would a family with a genetic condition be screened?

A

cascade screening - systematically tracing all close relatives

20
Q

what are some of the causes for congenital heart defects?

A

fetal alcohol syndrome
anticonvulsants
diabetes
rubella

21
Q

what are characteristic signs of Turner’s syndrome?

A
aortic coarctation
gonadal dysgenesis
neck webbing
short stature
puffy hands
22
Q

what is a typical symptom of fetal alcohol syndrome?

A

smooth philtrum

23
Q

what are common facial features of children with 22q11 deletion syndrome?

A

small eyes
bulbous nose
crumpled looking ears

24
Q

what is Jervell and Lange-Nielsen syndrome?

A

a type of long QT syndrome which includes congenital deafness

25
Q

what are some of the signs of Romano-Ward syndrome?

A

torsade de pointes
ventricular fibrillation
syncope

26
Q

what are two types of long QT syndrome?

A

Romano-Ward syndrome

Jervell and Lange-Nielsen syndrome

27
Q

what are the main genes involved in ARVC?

A

plakophilin 2
desmoglein 2
desmoplakin