Congenital Heart Disease Flashcards
Define congenital heart disease
Abnormality of the structure of the heart
Signs of congenital heart disease
Cyanosis Murmurs Abnormal pulse Circulatory collapse Sudden death Failure to thrive Breathlessness and sweatiness
How is it screened for in pregnancy?
4 chamber heart view at 18-22 weeks
When does screening occur in newborns?
24 hours after birth
What measurements are taken after birth?
Femoral pulses
Heart sounds
Pre and post ductus sat readings
Which hand is pre ductal?
Right
Which hand is post ductal?
Left
3 main signs of an unwell baby
Cyanosis
Shock
Cardiac Failure
How can cyanosis be checked clinically?
Take sats reading
Differential of a cyanotic baby
Cardiac disease
Pulmonary disease
Persistant pulmonary hypertension of the newborn
Tetralogy of Fallot
Pulmonary stenosis
Ventricular septal defect
Right ventricular hypertrophy
Over-riding aorta
Example of duct dependant conditions
Critical aortic stenosis
Interrupted aortic arch
Coarctation of the aorta
Pulmonary/Tricuspid atresia
