Congenital Heart Disease Flashcards
1
Q
aetiology of CHD?
A
- idiopathic
- maternal disorders ie SLE, diabetes
- maternal drug use
- chromosomal abnormality
2
Q
chromosomal abnormalities linked with CHD?
A
- Down’s syndrome
- Edwards syndrome
- Patau syndrome
- Williams
- Turner’s
- Noonans
3
Q
what is downs syndrome (trisomy 21) linked to?
A
AVSD
4
Q
what is patau syndrome (trisomy 13) linked to?
A
VSD+ASD
5
Q
what is turner syndrome (45 XO) associated w?
A
coarctation of aorta
6
Q
what is noonan syndrome associated with?
A
pul stenosis
7
Q
what is williams syndrome associated with?
A
aortic stenosis
8
Q
presentation of CHD?
A
- picked up antenatally
- murmur
- cyanosis
- heart failure
- cardiogenic shock
9
Q
what are innocent murmurs aka flow murmurs?
A
- murmurs not due to a structural abnormality
- heard in up 1/3 of children
10
Q
describe an innocent murmur
A
- systolic
- soft
- short
- symptomless
- situation dependent:
- changes w posture
- often heard in febrile child
+ can be localised; do not radiate
11
Q
where are innocent murmurs typically heard?
A
- continuous in left clavicular region (venous hum)
- LSE
12
Q
Mx of innocent murmurs?
A
if no concerning features, no further investigation required
however if there are:
- ECG
- CXR
- Echo
