congenital heart disease in LA Flashcards
1
Q
combo of murmurs with VSD
A
- > / 3 panystolic PMI TV area = shunt
- < R cresc-descrescendo PMI PV = relative PS
2
Q
what are the exceptions of congenital heart disease
A
- complex CHD (tetralogy of fallot) and right outflow VSD
- R same tan VSD
- L sided murmur >/ R (PS/RVOTO)
3
Q
what does the prognosis depend on
A
- size and pressure
- chamber enlargement, AR/MR, PH, AF, CHF