Fiser ABSITE Ch. 26 Cardiac Flashcards
Right to left cardiac shunts cause _______.
Cyanosis
A shift from left-to-right shunt to a right-to-left shunt is a sign of increasing pulmonary vascular resistance and pulmonary hypertension, and is known as __________.
Eisenmenger’s syndrome
This condition, if left untreated, can cause polycythemia, strokes, brain abscess, endocarditis, and hypertrophic osteoarthropathy
Cyanosis
The first sign of CHF in children is ________.
Hepatomegaly
Left to right cardiac shunts cause _____, clinically manifested as failure to thrive, tachycardia, tachypnea, and hepatomegaly.
CHF
_____________ is a connection between the descending aorta and the left pulmonary artery.
Ductus arteriosus
________________ is a connection between the portal vein and IVC.
Ductus venosum
Ductus venosum causes blood to be shunted away from the _____
Liver
Ductus arteriosus causes blood to be shunted away from the ________ in utero.
Lungs
The most common congenital heart defect _______
VSD
VSDs usually close spontaneously by age ____________
Six months
Medical treatment for symptomatic VSD is ______ and _____.
Diuretics, digoxin
Indications for repair of VSD
CHF resulting in failure to thrive; peripheral vascular resistance (PVR) > 4-6 Woods units
Contraindication to repair of VSD
PVR > 10-12 Woods units
Most common type of ASD
Ostium secundum