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congenital HEART DISEASE

Austin Journal of Clinical Cardiology

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Page 1: Austin Journal of Clinical Cardiology

congenital HEART

DISEASE

Page 2: Austin Journal of Clinical Cardiology

CONGENITAL HEART DISEASE

A Congenital Heart Disease(CHD), also known as a congenital heart anomaly or congenital heart defect, is a problem in the structure of the heart that is present at birth. Congenital heart disease is one of the most common types of birth defects, affecting up to 9 in every 1,000 babies born.

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CLASSIFICATIONAccording to arterial oxygen saturation congenital heart diseases are classified into two main categories:

Acyanotic CHD- Normal arterial oxygen saturationCyanotic CHD- Reduced arterial oxygen saturated

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VARIOUS ACYANOTIC CHD

Ventricular septal defect(VSD)Atrial septal defect(ASD)Patent ductus arteriosus()PSDCoarctation of aortaPulmonary stenosis

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VARIOUS CYANOTIC CHD

Tetrology of fallotTransposition of great arteriesTricuspid atresiaTruncus arteriosusTotal anomalies pulmonary venous drainageHypoplastic left or right heart

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FACTORS CONTRIBUTING TO CHD85 to 90% of cases, there is no identifiable

cause for the heart defect. Generally considered to be caused by the multifactorial inheritance.

Factors are usually both genetic and environmental, where a combination of genes from both parents.

Maternal factors.

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SYMPTOMSPoor feedingLow birth weightDizzinessExcessive sweatingSwelling in the hands,Ankles or feet

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TREATMENTThis is depend on the type of the C.H.D.No treatment (observation and reassurance)Surgical treatment (palliative or curative).Cardiac transplant or lung heart transplantMedical treatment (antifailure, antiarythmaic etc.,)Artificial heart valves

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Chest X-Ray EchocardiographyCardiac catheterizationEchocardiographySystolic pulmonary flow murmur

DIAGNOSIS

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Avoid pregnancy above age of 38 year.Avoid smoking.Avoid alcohol.Avoid exposure to radiation.Avoid drugs intake before medical consultation.Vaccination of all childbearing women for rubella.

PREVENTIVE MEASURES

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