Friday, June 16, 2017

Approach To A New Born With Congenital Heart Disease

A baby may be born with congenital heart disease and may not not present with symptoms in the early few hours of life. 

In order to diagnose the condition following points are summarized below:

1. A Baby With Cyanosis: may have conditions like
  • Transposition of Great Arteries (TGA) ,
  • Right sided obstruction (Pulmonary atresia, Tricuspid atresia)
2. Presentation with Mild Cyanosis and CCF: include conditions like:
  • TAPVC,
  • Truncus arteriosus
3. A newborn baby in Shock: may have:
  • Hypoplastic left heart syndrome,
  • Aortic stenosis
4. Late onset CCF (> 2 weeks): include underlying conditions like:
  • VSD,
  • PDA,
  • Cardiomyopathy
5. Asymptomatic: A newborn may be asymptomatic but may present with symptoms later in life in conditions like:
  • Small VSD,
  • mild pulmonary stenosis

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