Ppt on eisenmenger syndrome symptoms


predictors of adverse outcomes in primary pulmonary hypertension.J Am Coll Cardiol 2002;39:1214 –1219. TREATMENT OF PAH Improvement of symptoms - Dyspnoea, QOL Improving functional capacity - 6MWT Improving objective parameters – mPAP, PVR, COP Reverse/ Prevent disease progression Counselling /. N Engl J Med. 2002;346:896 –903. 2. Galie N et al. Bosentan therapy in patients with Eisenmenger syndrome: a multicenter, double-blind, randomized,placebo-controlled study. Circulation. 2006;114:48 –54. 3. Galie N et/

Adult with operated congenital heart disease: what should we check for? January 15 th, 2016 16h-17h30.

correct? A) Isolated complete AVSD in adults is an aetiology of Eisenmenger syndrome B) In case of pulmonary stenosis or banding, it may be still surgically correctable C) In case of Eisenmenger syndrome, specific medical therapy increases life expectancy D) Mitral clip is / diagnosed during adulthood B) It is the association of ostium secundum ASD and mitral cleft C) Cyanosis is a symptom that may lead to diagnosis D) Percutaneous closure is the treatment of choice of the ostium primum Atrial septal defect/

Congenital Heart Disease

RA to be higher than the pressure in the LA and will reverse the shunt → right-to-left shunt will exist (this phenomenon is known as Eisenmenger’s syndrome). Clinical Signs & Symptoms Atrial Septal Defect Clinical Signs & Symptoms • Most are asymptomatic, but may have easy fatigability, mild growth failure, frequent lower respiratory tract infection. • Cyanosis does not occur unless Pulm HTN or R-to/

- Describe the clinical features that point to the presence of a congenital heart malformation. - Describe the general classification of heart diseases.

right shunt, resulting in left atrium and ventricle overload. › Increased pulmonary blood flow can result in pulmonary hypertension and reversal of the shunt, which is known as Eisenmenger’s Syndrome. This results in flow of desaturated blood to the lower extremities. Symptoms: › Preterm neonate develop CHF and respiratory distress, Full term neonate may be asymptomatic. › Infants with Large left to right shunts develop/

Congenital heart disease in adults Heart Disease Braunwald CV R4 李威廷醫師 Supervisor: 詹世鴻醫師.

) Coronary sinus ASD (atrial septal defect) Qp/Qs > 1.5: symptoms (+) Effort dyspnea (exercise intolerance) Palpitation (Af/AF) Paradoxical embolism Pulmonary hypertension Eisenmenger syndrome Systolic murmur at left 2 nd insterconstal space mid-diastole rumble at LLSB / VSD (Qp/Qs>1.5) or PS (>50mmHg)  correction CAVB  permanent pacemaker (epicardial, DDD) Eisenmenger syndrome R  L shunt or bidirectional shunts “Differnetial cyanosis” Complication: CHF (most often), sudden death, hemoptysis EKG/

Pregnancy and Heart Disease. Physiology Blood volume increases (about 50%) Hg concentration falls “physiologic anemia of pregnancy” Cardiac output increases.

replacement prior to pregnancy Aortic Stenosis Symptoms often develop in the 2nd and 3rd trimester –Exertional dyspnea –Chest pain –Syncope Aortic Stenosis Patients may require balloon valvuloplasty or surgical intervention Fetal effects included –Intrauterine growth retardation –Premature delivery –Reduced birth weight –Increase in cardiac defects In general regurgitant valvular lesions are well tolerated during pregnancy Eisenmenger Syndrome High risk of maternal morbidity and/

Internal Medicine Board Review- Cardiology

not beyond your training level Avoid unnecessary admissions and invasive tests in patients with no or minimal symptoms Make important diagnoses in patients with concerning presentations Provide life-prolonging therapies and recognize contraindications to /present in adult life were likely moderately restrictive in childhood Likely to result in Eisenmenger’s syndrome and severe pulmonary hypertension Eisenmenger’s syndrome End-stage of congenital heart disease with initial L>R shunt Persistent increase in/

Internal Medicine Board Review Cardiology

during surgery Pregnancy and Heart Disease High risk Eisenmenger’s syndrome Severe pulmonary HTN Severe aortic stenosis/LVOT obstruction Coarctation of the aorta with obstruction Marfan’s syndrome with aortic root > 43 mm Symptomatic systemic /Diagnosis – mid-systolic click with late systolic murmur, increases with Valsalva Test – echo Mgt – beta blocker for symptoms, SBE prophylaxis no longer recommended!, valve repair only for severe regurgitation +/- atrial fibrillation or pulmonary HTN MVP Hypertrophic/

Cardiac Disease in Pregnancy. Physiological Changes in the Cardiovascular System During Pregnancy A thorough knowledge –essential In order to understand.

Lesions and Risk of Cardiac Complications High Risk Eisenmengers syndrome Severe pulmonary hypertension Complex cyanotic heart disease –(tetralogy of Fallot, Ebsteins anomaly, truncus arteriosis, transposition of the great arteries, tricuspid atresia) Marfan syndrome with aortic root or valve involvement Maternal Cardiac Lesions and Risk of Cardiac Complications High Risk Uncorrected severe aortic stenosis with or without symptoms Uncorrected severe mitral stenosis with NYHA functional/


fatigue, DOE,progressive AR Cardiomegaly PASP >60mm Hg/ >1/2 of systemic pressure Good prognosticators Lack of symptoms normal LV size & function small LR shunt normal pulmonary pressures / resistance Intact vasodilator response in pulmonary /enlargement of pulmonary trunk& its branches persists Nonrestrictive vsd with elevated but variable PVR- enlargement of all 4 chambers Eisenmenger’s syndrome- oligemic lung fields, RA,LA, LV normal, RV occupies the apex Echocardiography Common locations of vsd -2d /


Pulmonary hypertension and increased tendency to develop pulmonary vascular resistance  right to left shunting  cyanosis (Eisenmenger syndrome) AV valvular insufficiency Atrioventricular Septal Defects (AV Canal Defect) Clinical Manifestations Heart failure and intercurrent pulmonary /> membranous During Ventricular Septal Defect Treatment Indications for surgical closure Large defects in whom clinical symptoms and failure to thrive cannot be controlled medically Infants between 6 and 12 months with large/

Congenital heart diseases. These are abnormalities in the cardiocirculatory structures or function that are present at birth, even if it is discovered.

in the 1 st year of life, Without surgical repair, most patients will develop pulmonary hypertension and some reach to Eisenmenger syndrome (10%), but 5% wall develop infundibular & pulmonary stenosis. Those with supracristal VSD at risk for aortic regurgitation. / large, non obstructive. Overriding of aorta ( right sided in 20% ). Clinical features Time of onset of symptoms Severity of cyanosis RV hypertrophy Depend of the degree of right ventricular outflow obstruction If mild initially heart failure with/

Congenital Heart Disease. Aetiology and incidence The incidence 0.8% of live births. Maternal infection or exposure to drugs or toxins may cause congenital.

defect) Clinical Features Most children are asymptomatic for many years and the condition is often detected at routine clinical examination Qi/Qs > 1.5: symptoms (+) Effort dyspnea (exercise intolerance) Palpitation (Af/AF) Paradoxical embolism Pulmonary hypertension Eisenmenger syndrome Atrial Septal Defect. signs : Right ventricular heave S 2 widely split and usually fixed Systolic murmur at left 2 nd insterconstal space mid-diastole rumble/

Mehdi Mousavi M.D. Interventional Cardiologist Assistant Professor Alborz University of Medical Sciences

are at risk of paradoxical embolus and stroke.  In the setting of severe pulmonary vascular disease (Eisenmenger syndrome), maternal mortality may approach 50%.  The volume load of pregnancy may compromise the poorly functioning /PAC, PVC) require no therapy  PAC (commonly observed during pregnancy), are generally benign and well tolerated. In patients with mild symptoms and structurally normal hearts, no treatment other than reassurance  Class I: Vagal maneuver [C], Adenosine [C], DC cardioversion [C/

Paediatrics 2 Cardiothoracic & renal. What we will cover: Cardiac problems; Congenital heart disease Rheumatic fever Infective endocarditis Respiratory.

if significant Risks: arrhythmia, sudden death, IE, AV prolapse/AR, Eisenmenger’s Patent Ductus Arteriosus Causes: rubella, prematurity, prenatal hypoxia, malformations 1/arteriosus AVSD (Down’s syndrome) Complex e.g. tricuspid atresia Aortic stenosis Pulmonary stenosis Hypoplastic left heart syndrome Rheumatic fever Now rare in/winter, premature, LBW, chronic lung disease, congenital HD, immunocompromised, Down’s Symptoms & signs Coryza Dry cough Increasing SOB, apnoeas, tachypnoea, resp distress Subcostal/

Michael Pieters Dept. of Diagnostic Radiology Bloemfontein CONGENITAL HEART DISEASE WITH LEFT TO RIGHT SHUNT.

 Left atrium normal  distinguishes uncomplicated ASD from other L->R lesions)  Main pulmonary artery enlarged  Eisenmenger syndrome findings  Seen in pulmonary hypertension  Large central pulmonary arteries  Peripheral pulmonary artery tapering ASD IMAGING – CHEST/Infants with complete AVSD  Tachypnoea, tachycardia  CCF sx when pulmonary resistance starts to fall  Signs and symptoms vary according to the degree of shunting  Partial AVSD  Infants usually asymptomatic  Can present earlier if /

Chest Pain in Children MUHAMMAD ALI Cardiology Division Department of Child Health University of Sumatera Utara.

assigned without a thorough history taking and a follow-up evaluation. Psychological or psychiatric consultation may reveal conversion symptoms, a somatization disorder, or even depression. Miscellaneous 1.The precordial catch (Texidors twinge or stitch in the/-ray films may be abnormal in patients with AS and PS and are definitely abnormal in patients with Eisenmengers syndrome, with a marked prominence of the main pulmonary artery segment. Echocardiography and Doppler studies permit accurate determination/

ASD with Severe PHT R4 권성진.  Congenital heart disease in adult - Newly diagnosed - Already diagnosed patients without undergoing OP : Clinically insignificant.

leads pulmonary vascular occlusive disease - Pulmonary hypertension - Right ventricular failure - Atrial arrhythmias  Symptoms and signs - No symptoms & signs when Qp/Qs < 1.5 - Effort breathlessness and respiratory infections  Auscultation /- Contraindication : severe pulmonary hypertension !  Eisenmenger Syndrome - 1897 Vicktor Eisenmenger : 32 yr women with dyspnea, cyanosis, hemoptysis  Autopsy : large VSD - 1958 Paul Wood : “Eienmenger syndrome” - Elevated pulmonary artery resistance and severe /

The Heart. Cardiac Structure and Specializations Myocardium Myocardium Valves Valves Conduction system Conduction system Blood supply Blood supply.

lesions Pulm pressures reach systemic levels Pulm pressures reach systemic levels R to L shunt R to L shunt Eisenmenger Syndrome Eisenmenger Syndrome Altered hemodynamics of CHD Altered hemodynamics of CHD Dilation, hypetrophy or both Dilation, hypetrophy or both Decreased volume and/the lumen leads to Symptomatic ischemia precipitated by exercise Obstruction of 90% leads to symptoms even at rest Obstruction of 90% leads to symptoms even at rest May lead to formation of collateral vessels over time May lead/

先天性心脏病 Congenital Heart Disease (CHD)

patients Question How to detect and estimate the PH in PDA patient in clinical experience? Why? Important Concept: Pulmonary hypertension differential cyanosis (Eisenmenger syndrome) A widened Pulse Pressure Tetralogy of Fallot (TOF) 法洛四联症 Learning objectives You should; Know the signs , symptoms, diagnostic features and management of the commonest cyanotic congenital heart disease-TOF Questions for TOF How to treat it? 1.The mechanism and/

Critical Q’s & As Sixth Edition. Behavioral What are the factors associated with an increased likelihood of suicide? Elderly (or adolescent) and male.

heart failure dominating the clinical picture? Hyperthyroidism/thyrotoxicosis How long after someone stops drinking can symptoms of alcoholic withdrawal syndrome begins? Symptoms may start 6-8 hours after cessation of drinking and include alcoholic tremulousness, seizures and /and cyanosis. What is the most likely explanation? Reversal of the shunt has occurred This is the Eisenmenger complex. Congenital heart lesions causing shunts are best corrected before this point, since pulmonary hypertension may not/

PAH and Lung Transplant FRACP Teaching 2007 TJ McWilliams Respiratory Physician.

COPD, Pulmonary Fibrosis Collagen Vascular Disease Scleroderma (CREST), SLE HIV, Drugs Eisenmengers: PDA, VSD, ASD CTEPH Porto-pulmonary Hypertension Pathology of PAH Intimal Thickening/ PE May occur despite anti-coagulation  Suspect if signs and symptoms of pulmonary hypertension and a past history of blood clots  Diagnosis/ BOS  Infection  Renal Impairment  Malignancy  Osteoporosis Bronchiolitis Obliterans Syndrome (BOS)  Manifestation of chronic rejection Still the most significant limitation /

Review Physiological Integrity of Children Question and Answer.

hold, touch, talk to and look at the infant to promote bonding. The prognosis is very good unless Eisenmenger’s syndrome develops. Physiological Integrity of Children Oxygenation (Cardiovascular) Health 66. What nursing information most accurately describes the cardiac /distress D.Risk for altered parenting related to hospitalization 90. A 2-week-old infant is admitted with symptoms of respiratory distress related to upper respiratory infection. Which nursing diagnosis has the highest priority? A.Activity /


significant cardiac sequelae –Right-sided volume overload –Pulmonary arterial hypertension –Atrial arrhythmias.  The subtle physical examination minimal symptoms during the first 2-3 decades contribute to a delay in diagnosis until adulthood  Majority (more than 70/ is conflicting whether migraine is associated with right to left shunt via PFO or ASD Pulmonary hypertension and Eisenmenger syndrome — The development of pulmonary vascular injury is related to the degree and duration of right heart volume /

Path Final Exam Practice. A Couple Notes Thanks to the rockstars who helped put this together! For most of the questions, answer choice F is meant as.

D. It commonly causes severe disease in young adults E. Amantadine can be given as a prophylaxis to prevent symptoms associated with this virus Question 75 This virus commonly presents in young children as laryngeotracheobronchitis. On histology it forms / A and B present at birth with a L  R shunting of blood that may potentially develop shunt reversal (Eisenmenger syndrome) but would affect all extremities equally. TOF presents with VSD, overriding aorta, obstruction of the right ventricular outflow, /


beenshown that 3% of the patients with a defect of 1.5 cm or smaller will develop Eisenmenger’s syndrome whereas half of patients with larger defect will develop pulmonary hypertension , which will also appear earlier than/Supportive /conventional” therapies “Targeted therapies” SUPPORTIVE THERAPIES EXERCISE AND PHYSICAL ACTIVITY : patients should avoid activities that lead to undue symptoms such as severe dyspnea , chest pain , light headedness or syncope . However, low-to-moderate levels of exercise to /

QOD Cardiology. You are treating a 4-month-old infant who was born with tetralogy of Fallot. Her mother brings her to the clinic because she has had diarrhea.

who has a large, unrestricted ventricular septal defect will not manifest symptoms of pulmonary overcirculation and congestive heart failure because the normal decrease in pulmonary vascular resistance does not occur. This prevents the development of a large left-to- right shunt. Such babies are at risk for the eventual development of Eisenmenger syndrome and irreversible pulmonary vascular changes. If they undergo surgery before/

Klinik für Kinderherzchirurgie

flow +/- shunt closure Shunts: Operative Indications Klinik für Kinderherzchirurgie Shunts: Operative Indications L >> R: Symptoms: tachycardia, tachypnea, hepatomegaly, sweating during feeds, failure to thrive Qp:Qs > 1.5 Aortic valve / (muscular and interstitial) increased reactivity fixed contraction vascular wall sclerosis >> fixed pulmonary vascular resistance = Eisenmenger syndrome Ventricular Septal Defect (VSD) Klinik für Kinderherzchirurgie Ventricular Septal Defect (VSD) Cross-circulation: father/

Pathology Review Flash Cards for Revision Vascular, Cardiology, Pulmonary, Hematology Spring 2009.

VSD or thru a PDA; but the routes are limited by flow considerations Other Eisenmenger’s syndrome Malpositions of the heart Dextrocardia with situs inversus Kartagener’s syndrome - triad of: situs inversus (transposition) of the viscera, abnormal frontal sinuses/ inflammatory cell component extranodal involvement rare and rare involvement of Mesenteric nodes and Waldeyers ring Constitutional signs and symptoms (“B” symptoms); low grade fever, night sweats, and weight loss. Young Adults with mean age 32. 50% /


significant cardiac sequelae –Right-sided volume overload –Pulmonary arterial hypertension –Atrial arrhythmias.  The subtle physical examination minimal symptoms during the first 2-3 decades contribute to a delay in diagnosis until adulthood  Majority (more than 70/ is conflicting whether migraine is associated with right to left shunt via PFO or ASD Pulmonary hypertension and Eisenmenger syndrome — The development of pulmonary vascular injury is related to the degree and duration of right heart volume /

Pediatric Board Review 2014 Pediatric Cardiology

Natural history : Small VSDs close spontaneously depending on the site. Unrepaired the large defects may lead to Eisenmenger’s syndrome. VSD - cont….. Large VSDs are closed surgically by 6 months of age. Diuretics,digoxin and afterload /inhibit endothelialization) Cardiac transplantation recipients who develop cardiac valvulopathy Myocarditis- Etiology Myocarditis- signs and symptoms DILATED heart Sinus TACHYCARDIA CHF Inflamed Myocardium and conduction system Arrhythmias Heart Normal Normal Pathology /

Pediatric Board Review 2015 Pediatric Cardiology Prema Ramaswamy, M.D. Director, Pediatric Cardiology, Maimonides Infants and Childrens Hospital of Brooklyn.

Natural history : Small VSDs close spontaneously depending on the site. Unrepaired the large defects may lead to Eisenmenger’s syndrome. VSD - cont….. Large VSDs are closed surgically by 6 months of age. Diuretics,digoxin and afterload reducing/ Typical history, normal EKG BENIGN SYNCOPE  Vasovagal  Orthostatic hypotension  Hyperventilation  Breath holding spells DANGER SYMPTOMS Syncope especially with EXERTION or EXCITEMENT- anger, fear, startle Cardiac arrest with exercise or excitement Sudden Death/

CARDIAC DISEASES IN PREGNANCY DR. RAZAQ MASHA,FRCOG Assistant Professor & Consultant Department of Obstetrics & Gynaecology.

. This tends to occur in women over 40 years. If it however occurs in the reproductive age, the symptoms include angina, syncope and shortness of breath. Can result in left ventricular failure and infective endocarditis. Maintain adequate /pulmonary hypertension and right-to-left shunt through any communication between the systemic and pulmonary circulation is know as Eisenmenger syndrome. If however, the shunt is substantial resulting in many years of increased pulmonary blood flow, pulmonary hypertension /

Pediatric Board Review 2014 Pediatric Cardiology Prema Ramaswamy, M.D. Co-Director, Pediatric Cardiology, Maimonides Infants and Childrens Hospital of.

Natural history : Small VSDs close spontaneously depending on the site. Unrepaired the large defects may lead to Eisenmenger’s syndrome. VSD - cont….. Large VSDs are closed surgically by 6 months of age. Diuretics,digoxin and afterload reducing/ Typical history, normal EKG BENIGN SYNCOPE  Vasovagal  Orthostatic hypotension  Hyperventilation  Breath holding spells DANGER SYMPTOMS Syncope especially with EXERTION or EXCITEMENT- anger, fear, startle Cardiac arrest with exercise or excitement Sudden Death/

Classification des cardiopathies congénitales. I - Physiopathologie : Chez le sujet normal, la petite et la grande circulation sont en série et leurs.

defects, including patent foramen ovale, atrial septal defect or Wolff- Parkinson-White syndrome. Severe cases are life-threatening. Milder cases may have no signs or symptoms until adulthood. Treatment is with medications or with surgery to repair or replace /-gauche peuvent se faire systématiquement dans trois circonstances –obstacle pulmonaire + défaut septal : T4F, T3F, Ebstein, CIA, Eisenmenger, atrésie tric. Toutes ces cardiopathies ont en commun une réduction du débit pulmonaire. –TGV –Mélange total /

Cardiac Physical Diagnosis: A Proctor Harvey Approach

males) may continue a benign course for years; on the other hand, progression can gradually occur and cause symptoms. Cardiac PEARL Sometimes, unexplained GI bleeding occurs in patients with aortic stenosis. Following an operation for aortic stenosis/are only a few conditions that cause a “giant” A-wave in the jugular venous pulse: Pulmonary hypertension (“Eisenmenger syndrome”)- pulmonary hypertension, with atrial defect, ventricular defect, and patent ductus arteriosus) can cause pressure to be reflected /

Cardiology Board Review – Part II

at LLSB (often obliterates S2) If large, can cause Eisenmenger’s syndrome (irreversible pulm vascular disease due to longstanding shunt with reversal of flow) Down’s syndrome PFO Often found in adults when they present with stroke (/ of ankle-brachial index with exercise Treatment with ibuprofen Venous duplex ultrasonography of the lower extremities Peripheral Arterial Disease Symptoms (Claudication): Mild-Mod: leg fatigue, difficulty walking, atypical leg pain Severe: pain at rest, ulceration, gangrene/

The History taking And Physical Examination. Data from the history, physical examination, chest roentgenogram, electrocardiogram, and other routine laboratory.

collaterals during the initial myocardial ischemia. Myocardial infarction Pain associated with acute coronary syndrome (ACS) is usually more severe and longer-lasting than anginal pain and is/a heavy meal in a warm room and has brief premonitory signs and symptoms such as nausea, yawning, diaphoresis, and sometimes the feeling of decreased /right-to-left shunt through a patent ductus arteriosus in a patient with Eisenmenger physiology. Peripheral cyanosis does not involve the mucous membranes but is the/

Pregnancy in women with heart disease fetus point Dr. M.Moshfeghi OBS&GYN fellowship of perinatology Shariati.Hospital,TUMS.

hypertension (pulmonary vascular disease) Maternal cyanosis Poor maternal functional class History of arrhythmia Maternal anticoagulants Pulmonary hypertension Eisenmenger syndrome, Preterm delivery and fetal growth retardation at least 50 percent, 15 to 25 percent of pregnancies progressing to/ declines termination, we manage the patient medically and operate only for refractory NYHA class III or IV symptoms It is preferable to delay surgery, if possible, until the fetus is viable; a cesarean delivery /


DM) 5 Non cardiac malformation : 10 - 15% CHD (e.g. Cleft lips) Kartagener Syndrome (bronchiectasis, sinusitis paranasal, dextrocardia) AHD : - infection (RF, diphtheriae) - neonatus (Coxsackie/cyanosis - Infants/Children : L-R shunt, no cyanosis - Bidirectional shunt Signs/Symptoms : Usually asymptomatic, mmr is found by chance Fatigue, dyspnea, recurrent respiratory / RV and LV – –Pressure LV > RV  L-R shunt – –L-R, R-L (Eisenmenger S)  VSD, ASD – –Defect <<  small shunt – –Defect >>  large shunt – /


QRS 90 to 180 Pulmonary continuous murmur Stenosis murmur Prostaglandin (PGE1) Infusion Neonates –fail hyperoxia test High Signs& symptoms of CHD or likelihood Present in shock within 1st 3 wk of life of CHD PGE1 administration –open ductus / Systolic murmur in pulmonary area is insignificant or absent Pulmonary and/or TR murmurs may be present EISENMENGER SYNDROME-DIFFERENTIATION ASD VSD PDA CYANOSIS UNIFORM DIFFERENTIAL CARDIOMEGALY PRESENT ABSENT PARASTERNAL IMPULSE HEAVING MILD 2nd SOUND WIDE FIXED/

Atrioventricular Septal Defect

CHF & PAH Those who survive without surgery into childhood usually develop pulmonary vascular obstruction and eventually die with Eisenmenger’s syndrome Berger and his colleagues found that only 54% of patients born with a complete form of AVSD were alive/ traditional forms of therapy Surgical repair, which should be performed early in life because the patient usually has symptoms and is at risk for developing pulmonary vascular obstructive disease Special Forms of AVSD Unbalanced Defect One ventricle and/

The Univentricular Repair: Indications, Procedures, Outcomes and Controversies Karyn P. Luna, M.D.

pacing was applied because he had morphologically bilateral ventricles, however, it was not effective to improve his symptoms. Although he tolerated the operation well and was discharged from the hospital, he died of heart failure /Controversy: Pregnancy Pregnancy is contraindicated in patients with severely reduced pulmonary blood flow or with severe pulmonary vascular disease (Eisenmenger syndrome) or if ventricular function is poor. Cyanosis poses a significant risk to the foetus, with a live birth /

Pediatric Physical Exam

falls off percentile curves Microcephaly dDx: Craniosynostosis, etc. Congenital Syndromes… Down Syndrome & Turner Syndrome associated with short stature Skin Newborn – Expected Variants Transient/appear until after the neonatal period suggests: Pure pulmonic stenosis Eisenmenger complex - only develops in some cases right-to-left /~> aneurysms Critical concern: cardiac involvement (vasculitis of the coronary artery) Signs & symptoms: Medical Management: Fever (few days – 3 weeks) Conjunctivitis (red eyes) /

Congenital heart diseases CHD are the abnormalities of the heart or blood vessels that are present from birth. Disorders arise during the 3 rd to 8 th.

the pressure more on the right side than the left side, leads to cyanosis  late onset  (EISENMENGER SYNDROME) Also called as TARDIVE CYANSOS Malformation causing right to left shunt 1.TOF 2.Transpositions of great arteries 3/ small VSD, maybe absent with a very Large VSD. Complications Pulmonary hypertension, CHF, FTT, Respiratory infections, exercise intolerance Symptoms develop between 1 – 6 months Ventricular Septal Defect Treatment Small VSD - no surgical intervention, no physical restrictions, just /

Dr. Talaat Ali Sabeeh Al-Jarrah Pediatric Cardiologis t.

type : same large VSD. Incomplete type: same ASD. Treatment Surgery is always required. Treat congestive symptoms. Pulmonary banding may be required in premature infants or infants < 5 kg. Correction is done during infancy to avoid irreversible pulmonary vascular disease (Eisenmenger `s syndrome). Mortality low with incomplete 1-2% & as high as 5% with complete AVSD. Patent Ductus arteriosus PDA – Persistence of the normal/

In the Name of God Obstetrics Study Guide 4 Mitra Ahmad Soltani 2008.

po Not to exceed 1.2 mg/day Which is true about a 12 wk pregnant woman with Eisenmenger syndrome? A- therapeutic abortion is indicated B-heparin throughout pregnancy should be given C-pregnancy should be terminated when//NSAID,  blocker use recognised triggers – pollens, dust, animals, exercise, viral infections, chemicals, irritants pattern and severity of symptoms and exacerbations Signs none (common) wheeze – diffuse, bilateral, expiratory (  inspiratory) tachypnea Consider the diagnosis of asthma in /

Dr. A.R.Pintilie. 1.Cardiovascular Diseases 2.Urinary Tract Infections 3.Gastrointestinal Disorders 4.Diabetes 5.Infections 6.Neoplastic Diseases 7.Uterine.

Group 3 (mortality 25-50%): - pulmonary hypertension - aortic coarctation with valvular involvement - Marfans syndrome - Eisenmengers syndrome The lesions are classified according to the functional grading of the New York Heart Association as follows: => class I = patients with cardiac disease and no limitation of physical activity; these patients do not have symptoms of cardiac insufficiency nor anginal pain (uncompromised patients); => class II = slightly compromised: patients/

Premchand Anne, MD, MPH PGY IV 9/1/2005

in a large size VSD Complication of large VSD=Eisenmenger’s => generalized cyanosis VSD Left to Right Shunts-PDA PDA Onset of /because of poor feeding, tachypnea, and lethargy. According to his mother, the symptoms began 24 hours earlier and have progressed throughout the day. Findings on physical examination/treatment for double aortic arch; risk for tracheomalacia immediate treatment for hypoplastic left heart syndrome; risk for right ventricular dysfunction Question-7 You are evaluating a 3-day-old/

Dr. K.L. BARIK Professor, Dept. of Pediatrics Burdwan Medical College Acyanotic heart Disease Downloaded from: medicinehack.wordpress.com.

intolerance/ repeated pulmonary infection and CCF. 3)Long- standing pulmonary hypertension. h/o cyanosis and decreased activity (Eisenmenger’s syndrome). (C/F CONT….) 1)Infant with small VSD- well developed. 2)On 6 to 8 wk- / syndrome) 4)Systolic thrill at LLSB. Precordial bulge large shunt VSD. 5)Pansyst./holosyt,/early syst.murmur. 6)Apical diastolic murmur. 7)Infundibular VSD –early diastolic murrm.ofAR. PHYSICAL EXAMINATION VENTRICULAR SEPTAL DEFECT-SYMPTOMS  Small VSD – no symptoms, detection of heart/

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