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Clinical Diagnostic Approach to Congenital Acyanotic Congenital Heart Disease in Infants and Children.

Authors
  • Kannan, Bhava Rj1
  • 1 Department of Pediatric Cardiology, Vadamalayan Hospital, Madurai, India. [email protected] , (India)
Type
Published Article
Journal
The Indian Journal of Pediatrics
Publisher
Springer-Verlag
Publication Date
May 01, 2020
Volume
87
Issue
5
Pages
381–384
Identifiers
DOI: 10.1007/s12098-020-03251-w
PMID: 32239420
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

Congenital heart diseases have varied presentations depending on the age of presentation. Regression of neonatal pulmonary hypertension and the timing of establishment of left to right shunt determines the onset of symptoms. Pre-tricuspid shunts generally remain asymptomatic during the childhood while large post-tricuspid shunts present with heart failure in late neonatal or early infancy period. Admixture lesions have pathophysiology similar to large post tricuspid shunts with additional small right to left shunt causing mild systemic desaturation. Murmurs are prominent in valvular heart diseases. Careful clinical assessment of features of high pulmonary blood flow, presence of absence of systemic desaturation, status of second heart sound and murmur would help to arrive at a reasonable bedside diagnosis.

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