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What family history would you look for?
hereditary disease, sudden death, maternal lupus
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What 5 personal history aspects might you look for?
chest pain, murmur, joint problems, medications, neurology
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What are the 2 most common causes of cyanotic heart disease?
tetralogy of fallot, transposition of great arteries, truncus arteriosus
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what are the 4 most common causes of acyanotic heart disease?
VSD, PDA, ASD, endocardial cushion defects
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What syndromal associations are there with heart disease?
Holt-Oram syndrome (autosomal dominant), Down's, trisomy 13 + 18, tetralogy of fallot
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What are the complications of VSDs?
failure to thrive, recurrent RTIs, Eisenmenger's syndrome
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What is management for transposition of the grat arteries?
Prostaglandin E, reimplant aorta and pulmonary trunks with transfer o the coronary arteries.
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On x ray you see a boot shaped heart. What do you consider and what association is there?
Tetralogy of fallot, associated with Downs syndrome
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What is management of tetralogy fo fallot?
postpone repair til 5-7 years.
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On echo you are told there is tricuspid insufficiency, with inferior displacement of the tricuspid into the R ventricle. The CXR shows a balloon shaped heart. What is this?
Ebstein's anomaly
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What is the association of cardiomyopathies?
metabolic anomalies
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