Please enable JavaScript.

Coggle requires JavaScript to display documents.

L - R Shunt :<3: (PDA (Signs (Bounding pressure, Usually normal CXR,ECG…

- - - - At 1yr
      - closed in the cardiac catheter lab
      - Might need ligation
- - - - on ECG incomplete RBBB
    - - ECG, superior QRS axis
  - - - To Prevent right cardiac failure & Arrythmia
      - Best at 3-5 yrs
- - - - slow weight gain, breathless
      - Recurrent chest infections
    - - Harsh/soft "Pansystolic murmur"
        on 3rd/4th ICS
      - palpable thrills, tachycardia
      - Loud P2 sound "pulmonary HT"
    - - CXR
        
        Enlarge heart & Enlarge pulmonary A
        
        Increase vascular markings of lungs
      - ECG
        
        BiVentricular hypertrophy
      - Echocardiography
      - Doppler "measure the shunt"
    - - Surgery "3-6 mo"
      - Manage HF "ACEi, diuretics"
  - - - ONLY "Pansystolic murmur" at lower left sternal border
    - - Not Required
      - Closed sponetaneously
      - Need Endocarditis prophylaxis