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Structural Heart Defects (Clinical Presentation (Pulmonary Hypertension,…
Structural Heart Defects
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Although some individual lesions such as atrial septal defect and persistence ductus ateriosus occur more commonly in females
Clinical Presentation
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Pulmonary Hypertension
This resistance is due to the thickening of the vascular walls of the pulmonary arteries in response to the higher pressure
The resistance causes right ventricular pressure to increase and causes the REVERSAL OF SHUNT to right-to left resulting in the patient going blue
The persistently raised pulmonary flow leads to the development of increased pulmonary artery vascular resistance and consequent pulmonary hypertension
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Central cyanosis
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Occurs because of right-left shunting of blood or because of complete mixing of systemic and pulmonary blood flow resulting in poorly oxygenated blood entering the systemic circulation
Adolescents and adults with congenital heart disease present with specific common problems related to the longstanding structural nature of these conditions:
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Congenital heart disease should be recognised as early as possible since the response is usually better the earlier treatment is initiated
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