Cardiology · Pediatric Cardiology

Congenital Heart Disease Basics

Common congenital heart defects and their key clinical features.

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What is congenital heart disease?
A structural heart defect present at birth.
The most common congenital heart defect is ____.
ventricular septal defect (VSD)
A ventricular septal defect (VSD) is an abnormal opening between which two heart chambers?
The left ventricle and the right ventricle.
What type of murmur is classically heard with a VSD?
A harsh, holosystolic (pansystolic) murmur.
What is an atrial septal defect (ASD)?
An abnormal opening between the left and right atria.
What classic auscultation finding suggests an ASD?
A fixed, widely split S2.
What is the most common type of ASD?
Ostium secundum ASD.
What is patent ductus arteriosus (PDA)?
Failure of the ductus arteriosus to close after birth.
What type of murmur is heard with a PDA?
A continuous, 'machinery' murmur.
Name a major risk factor for patent ductus arteriosus.
Premature birth.
Which maternal infection during pregnancy is linked to PDA?
Rubella (German measles).
What medication is used to help close a PDA?
Indomethacin (a prostaglandin synthesis inhibitor).
In Tetralogy of Fallot, what does 'overriding aorta' mean?
The aorta sits above both ventricles, receiving blood from each.
What is the main clinical sign caused by Tetralogy of Fallot?
Cyanosis (a 'blue baby').
What position provides relief during a tet spell?
Squatting.

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