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Perinatal management of major congenital heart disease.

McGovern E, Sands AJ - Ulster Med J (2014)

Bottom Line: As most cases of major CHD are not identified prenatally, clinical examination of the newborn and pulse oximetry are also important means of identifying more cases.Clinicians must suspect CHD as a diagnosis in a cyanosed or shocked neonate and be familiar with appropriate management, namely the commencement of prostaglandin if a duct dependent cardiac lesion is suspected.Telemedicine can aid prompt diagnosis of CHD and therefore direct appropriate management.

View Article: PubMed Central - PubMed

Affiliation: Paediatric Basic Specialist Trainee, Paediatric Department, Galway University Hospital.

ABSTRACT
Congenital heart disease (CHD) is the most common form of congenital anomaly. Prenatal diagnosis of CHD has been associated with decreased morbidity and mortality for some forms of major CHD. As most cases of major CHD are not identified prenatally, clinical examination of the newborn and pulse oximetry are also important means of identifying more cases. Clinicians must suspect CHD as a diagnosis in a cyanosed or shocked neonate and be familiar with appropriate management, namely the commencement of prostaglandin if a duct dependent cardiac lesion is suspected. Telemedicine can aid prompt diagnosis of CHD and therefore direct appropriate management.

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Related in: MedlinePlus

Fetal Echocardiography of HLHS with a diminutive left ventricle (LV) and right ventricle (RV) seen. Image provided by Dr AJ Sands
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fig01: Fetal Echocardiography of HLHS with a diminutive left ventricle (LV) and right ventricle (RV) seen. Image provided by Dr AJ Sands

Mentions: Prenatal diagnosis of CHD by fetal echocardiography is now a firmly established component of fetal medicine offered in many tertiary UK centres, including the Belfast Health and Social Care Trust. Image 1 shows an example of Hypoplastic Left Heart Syndrome (HLHS) identified on fetal echocardiography.


Perinatal management of major congenital heart disease.

McGovern E, Sands AJ - Ulster Med J (2014)

Fetal Echocardiography of HLHS with a diminutive left ventricle (LV) and right ventricle (RV) seen. Image provided by Dr AJ Sands
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4255832&req=5

fig01: Fetal Echocardiography of HLHS with a diminutive left ventricle (LV) and right ventricle (RV) seen. Image provided by Dr AJ Sands
Mentions: Prenatal diagnosis of CHD by fetal echocardiography is now a firmly established component of fetal medicine offered in many tertiary UK centres, including the Belfast Health and Social Care Trust. Image 1 shows an example of Hypoplastic Left Heart Syndrome (HLHS) identified on fetal echocardiography.

Bottom Line: As most cases of major CHD are not identified prenatally, clinical examination of the newborn and pulse oximetry are also important means of identifying more cases.Clinicians must suspect CHD as a diagnosis in a cyanosed or shocked neonate and be familiar with appropriate management, namely the commencement of prostaglandin if a duct dependent cardiac lesion is suspected.Telemedicine can aid prompt diagnosis of CHD and therefore direct appropriate management.

View Article: PubMed Central - PubMed

Affiliation: Paediatric Basic Specialist Trainee, Paediatric Department, Galway University Hospital.

ABSTRACT
Congenital heart disease (CHD) is the most common form of congenital anomaly. Prenatal diagnosis of CHD has been associated with decreased morbidity and mortality for some forms of major CHD. As most cases of major CHD are not identified prenatally, clinical examination of the newborn and pulse oximetry are also important means of identifying more cases. Clinicians must suspect CHD as a diagnosis in a cyanosed or shocked neonate and be familiar with appropriate management, namely the commencement of prostaglandin if a duct dependent cardiac lesion is suspected. Telemedicine can aid prompt diagnosis of CHD and therefore direct appropriate management.

Show MeSH
Related in: MedlinePlus