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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

Assessment of a murmur heard on the 6 week baby check in primary care*One must distinguish between peripheral and central cyanosis. SpO2 must be measured if there is any concern over cyanosis.** Poor feeding may be the first sign of cardiac compromise
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fig04: Assessment of a murmur heard on the 6 week baby check in primary care*One must distinguish between peripheral and central cyanosis. SpO2 must be measured if there is any concern over cyanosis.** Poor feeding may be the first sign of cardiac compromise


Perinatal management of major congenital heart disease.

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

Assessment of a murmur heard on the 6 week baby check in primary care*One must distinguish between peripheral and central cyanosis. SpO2 must be measured if there is any concern over cyanosis.** Poor feeding may be the first sign of cardiac compromise
© Copyright Policy
Related In: Results  -  Collection

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

fig04: Assessment of a murmur heard on the 6 week baby check in primary care*One must distinguish between peripheral and central cyanosis. SpO2 must be measured if there is any concern over cyanosis.** Poor feeding may be the first sign of cardiac compromise
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