(exertional dyspnea, orthopnea, chronic cough, hepatomegaly, neck vein
distention, peripheral edema)
trisomy 13)
(trisomy 21)
(Trisomy 18)
(Trisomy 18) (DiGeorge 22q1)
Risks in Adults with CHD
Stroke
Endocarditis
Heart failure
Pulmonary hypertension
Pregnancy complications
Arrhythmias (atrial fibrillation, atrial reentrant tachycardia, ventricular
tachycardia, ventricular fibrillation)
SA node and AV node disease
Sudden death
Multifactoral (most common)
Single gene mutations (fig. above)
Chromosome abnormalities
(fig .above)
Environmental factors (alcohol, lithium)
Signs and Symptoms:
Age-dependent
Fetus: Hydrops
Infants:
poor feeding, sweating with feeding, tachypnea, tachycardia, cool extremities, diminished pulses, mottling, hepatomegaly
Children (similar to adults):
exertional dyspnea, orthopnea, chronic cough, hepatomegaly, neck vein distention, peripheral edema.(fig top one)
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