congenital heart disease in LA Flashcards

1
Q

combo of murmurs with VSD

A
  • > / 3 panystolic PMI TV area = shunt
  • < R cresc-descrescendo PMI PV = relative PS
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2
Q

what are the exceptions of congenital heart disease

A
  • complex CHD (tetralogy of fallot) and right outflow VSD
  • R same tan VSD
  • L sided murmur >/ R (PS/RVOTO)
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3
Q

what does the prognosis depend on

A
  • size and pressure
  • chamber enlargement, AR/MR, PH, AF, CHF
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