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Flashcards in Peds Cardiology Deck (19):
1

Paroxysmal Suparvent Tachy presentation?

Palpitations (P described as CP)

2

Paroxysmal SVT tx?

If sustained: Vegal, Adenosine (acute)
B-block (mgmt)

3

Normal HR < 6mo?

6mo-1yr

1-5yr

5-12yr

12+

145

135

110-120

85

80

4

Atrial Septal Defect due to?

ostium secundum or primum defect

5

Atrial Septal Defect presentation?

Tx?

U asympt

Most close by 12 mo
P diuretic if sxs w/ activity/feeding
Surgery by 3-4yo

6

Ventral Septal Defect causes what kind of shunt?

Results in?

Systolic, to lungs and L heart

Inc pulmonary flow -->> pulmonary HTN

7

VSD presentation?

Tachy/tachy
SOB
Cyanosis

8

VSD tx?

Diuretics
Surgery

9

Ductus Arteriosis is?

Patent Ductus Arteriosis is?

Normal shunt b/w pulmonary and aorta in babies (sends blood to lower body)

DA still open after 3 mo

10

Patent Ductus Arteriosis results in?

Sxs?

Tx?

Inc pulmonary artery flow -->> pulm HTN

Tachy/tachy
SOB
Cyanosis

Indomethacin
Surgery

11

Tetralogy of Fallot is?

VSD
Pulmonic stenosis or pulmonary atresia
Overriding aorta
Right ventricular hypertrophy

12

TOF sxs?

Cyanotic spells w/ waking or exertion:
Uncontrollable crying, rapid/deep breathing, convulsions -->>

13

TOF spell tx?

BREAK THE CYCLE
Morphine/Ketamine
Phenylephrine (anti-hist)
B-block

14

Rheumatic Fever Jones Criteria?

PRECEDING STREP INFECTION
2 of: Carditis
 Polyarthritis
 Sydenham chorea
 Erythema marginatum
 Subcutaneous nodules
Or 1 + 1 of:
Fever
Inc SED

15

Rheumatic Fever tx?

PCN or Azith
ASA
Long-term PCN prophy (Q 4 wks for yrs)

16

Kawasaki Dz is?

Leading cause of acquired heart dz (U <5yo)
Cause unknown

17

Kawasaki Dz dx?

FEVER 5+ days AND 4+ of:
Conjunctivitis
Oral inflamm/cracking (strawberry tongue)
Unilat cervical LAD
Red, swollen, peeling hands/feet
Rash

18

Kawasaki Dz complications?

Coronary aneurysms
Myocarditis
Pericarditis
Valvular heart disease

19

Kawasaki Dz tx?

IVIG and high-dose aspirin
Serial echos