Syndromes/ chemo/pregnancy Flashcards

(52 cards)

1
Q

What syndrome is Trisomy 21?

A

Down Syndrome

Extra genetic material on chromosome 21

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2
Q

What cardiac findings are associated with Trisomy 21 (down syndrome)

A
  • Atrioventricular septal defect (AVSD)
  • VSD
  • ASD (primum)
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3
Q

Trisomy 21 is associated with cardiac findings ___% of the time

A

40-50%
High occurrence

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4
Q

What syndrome is Trisomy 18?

A

Edwards Syndrome

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5
Q

What cardiac findings are associated with Trisomy 18 (Edwards Syndrome)

A
  • PS
  • ASD
  • PDA

has highest inncident of cardiac defects @ 90%

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6
Q

Which syndrome has the highest incidence of cardiac defects

A

Edwards Syndrome at 90% of the time
Noonan at 80%
Down syndrome at 50%

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7
Q

Edward syndrome is a chromosomal disorder caused by

A

all or part of an extra chromosome 18

Survival is low, 5-10% survive to 1 year

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8
Q

What syndrome is Trisomy 13?

A

Patau Syndrome

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9
Q

What cardiac findings are associated with Trisomy 13 (Patau syndrome)

A
  • VSD
  • PDA
  • Dextrocardia
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10
Q

What cardiac findings are associated with Cri du Chat?

A
  • PDA
  • VSD
  • ASD (secundum)

Also associated:
* AV canal
* Tetralogy of Fallot

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11
Q

Cri du Chat is a partial deletion on chromosome __
Cri du chat is a French phrase meaning

A

chromosome 5

-“Cry of the cat”

Infants with this condition often have a high-pitched cry that sounds like that of a cat. hence the name

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12
Q

What cardiac findings are associated with Turners syndrome?

A

CoA
Bicuspid AV / AS
ASD
PAPVR (Highest incidence)

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13
Q

What are characteristics of Turner Syndrome?

A

only affects females
short stature
webbed neck

when female is missing all or part of the X chromosome

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14
Q

Caylor syndrome affects what chromosome?

A

Microdeletion of chromosome 22q11

Same as DiGeorge Syndrome, both are essentially the same condition

They are both caused by a deletion on chromosome 22 and share similar symptoms, but historically were considered separate diagnoses due to variations in presentation, with Cayler syndrome often characterized by a distinctive facial asymmetry, particularly noticeable when crying

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15
Q

What cardiac findings are associated with Caylor syndrome?

A

ASD
VSD
TOF

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16
Q

What cardiac findings are associated with DiGeorge Syndrome?

A

Truncus arteriosus
TOF
IAA (type B)
VSD
PA with VSD

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17
Q

Micro deletion of chromosome 22q11 is what syndrome?

A

DiGeorge Syndrome

75% who have a 22q11 deletion will present with CHD

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18
Q

What three syndromes involve the deletion of chromosome 22q11?

A

DiGeorge syndrome
Caylor Syndrome
Velocardiofacial syndrome

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19
Q

Velocardiofacial syndrome has the same CHD as DiGeorge with the addition of

A
  • d-TGA
  • Right AO arch

In common they have:
TOF
Truncus arteriosus
VSD

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20
Q

What cardiac findings are associated with Ehlers-Danlos Syndrome?

A

Aortic aneurysm
IAA
CoA
Dextrocardia

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21
Q

What does Ehlers-Danlos and Marfan’s syndrome have in common

A

both are connective tissue disorders

22
Q

What cardiac findings are associated Marfan’s syndrome

A

connective tissue disorder
MVP
Aortic dilation
Aortic dissection

23
Q

What cardiac findings are associated with Ellis-van Creveld Syndrome?

A

ASD
Common atrium

Dwarfism

24
Q

Ellis-van Creveld Syndrome is highly associated with what heritage?

A

Amish heritage
dwarfism

25
What cardiac findings are associated with Friedreich ataxia?
Hypertrophic cardiomyopathy ## Footnote form of muscular dystrophy
26
What cardiac findings are associated with Goldenhar syndrome? (Oculoauicular dysplasia)
VSD PDA TOF CoA ## Footnote facial deformities
27
What cardiac findings are associated with Holt-Oram Syndrome
VSD ASD ***Conduction disorders*** ## Footnote Acronym is HO, Silly way to remember is electrophysiologist are "Ho"es , key take away is the conduction disorder
28
What cardiac findings are associated with Ivemark syndrome
**Asplenia** atrial isomerism TAPVR d-TGA DORV
29
What cardiac findings are associated with Klippel-Feil syndrome?
VSD
30
What cardiac findings are associated with LEOPARD syndrome
Hypertrophic cardiomyopathy conduction disorders
31
What cardiac findings are associated with Neurofibromatosis
PS VSD COA
32
What cardiac findings are associated with Noonan Syndrome?
PS Hypertrophic cardiomyopathy CoA ## Footnote unusual facies, short in stature
33
What characteristics are associated with Noonan syndrome?
* Pigeon chest (pectus carinatum) * Short stature * Webbed neck * Distinctive facial features
34
What cardiac findings are associated with Pentalogy of Cantrell?
TOF ectopia cordis abdominal wall defect
35
scimitar syndrome ## Footnote How does it get its name?
Anomalous pulmonary veins to IVC (infracardiac) -where one or both the RPV drains to the IVC ## Footnote Name comes from apperance on xray resembling a Turkish sword called scimitar
36
Shones complex
multiple levels of left heart obstruction
37
Tuberous sclerosis is highly associated with what?
Rhabdomyomas
38
What cardiac findings are associated Williams syndrome?
AS and supravalvular AS supravalvular PS ## Footnote cocktail personality, overly friendly
39
What cardiac findings are associated Pompe's
hypertrophic cardiomyopathy ## Footnote glycogen strorage disorder
40
What cardiac findings are associated Wolff Parkinson white (WPW) syndrome
MVP Ebstein's malformation ## Footnote electrical abnormality by the presence of an accessory conduction pathway from the atria to the ventricles
41
what are maternal risk factors associated with 1. insulin dependent 2. alcohol and drug abuse
1. VSD, TGA, HCM 1. VSD, ASD, TOF
42
A diabetic mother's infant is at risk for
TGA VSD HCM
43
Infants who pregnant mother is taking Lithium medications are at risk for
Ebsteins
44
Fetus who's mother has rubella during pregnancy is at risk for what congenital heart defect?
PS PPS PDA
45
What syndromes are associated with hypertrophic CM
LEOPARD Noonan Mitochondrial
46
What syndromes are associated with dilated CM
Duchenne muscular dystrophy
47
what is Sickel cell disease
Red blood cells are deformed and only survive 10-20 days verse 90-120days of a normal red blood cell. As a result, it causes anemia and low O2 saturation blood. Heart works harder to try and produce more oxygen to the body | Can cause LVE
48
Arrhythmogenic RV Cardiomyopathy, dysplasia
genetic disorder that effects the RV, fatty replacement of RV myocardium
49
How to determine heart transplant rejection?
-Gold standard is heart biopsy -TDI of lateral MV annulus - other diastolic parameters (IVRT, MVP1/2t, E/A ratio)
50
What causes cardiac toxicity?
* Chemo * Radiation to chest * Iron overload (transfusions) * Lead
51
Chemo Drugs
***Anthracyclines*** -doxorubicin -Adriamycin
52
If a child is in a car accident and takes trauma to the chest which chamber is most likely to be affected?
RV closest to the chest wall