Congenital Heart Disease

Congenital Heart Disease

#NEETPG #FMGE #INICET

Criteria used for diagnosis are NADAS criteria

Major Criteria

Blue baby with noise in heart is having failure

  1. Cyanosis due to R- L shunting. It is central cyanosis non-responsive to oxygen administration
  2. Diastolic murmur
  3. Systolic murmur grade III or more
  4. Congestive heart failure due to L-R to shunting that causes overloading of lung circulation and resultant pulmonary edema

 

 

Minor criteria

  1. Systolic murmur less than grade III
  2. Abnormal S2 like single S2 in TOF
  3. Abnormal ECG like Right axis deviation in Ostium Secundum
  4. Abnormal CXR like boot shaped heart
  5. Abnormal BP like in coarctation of aorta with BP in legs being lower than that in upper limbs

 

 

Must know fact Correct answer
Leading congenital heart diseasePeri-membranous VSD
Congenital heart disease that shows spontaneous closureMuscular VSD
Leading congenital cyanotic heart disease at day 0Transposition of great arteries

 

Ductal dependent pulmonary circulation 

  1. TOF
  2. Tricuspid atresia
  3. TGA
Ductal dependent systemic circulation 

  1. Aortic atresia
  2. Mitral atresia
  3. Hypoplastic left heart syndrome
  4. Interrupted aortic arch
Components of tetralogy of Fallot 
  1. Right ventricular outflow tract obstruction
  2. Concentric right ventricular hypertrophy
  3. VSD
  4. Over riding of aorta
Triology of Fallot
  1. Atrial septal defect
  2. Concentric Right ventricular hypertrophy
  3. Right ventricular outflow tract obstruction
Pentalogy of Fallot
  1. Right ventricular outflow tract obstruction
  2. Concentric right ventricular hypertrophy
  3. VSD
  4. Over-riding of aorta
  5. ASD
Ebstein anomaly
  1. Lithium intake by mother
  2. Inferior displacement of tricuspid valve
  3. Tricuspid regurgitation
  4. Associated with WPW syndrome
Alprostadil is contraindicated in
  1. Truncus arteriosus
  2. Total anomalous pulmonary venous connection
Central cyanosis on day 0 which worsens on cryingCongenital diaphragmatic hernia
Central cyanosis on day 0 which improves on cryingChoanal atresia

Leave a reply