Cyanotic congenital heart disease, Biology

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Cyanotic Congenital Heart Disease 

So far we have discussed the acyanotic congenital heart disease. Now we shall discuss some of  the main cyanotic congenital heart diseases. In  these diseases there is communication between pulmonary and systemic circulation through which deoxygenated blood enters the systemic circulatory system.

Assessment 

Assessment reveals severe cyanosis (legs less cyanotic than the arms) which appears after birth, this constitutes the characteristic feature of  this disease. Later on child presents with dyspnoea, congestive cardiac failure, growth failure, and clubbing. Heart is always enlarged. Heart sounds are related to the type of  defect. 

Diagnosis

Chest X-ray shows cardiomegaly and increased pulmonary vasculature. ECG shows right ventricular or biventricular hypertrophy. Management Management consists of medical treatment with digoxin, diuretics, and iron. Surgical management consists of  palliative and corrective procedures.  


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