Clinical Management of Congenital Heart Disease from Infancy by Douglas S. Moodie

By Douglas S. Moodie

Clinical administration of Congenital center sickness from Infancy to Adulthood

This sensible source for the medical administration of congenital center disorder deals crucial guide at the presentation and remedy of congenital middle defects in the course of the existence levels.

Edited by means of popular pediatric heart specialist Douglas S. Moodie, MD, MS, from Texas kid's medical institution, and authored via professional practitioners with immense medical adventure, this e-book expertly addresses the continuum of scientific care concerns at targeted phases of progress and improvement:

- Neonates, fetuses, and infants
- young children and adolescents
- Adults

prepared through particular congenital center situation, each one well-referenced and hugely equipped bankruptcy examines the medical positive factors, diagnostic checking out, administration, and results linked to age teams and contains counsel and tips gleaned from years of perform within the box of pediatric cardiology.

This quite readable textual content will function either an exceptional studying instrument and a convenient reference for practitioners, scholars, and nurses who have to remain up to date at the precise scientific demanding situations that CHD provides within the neonate to the adult.

Audience: suited to the final pediatrician, cardiology fellow, pediatrics resident and clinical pupil. training cardiologists (pediatric and internist) and cardiology nurse practitioners also will locate it an excellent and speedy reference resource that's very readable.

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Example text

13 Panel A: Transthoracic echocardiographic imaging of superior vena cava–type sinus venosus defect in the subcostal sagittal window, demonstrating “unroofing” of the right upper pulmonary vein (RUPV) as it courses to its orifice (*) in the left atrial. Panel B: Color Doppler demonstrates anomalous drainage of the RUPV into the SVC. LA = left atrium; RA = right atrium; RPA = right pulmonary artery. Management MEDICAL: Medical management is rarely needed for neonates and infants with a sinus venosus defect.

Daniel J. Penny. 4 Cross-sectional echocardiogram from a parasternal window demonstrating double-chambered right ventricle. Severe stenosis is visible within the cavity of the right ventricle (arrows). MPA = main pulmonary artery; RVOT = right ventricular outflow tract. Source: Courtesy of Dr. Daniel J. Penny. 22 ■ CLINICAL MANAGEMENT OF CONGENITAL HEART DISEASE FROM INFANCY TO ADULTHOOD Management Outcomes MEDICAL: At an earlier era, when open-heart surgery was not feasible or carried high risk, infants with nonrestrictive VSDs and congestive heart failure were treated with digoxin, diuretics, and low-salt formula.

A diastolic murmur may not be heard for many years but then may be appreciated later in life as aortic insufficiency progresses. CLINICAL FEATURES: The child with a restrictive VSD is asymptomatic. There are no clinical symptoms, and growth and development are normal. The child does not display fatigue or exhaustion during exercise or sports activities. The patient with a surgically closed VSD also remains asymptomatic during childhood. ECG: A patient with either a VSD that is becoming smaller or a repaired VSD will have an electrocardiogram (ECG) that shows a normal evolution from the right ventricular dominance of infancy to the normal left ventricular pattern of adulthood.

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