Congenital Disease

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Congenital Disease
2013-01-07 09:27:43

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  1. What is coarctation of the aorta?
    • Pinching of the descending aorta at the ductus arteriosis junction
    • Ductus must be closed
  2. What are the ECG findings for CaAo?
    • LVH
    • Needs to pump against a greater pressure (afterload)
  3. Name 5 complications of CaAo:
    • Aneurysm formation
    • Bicuspid AV (stenosis, regurg)
    • MV dysfunction
    • Hypertension
    • Spontaneous aortic dissection
    • Residual coarctation/restenosis
    • Premature CAD
    • Pregnancy complications
    • Cerebrovascular accidents
    • Endocarditis
  4. What are the four main VSDs?
    • Muscular
    • Perimembranous
    • Inlet
    • Subpulmonary
  5. What are the ECG findings for ToFallot?
    • RAD
    • RVH
  6. What ECG findings can be seen through a primum ASD?
    • RBBB
    • LAD
    • 1st Degree AV block
  7. What ECG findings can be seen through a secundum ASD?
  8. ECG findings of a large VSD?
    Biventricular Hypertrophy
  9. What is the difference between an obligatory and dependent shunt?
    • Obligatory is also known as an atrio-ventricular septal defect - where there is cross over of blood all over depending on pressures
    • Dependent shunt is more one way flow from L-R for example
  10. What can cause R-L shunting?
    • Pulmonary artery disease - Eisenmenger
    • Increases pressure in R heart above that of left
  11. What is hypoplastic left heart syndrome?
    Left heart doesnt thrive, and is small and unefficient
  12. What are the ECG findings in Tricuspid Stenosis (Atresia)?
    • LAD
    • LVH
  13. ECG findings in transposition of the great arteries?
  14. ECG findings in Ebstein's Anomaly?
    • Peak P wave
    • RBBB
    • 1st Degree
    • Delta Wave (Always have pre-excitation - WPW Type B)
    • Small QRS voltages
  15. What is Ebstein's Anomaly?
    Deformed and displaced tricuspid valve