Enviar pesquisa
Carregar
Cardiac notes for children
•
Transferir como PPT, PDF
•
1 gostou
•
831 visualizações
E
Erin Yesenosky
Seguir
Saúde e medicina
Denunciar
Compartilhar
Denunciar
Compartilhar
1 de 35
Baixar agora
Recomendados
Unit 4 notes cardiac
Unit 4 notes cardiac
Erin Yesenosky
Chapter 30cv pathology
Chapter 30cv pathology
Thao Pham
Cva
Cva
eivram
What is atherosclerosis
What is atherosclerosis
EmanSherra
04 cardiac pathology
04 cardiac pathology
med_students0
02 cardiac pathology
02 cardiac pathology
med_students0
The circulatory system 6
The circulatory system 6
Johaina Nor
Atherosclerosis
Atherosclerosis
Khulood Alzahrani
Recomendados
Unit 4 notes cardiac
Unit 4 notes cardiac
Erin Yesenosky
Chapter 30cv pathology
Chapter 30cv pathology
Thao Pham
Cva
Cva
eivram
What is atherosclerosis
What is atherosclerosis
EmanSherra
04 cardiac pathology
04 cardiac pathology
med_students0
02 cardiac pathology
02 cardiac pathology
med_students0
The circulatory system 6
The circulatory system 6
Johaina Nor
Atherosclerosis
Atherosclerosis
Khulood Alzahrani
Anatomy unit 3 cardio and respiratory systems blood pressure & cardio disorde...
Anatomy unit 3 cardio and respiratory systems blood pressure & cardio disorde...
rozeka01
Short presentation for Anemia
Short presentation for Anemia
Abhinaba Bagchi
Lecture 18 cardiovascular system
Lecture 18 cardiovascular system
Green-book
The short circuit that causes a heart attack.
The short circuit that causes a heart attack.
Jia Maheshwari
Biochemistry atherosclerosis
Biochemistry atherosclerosis
Nô Promïsé
Anatomy unit 3 cardio and respiratory systems blood pressure and heart disorders
Anatomy unit 3 cardio and respiratory systems blood pressure and heart disorders
rozeka01
Cv ds
Cv ds
jayarajgr
Coronary
Coronary
Vivi Delgado Castillo
Cardiacpathologies
Cardiacpathologies
cqpate
Information cd a
Information cd a
lennyambrosini
The cv system
The cv system
Vanessa Mosier
02 vascular pathology
02 vascular pathology
med_students0
Circulatory disorders
Circulatory disorders
RASHA
HEMODYNAMIC DISORDER
HEMODYNAMIC DISORDER
Rozzan Khatiwada
Sickle cell Anemia- symptoms.pptx
Sickle cell Anemia- symptoms.pptx
SREJASPSGRKCFW
04 vascular pathology
04 vascular pathology
med_students0
Atherosclerosis
Atherosclerosis
mpattani
What is anaemia
What is anaemia
Freegle
Atherosclerosis
Atherosclerosis
Lazoi Lifecare Private Limited
Pathology of cardiovascular system
Pathology of cardiovascular system
imrana tanvir
Cardiac lecture pediatrics fall 2012
Cardiac lecture pediatrics fall 2012
JHU Nursing
Cardiovascular System
Cardiovascular System
jlevs295
Mais conteúdo relacionado
Mais procurados
Anatomy unit 3 cardio and respiratory systems blood pressure & cardio disorde...
Anatomy unit 3 cardio and respiratory systems blood pressure & cardio disorde...
rozeka01
Short presentation for Anemia
Short presentation for Anemia
Abhinaba Bagchi
Lecture 18 cardiovascular system
Lecture 18 cardiovascular system
Green-book
The short circuit that causes a heart attack.
The short circuit that causes a heart attack.
Jia Maheshwari
Biochemistry atherosclerosis
Biochemistry atherosclerosis
Nô Promïsé
Anatomy unit 3 cardio and respiratory systems blood pressure and heart disorders
Anatomy unit 3 cardio and respiratory systems blood pressure and heart disorders
rozeka01
Cv ds
Cv ds
jayarajgr
Coronary
Coronary
Vivi Delgado Castillo
Cardiacpathologies
Cardiacpathologies
cqpate
Information cd a
Information cd a
lennyambrosini
The cv system
The cv system
Vanessa Mosier
02 vascular pathology
02 vascular pathology
med_students0
Circulatory disorders
Circulatory disorders
RASHA
HEMODYNAMIC DISORDER
HEMODYNAMIC DISORDER
Rozzan Khatiwada
Sickle cell Anemia- symptoms.pptx
Sickle cell Anemia- symptoms.pptx
SREJASPSGRKCFW
04 vascular pathology
04 vascular pathology
med_students0
Atherosclerosis
Atherosclerosis
mpattani
What is anaemia
What is anaemia
Freegle
Atherosclerosis
Atherosclerosis
Lazoi Lifecare Private Limited
Pathology of cardiovascular system
Pathology of cardiovascular system
imrana tanvir
Mais procurados
(20)
Anatomy unit 3 cardio and respiratory systems blood pressure & cardio disorde...
Anatomy unit 3 cardio and respiratory systems blood pressure & cardio disorde...
Short presentation for Anemia
Short presentation for Anemia
Lecture 18 cardiovascular system
Lecture 18 cardiovascular system
The short circuit that causes a heart attack.
The short circuit that causes a heart attack.
Biochemistry atherosclerosis
Biochemistry atherosclerosis
Anatomy unit 3 cardio and respiratory systems blood pressure and heart disorders
Anatomy unit 3 cardio and respiratory systems blood pressure and heart disorders
Cv ds
Cv ds
Coronary
Coronary
Cardiacpathologies
Cardiacpathologies
Information cd a
Information cd a
The cv system
The cv system
02 vascular pathology
02 vascular pathology
Circulatory disorders
Circulatory disorders
HEMODYNAMIC DISORDER
HEMODYNAMIC DISORDER
Sickle cell Anemia- symptoms.pptx
Sickle cell Anemia- symptoms.pptx
04 vascular pathology
04 vascular pathology
Atherosclerosis
Atherosclerosis
What is anaemia
What is anaemia
Atherosclerosis
Atherosclerosis
Pathology of cardiovascular system
Pathology of cardiovascular system
Destaque
Cardiac lecture pediatrics fall 2012
Cardiac lecture pediatrics fall 2012
JHU Nursing
Cardiovascular System
Cardiovascular System
jlevs295
Bohomolets Pediatric Lecture of Cardiovascular
Bohomolets Pediatric Lecture of Cardiovascular
Dr. Rubz
Alterations in cardiovascular function in children
Alterations in cardiovascular function in children
Shepard Joy
Emergency cases
Emergency cases
hamida Esahli
Percussion and Auscultation of CARDIOVASCULAR system.
Percussion and Auscultation of CARDIOVASCULAR system.
Manoz Marwin
Cardiac system final
Cardiac system final
Smawi GH
Infective endocarditis
Infective endocarditis
Azad Haleem
The Cardiovascular System
The Cardiovascular System
levouge777
Destaque
(9)
Cardiac lecture pediatrics fall 2012
Cardiac lecture pediatrics fall 2012
Cardiovascular System
Cardiovascular System
Bohomolets Pediatric Lecture of Cardiovascular
Bohomolets Pediatric Lecture of Cardiovascular
Alterations in cardiovascular function in children
Alterations in cardiovascular function in children
Emergency cases
Emergency cases
Percussion and Auscultation of CARDIOVASCULAR system.
Percussion and Auscultation of CARDIOVASCULAR system.
Cardiac system final
Cardiac system final
Infective endocarditis
Infective endocarditis
The Cardiovascular System
The Cardiovascular System
Semelhante a Cardiac notes for children
Unit 4 notes cardiac
Unit 4 notes cardiac
Erin Yesenosky
Acyanotic heart disease
Acyanotic heart disease
Ann Joseph
Congenital heart disease
Congenital heart disease
najahkh
Heart lecture 1
Heart lecture 1
Paulae Morado
Heart Article Exam Clinicals .pptx
Heart Article Exam Clinicals .pptx
ssuser08e01f
05 cardiac pathology
05 cardiac pathology
med_students0
Chapter 27 Power Point
Chapter 27 Power Point
shawnwaugh
HEART lecture MBChB III 2024.pdfnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnn
HEART lecture MBChB III 2024.pdfnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnn
202112360
VALVULAR DISEASES & DEFORMITIES.pptx
VALVULAR DISEASES & DEFORMITIES.pptx
SAMOEINESH
Sickle cell anemia
Sickle cell anemia
Imran Dogar
Acyanoticcongenitalheartdisease 150417031927-conversion-gate01
Acyanoticcongenitalheartdisease 150417031927-conversion-gate01
Manju Mulamootll Abraham
Care of the child with a physical disorder08
Care of the child with a physical disorder08
bholmes
disorders_of_blood_flow_and_blood_pressure
disorders_of_blood_flow_and_blood_pressure
Yofesi
1)Congenital HD 2009.ppt
1)Congenital HD 2009.ppt
FenembarMekonnen
congenitalcadiac diseases.pptx
congenitalcadiac diseases.pptx
SachinDwivedi57
heart ( Cardiac condition).pptx
heart ( Cardiac condition).pptx
Home
Congenital heart diseases
Congenital heart diseases
Zaid Ansari
Cvs chd-csbrp
Cvs chd-csbrp
Prasad CSBR
Cardiovascular patho s10
Cardiovascular patho s10
mchibuzor
Cardiovascular patho s10
Cardiovascular patho s10
mchibuzor
Semelhante a Cardiac notes for children
(20)
Unit 4 notes cardiac
Unit 4 notes cardiac
Acyanotic heart disease
Acyanotic heart disease
Congenital heart disease
Congenital heart disease
Heart lecture 1
Heart lecture 1
Heart Article Exam Clinicals .pptx
Heart Article Exam Clinicals .pptx
05 cardiac pathology
05 cardiac pathology
Chapter 27 Power Point
Chapter 27 Power Point
HEART lecture MBChB III 2024.pdfnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnn
HEART lecture MBChB III 2024.pdfnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnn
VALVULAR DISEASES & DEFORMITIES.pptx
VALVULAR DISEASES & DEFORMITIES.pptx
Sickle cell anemia
Sickle cell anemia
Acyanoticcongenitalheartdisease 150417031927-conversion-gate01
Acyanoticcongenitalheartdisease 150417031927-conversion-gate01
Care of the child with a physical disorder08
Care of the child with a physical disorder08
disorders_of_blood_flow_and_blood_pressure
disorders_of_blood_flow_and_blood_pressure
1)Congenital HD 2009.ppt
1)Congenital HD 2009.ppt
congenitalcadiac diseases.pptx
congenitalcadiac diseases.pptx
heart ( Cardiac condition).pptx
heart ( Cardiac condition).pptx
Congenital heart diseases
Congenital heart diseases
Cvs chd-csbrp
Cvs chd-csbrp
Cardiovascular patho s10
Cardiovascular patho s10
Cardiovascular patho s10
Cardiovascular patho s10
Mais de Erin Yesenosky
Alterations in children and the integument
Alterations in children and the integument
Erin Yesenosky
Structure and function of the integument
Structure and function of the integument
Erin Yesenosky
Immunity notes
Immunity notes
Erin Yesenosky
Structure and function of the integument
Structure and function of the integument
Erin Yesenosky
Gi alteration in children
Gi alteration in children
Erin Yesenosky
Alterations of the digestive function
Alterations of the digestive function
Erin Yesenosky
Alterations of the digestive function
Alterations of the digestive function
Erin Yesenosky
Abnormalities with STD's
Abnormalities with STD's
Erin Yesenosky
Children and urinary
Children and urinary
Erin Yesenosky
Alterations and renal
Alterations and renal
Erin Yesenosky
Respiratory notes with children
Respiratory notes with children
Erin Yesenosky
Respiratory notes with children
Respiratory notes with children
Erin Yesenosky
Respiratory notes
Respiratory notes
Erin Yesenosky
Week three muscles
Week three muscles
Erin Yesenosky
Week three notes
Week three notes
Erin Yesenosky
Week two notes
Week two notes
Erin Yesenosky
Notes week one
Notes week one
Erin Yesenosky
Mais de Erin Yesenosky
(17)
Alterations in children and the integument
Alterations in children and the integument
Structure and function of the integument
Structure and function of the integument
Immunity notes
Immunity notes
Structure and function of the integument
Structure and function of the integument
Gi alteration in children
Gi alteration in children
Alterations of the digestive function
Alterations of the digestive function
Alterations of the digestive function
Alterations of the digestive function
Abnormalities with STD's
Abnormalities with STD's
Children and urinary
Children and urinary
Alterations and renal
Alterations and renal
Respiratory notes with children
Respiratory notes with children
Respiratory notes with children
Respiratory notes with children
Respiratory notes
Respiratory notes
Week three muscles
Week three muscles
Week three notes
Week three notes
Week two notes
Week two notes
Notes week one
Notes week one
Último
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...
Taniya Sharma
Russian Escorts Girls Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls Delhi
Russian Escorts Girls Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls Delhi
AlinaDevecerski
Vip Call Girls Anna Salai Chennai 👉 8250192130 ❣️💯 Top Class Girls Available
Vip Call Girls Anna Salai Chennai 👉 8250192130 ❣️💯 Top Class Girls Available
Nehru place Escorts
Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...
Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...
CALL GIRLS
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...
Call Girls in Nagpur High Profile
Call Girl Number in Panvel Mumbai📲 9833363713 💞 Full Night Enjoy
Call Girl Number in Panvel Mumbai📲 9833363713 💞 Full Night Enjoy
babeytanya
Call Girls Kochi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Kochi Just Call 9907093804 Top Class Call Girl Service Available
Dipal Arora
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...
Taniya Sharma
Call Girls Darjeeling Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Darjeeling Just Call 9907093804 Top Class Call Girl Service Available
Dipal Arora
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
Dipal Arora
Kesar Bagh Call Girl Price 9548273370 , Lucknow Call Girls Service
Kesar Bagh Call Girl Price 9548273370 , Lucknow Call Girls Service
makika9823
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
Dipal Arora
Russian Call Girls in Delhi Tanvi ➡️ 9711199012 💋📞 Independent Escort Service...
Russian Call Girls in Delhi Tanvi ➡️ 9711199012 💋📞 Independent Escort Service...
Call Girls In Delhi Whatsup 9873940964 Enjoy Unlimited Pleasure
Call Girls Ooty Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ooty Just Call 9907093804 Top Class Call Girl Service Available
Dipal Arora
VIP Call Girls Indore Kirti 💚😋 9256729539 🚀 Indore Escorts
VIP Call Girls Indore Kirti 💚😋 9256729539 🚀 Indore Escorts
aditipandeya
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
astropune
Artifacts in Nuclear Medicine with Identifying and resolving artifacts.
Artifacts in Nuclear Medicine with Identifying and resolving artifacts.
MiadAlsulami
Top Rated Bangalore Call Girls Mg Road ⟟ 8250192130 ⟟ Call Me For Genuine Sex...
Top Rated Bangalore Call Girls Mg Road ⟟ 8250192130 ⟟ Call Me For Genuine Sex...
narwatsonia7
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
jageshsingh5554
Chandrapur Call girls 8617370543 Provides all area service COD available
Chandrapur Call girls 8617370543 Provides all area service COD available
Dipal Arora
Último
(20)
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...
Russian Escorts Girls Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls Delhi
Russian Escorts Girls Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls Delhi
Vip Call Girls Anna Salai Chennai 👉 8250192130 ❣️💯 Top Class Girls Available
Vip Call Girls Anna Salai Chennai 👉 8250192130 ❣️💯 Top Class Girls Available
Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...
Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...
Call Girl Number in Panvel Mumbai📲 9833363713 💞 Full Night Enjoy
Call Girl Number in Panvel Mumbai📲 9833363713 💞 Full Night Enjoy
Call Girls Kochi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Kochi Just Call 9907093804 Top Class Call Girl Service Available
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...
Call Girls Darjeeling Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Darjeeling Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
Kesar Bagh Call Girl Price 9548273370 , Lucknow Call Girls Service
Kesar Bagh Call Girl Price 9548273370 , Lucknow Call Girls Service
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
Russian Call Girls in Delhi Tanvi ➡️ 9711199012 💋📞 Independent Escort Service...
Russian Call Girls in Delhi Tanvi ➡️ 9711199012 💋📞 Independent Escort Service...
Call Girls Ooty Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ooty Just Call 9907093804 Top Class Call Girl Service Available
VIP Call Girls Indore Kirti 💚😋 9256729539 🚀 Indore Escorts
VIP Call Girls Indore Kirti 💚😋 9256729539 🚀 Indore Escorts
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
Artifacts in Nuclear Medicine with Identifying and resolving artifacts.
Artifacts in Nuclear Medicine with Identifying and resolving artifacts.
Top Rated Bangalore Call Girls Mg Road ⟟ 8250192130 ⟟ Call Me For Genuine Sex...
Top Rated Bangalore Call Girls Mg Road ⟟ 8250192130 ⟟ Call Me For Genuine Sex...
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
Chandrapur Call girls 8617370543 Provides all area service COD available
Chandrapur Call girls 8617370543 Provides all area service COD available
Cardiac notes for children
1.
Mosby items and
derived items © 2012 Mosby, Inc., an imprint of Elsevier Inc. 1 Alterations of Cardiovascular Function in Children
2.
Mosby items and
derived items © 2012 Mosby, Inc., an imprint of Elsevier Inc. 2 Congenital Heart Defects Major cause of death in the first year of life other than prematurity Prenatal, environmental, and genetic risk factors: Maternal rubella or increased age, type 1 diabetes, alcoholism, PKU, drugs, and hypercalcemia Antepartal bleeding Prematurity Chromosome aberrations
3.
Mosby items and
derived items © 2012 Mosby, Inc., an imprint of Elsevier Inc. 3 Congenital Heart Disease (cont’d) Heart defects Hemodynamic alterations Right-to-left shunt, left-to-right shunt Status of tissue oxygenation Cyanotic defects Acyanotic defects
4.
Mosby items and
derived items © 2012 Mosby, Inc., an imprint of Elsevier Inc. 4 Obstructive Defects Coarctation of the aorta Narrowing of the lumen of the aorta that impedes blood flow Almost always in a juxtaductal position Manifestations: • If severe decreased CO, acidosis, hypotension at birth • If mild, no manifestations until find hypertension in upper extremities at older age
5.
Mosby items and
derived items © 2012 Mosby, Inc., an imprint of Elsevier Inc. 5 Coarctation of the Aorta
6.
Mosby items and
derived items © 2012 Mosby, Inc., an imprint of Elsevier Inc. 6 Obstructive Defects Aortic stenosis Narrowing of the aortic outflow tract Caused by malformation or fusion of the cusps Causes increased workload on left ventricle and left ventricular hypertrophy Various types Manifestations: • Infant: if significant faint pulses, hypotension, tachycardia, and poor feeding • Older children: may have complaints of exercise intolerance • Risk for bacterial endocarditis
7.
Mosby items and
derived items © 2012 Mosby, Inc., an imprint of Elsevier Inc. 7 Aortic Stenosis
8.
Mosby items and
derived items © 2012 Mosby, Inc., an imprint of Elsevier Inc. 8 Obstructive Defects Valvular aortic stenosis Malformed or fused cusps Progressive obstruction with episodes of ischemia Strenuous activity limited Subvalvular aortic stenosis Stricture caused by a fibrous ring below a valve Konno procedure used to correct
9.
Mosby items and
derived items © 2012 Mosby, Inc., an imprint of Elsevier Inc. 9 Obstructive Defects (cont’d) Pulmonic stenosis Narrowing of the pulmonary outflow tract Abnormal thickening of the valve leaflets Narrowing of the valve with resistance to flow from right ventricle to pulmonary artery Right ventricular hypertrophy Pulmonary semilunar valve atresia Manifestations: • If severe: cyanosis from right-to-left shunt through atrial septal defect; decreased CO
10.
Mosby items and
derived items © 2012 Mosby, Inc., an imprint of Elsevier Inc. 10 Pulmonic Stenosis
11.
Mosby items and
derived items © 2012 Mosby, Inc., an imprint of Elsevier Inc. 11 Defects Increasing Pulmonary Blood Flow Patent ductus arteriosus (PDA) Failure of the ductus arteriosus to close PDA allows blood to shunt from the aorta to pulmonary artery causing left-to-right shunt Manifestations: • Asymptomatic or pulmonary overcirculation (dyspnea fatigue, poor feeding) Complications: • Risk for bacterial endocarditis
12.
Mosby items and
derived items © 2012 Mosby, Inc., an imprint of Elsevier Inc. 12 Patent Ductus Arteriosus (PDA)
13.
Mosby items and
derived items © 2012 Mosby, Inc., an imprint of Elsevier Inc. 13 Defects Increasing Pulmonary Blood Flow Atrial septal defect Abnormal opening between the atria; blood flows from left atria to right atria Three major types: • Ostium primum defect • Ostium secundum defect • Sinus venosus defect Manifestations: • Asymptomatic at early age • Pulmonary symptoms on exertion at later age
14.
Mosby items and
derived items © 2012 Mosby, Inc., an imprint of Elsevier Inc. 14 Defects Increasing Pulmonary Blood Flow (cont’d) Ventricular septal defect (VSD) Abnormal communication between the ventricles Most common type of congenital heart lesion Two types Manifestations: • May be asymptomatic • If severe: increased pulmonary blood flow from left- to-right shunt; pulmonary hypertension Eisenmenger syndrome
15.
Mosby items and
derived items © 2012 Mosby, Inc., an imprint of Elsevier Inc. 15 Defects Increasing Pulmonary Blood Flow (cont’d) Atrioventricular canal defect (AVC) Results from nonfusion of the endocardial cushions Demonstrates abnormalities in the atrial and ventricular septa and atrioventricular valves Complete, partial, and transitional AVCs Manifestations • Left-to-right shunt and pulmonary overcirculation
16.
Mosby items and
derived items © 2012 Mosby, Inc., an imprint of Elsevier Inc. 16 Atrioventricular Canal Defect
17.
Mosby items and
derived items © 2012 Mosby, Inc., an imprint of Elsevier Inc. 17 Defects Decreasing Pulmonary Blood Flow Tetralogy of Fallot Syndrome represented by four defects: • Ventricular septal defect (VSD) • Overriding aorta • Pulmonary valve stenosis • Right ventricle hypertrophy Manifestations: • Acute cyanosis at birth or gradual cyanosis • Gradual clubbing, poor growth; Tet spells • If untreated, emboli, stroke, brain abscess, seizures
18.
Mosby items and
derived items © 2012 Mosby, Inc., an imprint of Elsevier Inc. 18 Tetralogy of Fallot
19.
Mosby items and
derived items © 2012 Mosby, Inc., an imprint of Elsevier Inc. 19 Defects Decreasing Pulmonary Blood Flow Tricuspid atresia Imperforate tricuspid valve Lack of communication between the right atrium and right ventricle Additional defects: • Atrial septal defect • Hypoplastic or absent right ventricle • Enlarged mitral valve and left ventricle • Pulmonic stenosis Manifestations: • In newborn, cyanosis, tachycardia, dyspnea, poor feeding • In older child, signs of chronic hypoxemia
20.
Mosby items and
derived items © 2012 Mosby, Inc., an imprint of Elsevier Inc. 20 Tricuspid Atresia
21.
Mosby items and
derived items © 2012 Mosby, Inc., an imprint of Elsevier Inc. 21 Mixed Defects Transposition of the great arteries Aorta arises from the right ventricle and the pulmonary artery arises from the left ventricle Results in two separate, parallel circuits • Unoxygenated blood circulates continuously through the systemic circulation • Oxygenated blood circulates continuously through the pulmonary circulation
22.
Mosby items and
derived items © 2012 Mosby, Inc., an imprint of Elsevier Inc. 22 Mixed Defects (cont’d) Transposition of the great arteries (cont’d) Extrauterine survival requires communication between the two circuits Manifestation: Depends on size and associated defects
23.
Mosby items and
derived items © 2012 Mosby, Inc., an imprint of Elsevier Inc. 23 Transposition of the Great Arteries
24.
Mosby items and
derived items © 2012 Mosby, Inc., an imprint of Elsevier Inc. 24 Mixed Defects Total anomalous pulmonary venous connection (TAPVC) Pulmonary veins connect to the right side of the heart, directly or indirectly through one or more systemic veins that drain into the right atrium Classified by point of attachment • Supracardiac • Cardiac • Infracardiac
25.
Mosby items and
derived items © 2012 Mosby, Inc., an imprint of Elsevier Inc. 25 Total Anomalous Pulmonary Venous Connection (TAPVC)
26.
Mosby items and
derived items © 2012 Mosby, Inc., an imprint of Elsevier Inc. 26 Mixed Defects Truncus arteriosus Failure of the embryonic artery and the truncus arteriosus to divide into the pulmonary artery and the aorta The trunk straddles an always present VSD Types I, II, and III
27.
Mosby items and
derived items © 2012 Mosby, Inc., an imprint of Elsevier Inc. 27 Truncus Arteriosus
28.
Mosby items and
derived items © 2012 Mosby, Inc., an imprint of Elsevier Inc. 28 Obstructive Defects Hypoplastic left heart syndrome Abnormal development of the left-sided cardiac structures • Obstruction to blood flow from the left ventricular outflow tract Underdevelopment of the left ventricle, aorta and aortic arch; mitral atresia or stenosis; coarctation of the aorta Manifestations occur early in newborn (cyanosis, tachypnea, decreased CO) Fatal in early life if untreated
29.
Mosby items and
derived items © 2012 Mosby, Inc., an imprint of Elsevier Inc. 29 Hypoplastic Left Heart Syndrome
30.
Mosby items and
derived items © 2012 Mosby, Inc., an imprint of Elsevier Inc. 30 Heart Failure Heart is not able to maintain cardiac output at level that meets demands of body Result from poor ventricular function Complication of many congenital heart defects
31.
Mosby items and
derived items © 2012 Mosby, Inc., an imprint of Elsevier Inc. 31 Acquired Cardiovascular Disorders Kawasaki disease Also known as mucocutaneous lymph node syndrome Acute, self-limiting systemic vasculitis that may result in cardiac sequelae Usually occurs in children under 5 years of age and in winter or spring
32.
Mosby items and
derived items © 2012 Mosby, Inc., an imprint of Elsevier Inc. 32 Kawasaki Disease Stages: Acute: capillaries, venules, arterioles, and the heart become inflamed Subacute: inflammation of larger vessels; coronary aneurysms appear Convalescent: medium-sized arteries begin granulation process; small vessel inflammation decreases Post-convalescent: scarring of vessels, thickening of tunica intima, calcification, coronary artery stenosis
33.
Mosby items and
derived items © 2012 Mosby, Inc., an imprint of Elsevier Inc. 33 Kawasaki Disease (cont’d) Diagnosis (five of six major findings) Fever for 5 or more days (unresponsive to antibiotics) Bilateral conjunctivitis without exudation Erythema of oral mucosa (strawberry tongue) Changes in the extremities, such as peripheral edema and erythema with desquamation of palms and soles Polymorphous rash Cervical lymphadenopathy
34.
Mosby items and
derived items © 2012 Mosby, Inc., an imprint of Elsevier Inc. 34 Acquired Cardiovascular Disorders Systemic hypertension In children defined as systolic and diastolic pressure that is over the 95th percentile for age and gender on at least three occasions • Hypertension in children differs from adults: Often has an underlying disease Renal disease or coarctation of aorta A cause of the hypertension in children is almost always found Children commonly asymptomatic Seeing increased incidence of primary hypertension in older children related to obesity
35.
Mosby items and
derived items © 2012 Mosby, Inc., an imprint of Elsevier Inc. 35 Acquired Cardiovascular Disorders (cont’d) Childhood obesity Multivariable and multidimensional Risks: • Insulin resistance, diabetes, cardiovascular disease • Childhood nutrition, level of physical activity, and engagement of sedentary activities (TV, computer use, etc.) Association with parental obesity Epidemic in the USA
Baixar agora