Congenital Heart Diseases.

(exertional dyspnea, orthopnea, chronic cough, hepatomegaly, neck vein

distention, peripheral edema)

trisomy 13)

(trisomy 21)

(Trisomy 18)

(DiGeorge 22q1)

Risks in Adults with CHD

Stroke

Endocarditis

Heart failure

Pulmonary hypertension

Pregnancy complications

Arrhythmias (atrial fibrillation, atrial reentrant tachycardia, ventricular

tachycardia, ventricular fibrillation)

SA node and AV node disease

Sudden death

Multifactoral (most common)

Single gene mutations (fig. above)

Chromosome abnormalities

(fig .above)

Environmental factors (alcohol, lithium)

Signs and Symptoms:

Age-dependent

Fetus: Hydrops

Infants:

poor feeding, sweating with feeding, tachypnea, tachycardia, cool extremities, diminished pulses, mottling, hepatomegaly

Children (similar to adults):

exertional dyspnea, orthopnea, chronic cough, hepatomegaly, neck vein distention, peripheral edema.(fig top one)