Congenital Heart Disease - A congenital heart defect is a problem with the structure of the heart.
It is present at birth. Congenital heart defects are the most common
type of birth defect. The defects can involve the walls of the heart,
the valves of the heart, and the arteries and veins near the heart. They
can disrupt the normal flow of blood through the heart. The blood flow
can slow down, go in the wrong direction or to the wrong place, or be
blocked completely.
1. Classification of Congenital Heart Disease and Atrial Septal Defect
Atrial septal defect (ASD) is one of the more commonly recognized congenital cardiac anomalies presenting in adulthood. Atrial septal defect
is characterized by a defect in the interatrial septum allowing
pulmonary venous return from the left atrium to pass directly to the
right atrium. Depending on the size of the defect, size of the shunt,
and associated anomalies, this can result in a spectrum of disease from
no significant cardiac sequelae to right-sided volume overload,
pulmonary arterial hypertension, and even atrial arrhythmias. - CLICK HERE
2.Nursing Management of child with Patent Ductus Arteriosus -
Patent ductus arteriosus (PDA), in which there is a persistent
communication between the descending thoracic aorta and the pulmonary
artery that results from failure of normal physiologic closure of the
fetal ductus (see image below), is one of the more common congenital
heart defects. DOWNLOAD
3. Tetralogy of Fallot -
Tetralogy of Fallot,
which is one of the most common congenital heart disorders, comprises
right ventricular (RV) outflow tract obstruction (RVOTO) (infundibular
stenosis), ventricular septal defect (VSD), aorta dextroposition, and RV
hypertrophy (see the image below). The mortality rate in untreated
patients reaches 50% by age 6 years, but in the present era of cardiac
surgery, children with simple forms of tetralogy of Fallot enjoy good long-term survival with an excellent quality of life.DOWNLOAD
4. Rheumatic Fever and Rehumatic Heart disease
Acute rheumatic fever
(ARF) is an autoimmune inflammatory process that develops as a sequela
of streptococcal infection. ARF has extremely variable manifestations
(see the image below) and remains a clinical syndrome for which no
specific diagnostic test exists. Persons who have experienced an episode
of ARF are predisposed to recurrence following subsequent
(rheumatogenic) group A streptococcal infections.
The most significant complication of ARF is rheumatic heart disease,
which usually occurs after repeated bouts of acute illness. CLICK HERE
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