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USMLE 2CK - cardiovascular
review
18
Medical
Professional
12/12/2007

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Term
congenital heart anomaly asociated with trisomies
Definition
ASD, VSD also with Down
Term
congenital heart anomaly asociated with congenital rubella
Definition
ASD, PDA
Term
congenital heart anomaly asociated with Down syndrome
Definition
VSD, sometimes also ASD
Term
congenital heart anomaly asociated with maternal diabetes
Definition
tetralogy of Fallot or Transposition of great vessels
Term
congenital heart anomaly asociated with fetal alcohol syndrome
Definition
VSD
Term
pathology of ASD
Definition
90% defect in septumsecundum, 5% in septum primum also associated with Down syndrome, 5% with septum venosus
often associated with trisomiesand rubella syndrome
Term
manifestation of ASD
Definition
often presents in adult life, Wide split S2, systolic ejection murmur like in aortic stenosis
Term
manifestation of VSD
Definition
may cause holosystolic murmur at LLSB and RVH if large
Term
complications of ASD and VSD
Definition
pulmonary hypertension, late cyanosis and paradoxic embolism
Term
treatment for ASD and VSD
Definition
small VSD may close spontaneously, large ASD and VSD may need surgery
Term
EIsenmenger syndrome
Definition
cyanosis occuring in adulthood as shunt reverts from left to right to right to left, bypassing lungs
can be due to ASD, VSD, and PDA
Term
etiology of VSD
Definition
failure of fusion of interventricular septum with atrial septum, associated with Down or Fetal Alcohol syndromes
Term
wide split S2
Definition
ASD
Term
VSD variants
Definition
90% membranous VSD
infundibular VSD
muscular VSD
Term
a Down syndrome boy with gradual SOB over months. PE: slight cyanosis in face and fingers + SEM + widely split S2
Definition
ASD, may need surgery to correct cyanosis
Term
PDA etiology
Definition
failure of closure of fetal ductus arteriosis after 24h of life, often associated wit congenital rubella or people on high altitudes (fetal oxygen deprivation)
Term
continuous machine like murmur
Definition
PDA, complications: RVH and RV failure
Term
treatment for PDA
Definition
indomethacin to close it
misoprostol (PGE) keeps it open
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