What should all children born with Trisomy 21 receive? What structural cardiac
lesions are associated with downs syndrome?
An echo
40% of the babies are born with a structural cardiac lesion
Atrial ventricle septal defect
ventricular septal defect
patent ductus arteriosus
subcl artery
What cardiac abnormalities is associated with mar fans?
aortic/mitral valve regurgitation
What cardiac abnormality is associated with turners syndrome?
coarctation of the aorta
What cardiac abnormalities is associated with Noonan?
pulmonary stenosis
Atrial septal defect
,cardiomyopathy
What cardiac abnormalities is associated with fetal alcohol syndrome?
Ventricle septal defect
What are the 4 abnormalities associated with tetralogy of Fallot?
Ventricle septal defect
Stenosis of pulmonary valve
Misplacement of aorta
Right ventricle hypertrophy
What physical exam finding is associated with coarctation of the aorta?
Discrepancy between the upper and lower extremities
Higher in the uppers than the lowers
Absent femoral pulses
What physical exam finding is associated with supraventricular aortic stenosis?
Higher blood pressure in the right arm than the left arm
, What physical exam finding is associated with aortic valve stenosis?
Narrow pulse pressure
(the systolic and diastolic numbers are not far apart ex. 90/73 less than 29 mmhg)
What physical exam finding is associated with aortic regurgitation of aortic
insufficiency?
Wide pulse pressure
(the systolic and diastolic numbers are far apart ex. 120/64 standard pulse pressure
is around 40 mmhg)
What is a newborn heart murmur?
heard in the first few days of life
heard at the left lower sternal boarder
short systolic
grade II-III/VI
innocent heart murmur
What is a still heart murmur?
most common innocent murmur of childhood
heard between 2-7 years of age