Suspecting Congenital Heart Disease*

Jan 4, 2019 by in CARDIOLOGY Comments Off on Suspecting Congenital Heart Disease*

INTRODUCTION Print Section Listen Although prenatal detection of congenital heart defects (CHDs) is attempted during routine fetal ultrasonography, it is estimated that, at present, only 36% of CHDs are detected…

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Overview of Fetal Echocardiography*

Jan 4, 2019 by in CARDIOLOGY Comments Off on Overview of Fetal Echocardiography*

PRENATAL DETECTION OF CONGENITAL HEART DISEASE Print Section Listen Current Status Most infants born with serious congenital heart disease undergo rapid evaluation and life-saving treatment. Most fetuses with significant cardiac…

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Application of Pulsed Wave and Continuous-Wave Doppler in the Assessment and Measurement of Cardiac and Systemic Blood Flow*

Jan 4, 2019 by in CARDIOLOGY Comments Off on Application of Pulsed Wave and Continuous-Wave Doppler in the Assessment and Measurement of Cardiac and Systemic Blood Flow*

INTRODUCTION Print Section Listen The measurement of blood flow through any vascular structure using ultrasound requires two basic pieces of information: the velocity of blood flow and the cross-sectional area…

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Patent Ductus Arteriosus*

Jan 4, 2019 by in CARDIOLOGY Comments Off on Patent Ductus Arteriosus*

INTRODUCTION Print Section Listen In this chapter, the impact of a patent ductus arteriosus (PDA) will be discussed in the clinical setting of a neonate with an otherwise structurally normal…

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Shock, Myocardial Dysfunction, and Heart Failure*

Jan 4, 2019 by in CARDIOLOGY Comments Off on Shock, Myocardial Dysfunction, and Heart Failure*

INTRODUCTION Print Section Listen Shock is a pathophysiologic state characterized by poor tissue perfusion, resulting in a decrease in oxygen delivery that leads to tissue hypoxemia. If circulatory compromise is…

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Shunts Through a Patent Foramen Ovale*

Jan 4, 2019 by in CARDIOLOGY Comments Off on Shunts Through a Patent Foramen Ovale*

INTRODUCTION Print Section Listen A patent foramen ovale, patent ductus arteriosus, and patent ductus venosus are the three vital fetal channels that ensure a normal fetal circulation. Right-to-left shunting through…

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