Presentation
Age and Sex edits from the Medicare Code Editor alert you to codes that are used only with patients of a specific age or sex, helping to ensure accurate reporting Present on Admission symbol highlights the diseases that will always be coded as present [books.google.com]
On Admission POA Help "Present On Admission" is defined as present at the time the order for inpatient admission occurs — conditions that develop during an outpatient encounter, including emergency department, observation, or outpatient surgery, are [icd10data.com]
A typical pansystolic murmur of tricuspid insufficiency may be present, but the patient may have other nonspecific murmur. [10], [11] Auscultation may vary if other associated cardiac malformation is present. [jcecho.org]
Tricuspid atresia: complete absence of the tricuspid valve; an ASD must be present to maintain blood flow. [patient.info]
Stenosis - when the valve doesn't open enough and blocks blood flow Valve problems can be present at birth or caused by infections, heart attacks, or heart disease or damage. [icdlist.com]
Entire Body System
- Atrial Septal Defect
Atrial septal defects An atrial septal defect (ASD) is where there's a hole between the two collecting chambers of the heart (the left and right atria). [nhs.uk]
It’s usually associated with an atrial septal defect. Other heart conditions associated with Ebstein’s anomaly Three common conditions are: Atrial septal defect. [chd-uk.co.uk]
Survival depends on there being an opening in the wall between the atria (atrial septal defect) and usually an opening in the wall between the two ventricles (ventricular septal defect). [heart.org]
Some children with Ebstein’s anomaly of the tricuspid valve also have an atrial septal defect (ASD), a hole in the wall between the two upper chambers of the heart, or other heart defects. [chop.edu]
These include atrial septal defect, ventricular septal defect, and improperly formed mitral and/or tricuspid valves. [stanfordchildrens.org]
- Cyanotic Congenital Heart Disease
Significant amounts of blood shunting from right to left without traversing the lungs causes cyanotic congenital heart disease. [patient.info]
[…] endocarditis for all patients with unrepaired cyanotic congenital heart disease The “5 Ts” of cyanotic CHDs: T etralogy of Fallot, T ransposition of the great vessels, T ricuspid atresia, T otal anomalous pulmonary venous return, and T runcus arteriosus [amboss.com]
Respiratoric
- Respiratory Distress
Babies developing severe cardiovascular and respiratory distress/collapse require urgent hospital admission, CXR, blood gases, assessment of renal function and electrolytes and assessment of other possible causes of cardiovascular collapse - eg, full [patient.info]
Cardiovascular
- Tachycardia
In reciprocating a tachycardia the RP distance on surface ECG is prolonged due to delayed atrial conduction in almost all patients. [pedcard.rush.edu]
Fetuses with supraventricular tachycardia that occasionally convert to sinus rhythm can tolerate well the condition. Sustained tachycardias of greater than 200 bpm frequently result in fetal hydrops. [sonoworld.com]
Treatment [ edit ] Medication [ edit ] Ebstein's cardiophysiology typically presents as an (antidromic) AV reentrant tachycardia with associated pre-excitation. In this setting, the preferred medication treatment agent is procainamide. [en.wikipedia.org]
(PSVT)発作性上室性頻拍 paroxysmal ventricular tachycardia (PVT)発作性心室頻拍 patent ductus arteriosus (PDA) 動脈管開存[症] percardial friction rub心膜摩擦音 percussion 打診[法]、叩打法〈マッサージの一法〉 percutaneous transluminal coronaryangioplasty (PTCA)経皮的冠[状][動脈]形成[術] percutaneous transluminal [tokyo-med.ac.jp]
[…] curly hair; low, rotated ears; hyperkeratosis Hall-Hittner syndrome (CHARGE association) 80 Conotruncal/arch, assorted CVMs Coloboma, choanal atresia, genital anomalies, ear anomalies Costello syndrome 60 MVP, AV, thickening HCM, arrhythmia (atrial tachycardia [pedsinreview.aappublications.org]
- Cardiomegaly
There is often severe right-sided cardiomegaly due to an elongated and enlarged right atrium which may result in an elevated apex. Classically, the heart is described as having a "box shape" on a frontal chest radiograph. [radiopaedia.org]
Accentuated and bounding peripheral pulses Harsh systolic murmur at lower left sternal border, loud S2 Diagnostics Echocardiography : ( confirmatory test ): single overriding great vessel arising from the heart Pulse oximetry : ↓ SpO 2 ECG : signs of cardiomegaly [amboss.com]
The X-ray shows normal pulmonary vascularity and cardiomegaly. The ECG shows right atrial p waves. [jcecho.org]
We considered the surgery as the unique therapeutic solution for this patient. 8-10 The reasons for surgical indication in our patient were: - Functional class III NYHA symptoms; - Progressive decline in exercise tolerance, fatigue; - Severe cardiomegaly [tmj.ro]
Indications for surgery are progressive cardiomegaly (increased cardiothoracic ratio), cyanosis and heart failure[20]. Hemodynamics There are two significant hemodynamic effects in EA. First, most patients suffer from at least moderate TR. [ghrnet.org]
Eyes
- Lacrimation
[…] eyelid female finger foot foreign body Fracture gallbladder genital gland heart hemorrhage hepatic Hypertension idiopathic implant infarction infection Injury intermittent claudication intestine intracranial joint joint prosthesis kidney knee laceration lacrimal [books.google.com]
[…] apparatus Absence of punctum lacrimale Q10.5 Congenital stenosis and stricture of lacrimal duct Q10.6 Other congenital malformations of lacrimal apparatus Congenital malformation of lacrimal apparatus NOS Q10.7 Congenital malformation of orbit Q11 Anophthalmos [embryology.med.unsw.edu.au]
Urogenital
- Phenylketonuria
Maternal chronic illnesses – These may include diabetes, phenylketonuria (PKU) and a deficiency in the B vitamin folic acid. [americanpregnancy.org]
They are: Maternal conditions: diabetes, phenylketonuria (a metabolic disorder), autoimmune disease (anti-Ro / SSA, anti-LA / SSB) infection with parvovirus B19, coxackie, rubella, teratogen exposure - retinoids, phenytoin, carbamazepine, lithium, valproic [escardio.org]
Neurologic
- Akinesia
[…] infarction 急性心筋梗塞 Adams-Stokes syndromeアダムス・ストークス症候群(=ストークス・アダムス症候群) adenosine triphosphate (ATP)アデノシン三リン酸 adrenal hormone副腎ホルモン adrenaline (= epinephrine)アドレナリン(=エピネフリン) adverse effect副作用、有害効果、逆効果 aerobic metabolism好気性(的)代謝 afterload後負荷 air embolism空気塞栓[症] akinesia [tokyo-med.ac.jp]
Treatment
Many children with congenital heart defects don't need treatment, but others do. Treatment can include medicines, catheter procedures, surgery, and heart transplants. [icdlist.com]
Treatment Reimplantation of coronary arteries Aortocoronary bypass [amboss.com]
If signs and symptoms become troublesome, or if the heart is enlarging or becoming weaker, treatment for Ebstein’s anomaly may be necessary. Treatment options include medications and surgery. [chd-uk.co.uk]
In all cases of moderate or severe TR, treatment of any underlying cause, including medical treatment of pulmonary hypertension as per guidelines, is indicated. [clinicaladvisor.com]
Much research is being conducted both into the cause and the treatment of congenital heart defects. Many types of congenital heart defects are repairable. [americanpregnancy.org]
Prognosis
Prognosis: Cardiac failure is never seen in fetal life as well as postnatally. [sonoworld.com]
Treatment and prognosis As the anomaly is of variable severity, so is the prognosis. Severity is related to the amount of RVOT dysfunction and tricuspid regurgitation. Sudden death from arrhythmia may occur. [radiopaedia.org]
As a result, prognosis is improved from earlier diagnosis. [escardio.org]
Prognosis Severe TR of any cause generally has a poor prognosis long term due to RV dysfunction and/or systemic venous congestion. [clinicaladvisor.com]
Prognosis The prognosis for children with congenital heart disease has improved dramatically over the last few decades. [patient.info]
Etiology
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. [icd10coded.com]
When significant TI accompanies left-sided heart disease or pulmonary hypertension of other etiology, the natural history is determined by the primary disease. [clinicaladvisor.com]
References: [19] [1] [1] [20] [2] [21] [22] [23] [24] [25] Truncus arteriosus Definition Failed separation of aorta and pulmonary artery during development → single trunk that receives output from both ventricles Etiology Failure of cardiac neural crest [amboss.com]
Etiologic Syndrome Frequency of Cardiac Anomalies † Distinguishing Features All (%) Distinctive or Most Common Autosomal Dominant Adams-Oliver syndrome 20 Left-sided obstruction (eg, COA, parachute MVP), TOF Scalp cutis aplasia, terminal transverse limb [pedsinreview.aappublications.org]
Etiology: The etiology of heart defects is heterogeneous and probably depends on the interplay of multiple genetic and environmental factors, including maternal diabetes mellitus or collagen disease, exposure to drugs such as lithium, and viral infections [sonoworld.com]
Epidemiology
References: [15] Tricuspid valve atresia Definition Absent or rudimentary tricuspid valve, resulting in no blood flow between the right atrium and the right ventricle Epidemiology Third most common cyanotic heart defect Almost always accompanied by ASD [amboss.com]
Stroup DF, Berlin JA, Morton SC, et al: Meta-analysis of observational studies in epidemiology: a proposal for reporting. Meta-analysis Of Observational Studies in Epidemiology (MOOSE) group. [karger.com]
Epidemiology The reported total birth prevalence of congenital heart disease in Europe is 8.2 per thousand live births which is higher than reported birth prevalence in the USA (6.9 per thousand live births). [patient.info]
Epidemiology This rare heart condition accounts for only 1% of congenital heart defects but its impact is significant, especially to those directly affected. About 10% of cases are associated with chronic maternal lithium use. [chd-uk.co.uk]
Epidemiology Pathological TR is more prevalent in women and in those with a past history of myocardial infarction and heart failure. [clinicaladvisor.com]
Pathophysiology
Overview of cyanotic congenital heart defects General pathophysiological processes Heart defects may lead to the formation of connections between the right and the left heart ( see “Pathophysiology” in acyanotic congenital heart defects ). [amboss.com]
Grasp the full scope of the pathophysiology of CHD with well-organized, expert guidance. Quickly search the contents online, download images in JPG or PPT format, and view 70 echocardiogram videos at expertconsult.com. [books.google.de]
Describe the pathophysiology of the more common cyanotic heart defects. Introduction Significant congenital heart disease (CHD) may be diagnosed at virtually any age. [pedsinreview.aappublications.org]
Health science Providing basic knowledge of medical terminology, anatomy and physiology, and pathophysiology of diseases and conditions. [icd-10online.com]
Classification Classification into five groups based on pathophysiology has been suggested as it would be helpful in planning management [ 1 ]. [patient.info]
Prevention
Endocarditis Prevention Antibiotics to prevent endocarditis are needed before certain dental procedures. See the section on Endocarditis for more information. [heart.org]
Can congenital heart defects be prevented? Most congenital heart defects cannot be prevented. A woman can do some things to reduce the risk of congenital heart defects though. [americanpregnancy.org]
Prevention Although many forms of congenital heart disease are not currently preventable, the avoidance of known risk factors such as drugs and alcohol during pregnancy will help to reduce the risk. [patient.info]
While they can't be prevented, many treatments are available for the defects and related health problems. [kidshealth.org]
Treatment Infusion of prostaglandin ( PGE1 ) to prevent closure of the ductus arteriosus in ductal-dependent defects (see “General treatment concepts” in acyanotic congenital heart defects ) In cases of heart failure Antibiotic prophylaxis for bacterial [amboss.com]