Describe Other Concerns in Adults with Congenital Heart Disease ?
Infective endocarditis prophylaxis: The standard guidelines for infective endocarditis prophylaxis should be followed for the various conditions.
Pregnancy: The specific recommendations for individual conditions are beyond the scope of this chapter.
Resuscitation, Stabilization and Transport of a Newborn with Suspected Heart Disease
Heart diseases that manifest during newborn period very often require urgent attention. Prompt treatment can often yield gratifying results and many instances excellent long-term event free survival can be expected. Today, some form of palliative or definitive treatment is feasible for most newborns with CHD. Table lists the common cardiac emergencies at birth.
Clinical Recognition of Neonatal Heart Disease
1 Presentation and physical examination
2 Preliminary investigations: ABG
3Hyperoxia test
4 ECG and Chest X-ray
4 Echocardiogram
Initial resuscitation and stabilization of a newborn with suspected heart disease
1 Airway
2Respiratory Support
3Access
4 Oxygen
5 Prostaglandin: Availability, Administration and Alternatives
6 Circulatory support and Inotropes
7 Basic Laboratory work-up
Transport of a newborn with suspected heart disease
1 Communication
2Personnel
3 Temperature Control
4Monitoring
5Mechanical ventilation
Evaluation and Management at the Tertiary Care Center
1 Detailed Diagnostic Evaluation
2 Assessment of End-organ Insult
Definitive treatment: Emergency Procedures
1 Interventions
2 Emergency Cardiac Surgery