Resumo
Definição
História e exame físico
Principais fatores diagnósticos
- sopro sistólico de ejeção patológico com ou sem clique sistólico
Outros fatores diagnósticos
- febre reumática
- dispneia
- fadiga
- dor torácica
- síncope
- características de dismorfismo da síndrome de Noonan
- características de dismorfismo da síndrome de LEOPARD (lentigos múltiplos)
- características de dismorfismo da síndrome de Williams
- características de dismorfismo da síndrome de Alagille
- retardo do crescimento pôndero-estatural
- cianose
- sinais de insuficiência cardíaca direita
- ictus do ventrículo direito
- frêmito sistólico
Fatores de risco
- etnia negra
- Síndrome de Noonan
- síndrome de LEOPARD (lentigos múltiplos)
- Síndrome de Alagille
- Síndrome de Williams
- síndrome da rubéola congênita
- síndrome carcinoide
- endocardite infecciosa
- tumores miocárdicos
- compressão externa
Investigações diagnósticas
Primeiras investigações a serem solicitadas
- eletrocardiograma
- radiografia torácica
- ecocardiografia com avaliação por Doppler
- hemoglobina (Hb) e hematócrito (Hct)
- oximetria de pulso
- gasometria arterial
Investigações a serem consideradas
- cateterismo cardíaco diagnóstico
Algoritmo de tratamento
Colaboradores
Autores
Edgar Tay, MBBS, MRCP (UK), MMed (Int Med), FAMS, FACC, FESC
Senior Consultant
Assistant Professor
Programme Director, Congenital/Structural Heart Disease Programme
Department of Cardiology
Department of Medicine
National University Heart Centre Singapore
Singapore
Declarações
ET declares that he has no competing interests.
Kian Keong Poh, MBBChir (Camb), MMed, FRCP, FCCP, FAMS, FACC, FASE
Senior Consultant
Clinical Director of Research
Director of Postgraduate Education
Department of Cardiology
National University Heart Centre Singapore
Associate Professor
Department of Medicine
Yong Loo Lin School of Medicine
National University of Singapore
Singapore
Declarações
KKP declares that he has no competing interests.
Ivandito Kuntjoro, MD, ABIM (Int.Med-USA)
Consultant
Department of Cardiology
National University Heart Centre Singapore
Singapore
Declarações
IK declares that he has no competing interests.
James Yip, MBBS, MRCP (UK), FAMS
Senior Consultant
Department of Cardiology
National University Heart Centre Singapore
Associate Professor
Department of Medicine
Group Chief Medical Informatics Officer
National University of Singapore
Singapore
Declarações
JY declares that he has no competing interests.
Low Ting Ting, MBBS (Singapore) MRCP (UK)
Consultant
Department of Cardiology
Programme Co-Director
Women's Heart Health Programme
National University Heart Centre Singapore
Singapore
Declarações
LTT declares that she has no competing interests.
Agradecimentos
Dr Ivandito Kuntjoro, Edgar Tay, James Yip, Kian Keong Pho, and Low Ting Ting would like to gratefully acknowledge Dr Peter S. Fischbach, Dr Cyrus Samai, and Dr David M. Drossner, the previous authors of this monograph.
Revisores
John Charpie, MD, PhD
Associate Professor of Pediatrics
Medical Director
Pediatric Cardiothoracic Intensive Care Unit
University of Michigan Congenital Heart Center
Ann Arbor
MI
Declarações
JC declares that he has no competing interests.
James Gnanapragasam, MBBS, MSc, FRCP, FRCPCH
Consultant in Paediatric Cardiology
Southampton University Hospitals NHS Trust
Southampton
UK
Declarações
JG declares that he has no competing interests.
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