Resumo
Definição
História e exame físico
Principais fatores diagnósticos
- crises hipercianóticas
- sopro sistólico de ejeção rude
- cianose
- taquipneia
Outros fatores diagnósticos
- choque
Fatores de risco
- trissomia do cromossomo 21, 18 ou 13
- deleções do cromossomo 22q11 (síndrome de DiGeorge)
- mutações no gene Jagged1 (síndrome de Alagille)
- mutação do gene NKX2.5
- fatores ambientais
- história familiar de cardiopatia congênita
Investigações diagnósticas
Primeiras investigações a serem solicitadas
- oximetria de pulso
- ecocardiograma
- eletrocardiograma (ECG)
- radiografia torácica
- exame de hiperoxigenação
Investigações a serem consideradas
- Angiotomografia ou RNM cardíaca
- cateterismo cardíaco
Algoritmo de tratamento
crises hipercianóticas
neonato com cianose profunda e fluxo de sangue pulmonar gravemente limitado
neonato ou lactente com cianose grave não remitente
todos os pacientes
Colaboradores
Autores
Jeffrey Gossett, MD
Vice President and System Chief of Pediatric Cardiology
Professor of Pediatrics
Division of Pediatric Cardiology
Cohen Children’s Medical Center, Northwell Health
New Hyde Park
NY
Declarações
JG declares that he has no competing interests.
Agradecimentos
Dr Jeffrey Gossett would like to gratefully acknowledge Dr Anna Kamp, a previous contributor to this topic.
Declarações
AK declares that she has no competing interests.
Revisores
Adam B. Christopher, MD
Assistant Professor of Pediatrics
Director of Cardiac MRI
UPMC Children's Hospital of Pittsburgh
Pittsburgh
PA
Declarações
ABC declares that he has no competing interests.
Ranjit Aiyagari, MD
Clinical Assistant Professor of Pediatrics
University of Michigan
Ann Arbor
MI
Disclosures
RA declares that he has no competing interests.
Michael Cheung, BSc, MBChB, MD
Deputy Director
Department of Cardiology
Royal Children's Hospital
Melbourne
Australia
Disclosures
MC declares that he has no competing interests.
Peer reviewer acknowledgements
BMJ Best Practice topics are updated on a rolling basis in line with developments in evidence and guidance. The peer reviewers listed here have reviewed the content at least once during the history of the topic.
Disclosures
Peer reviewer affiliations and disclosures pertain to the time of the review.
References
Key articles
Hirsch JC, Mosca RS, Bove EL. Complete repair of tetralogy of Fallot in the neonate: results in the modern era. Ann Surg. 2000 Oct;232(4):508-14.Full text Abstract
Habib G, Lancellotti P, Antunes MJ, et al. 2015 ESC guidelines for the management of infective endocarditis. Eur Heart J. 2015 Nov 21;36(44):3075-128.Full text Abstract
Stout KK, Daniels CJ, Aboulhosn JA, et al. 2018 AHA/ACC guideline for the management of adults with congenital heart disease: a report of the American College of Cardiology/American Heart Association Task Force on clinical practice guidelines. Circulation. 2019 Apr 2;139(14):e698-800.Full text Abstract
Baumgartner H, De Backer J, Babu-Narayan SV, et al. 2020 ESC guidelines for the management of adult congenital heart disease. Eur Heart J. 2021 Feb 11;42(6):563-645.Full text Abstract
Valente AM, Cook S, Festa P, et al. Multimodality imaging guidelines for patients with repaired tetralogy of Fallot: a report from the American Society of Echocardiography: developed in collaboration with the Society for Cardiovascular Magnetic Resonance and the Society for Pediatric Radiology. J Am Soc Echocardiogr. 2014 Feb;27(2):111-41. Abstract
Reference articles
A full list of sources referenced in this topic is available to users with access to all of BMJ Best Practice.
Differentials
- Outras anormalidades cardíacas congênitas cianóticas
- Estenose pulmonar
- Defeito do septo ventricular (DSV)
More DifferentialsGuidelines
- ACR Appropriateness Criteria: congenital or acquired heart disease
- Management and re-interventional therapy in patients with congenital heart disease long-term after initial repair
More Guidelines
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