Understanding Congenital Heart Disease

A Comprehensive Guide for Patients and Families

Cardiology

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Last updated: Mar 24, 2025

What is Congenital Heart Disease?

Congenital heart disease (CHD) refers to structural problems with the heart that are present at birth. These defects develop during pregnancy and can affect the heart's walls, valves, or blood vessels.

Common Types of CHD

Septal Defects

  • Atrial Septal Defect (ASD): A hole between the heart's upper chambers
  • Ventricular Septal Defect (VSD): A hole between the heart's lower chambers

Valve Defects

  • Pulmonary Stenosis: Narrowing of the pulmonary valve
  • Aortic Stenosis: Narrowing of the aortic valve
  • Tetralogy of Fallot: A combination of four defects

Signs and Symptoms

In Newborns

  • Bluish skin color (cyanosis)
  • Rapid breathing
  • Poor feeding
  • Poor weight gain

In Older Children

  • Easily tired during exercise
  • Shortness of breath
  • Heart palpitations
  • Chest pain

Diagnosis

  • Physical examination
  • Echocardiogram
  • Chest X-ray
  • Cardiac catheterization
  • MRI or CT scan

Treatment Options

Conservative Management

  • Regular monitoring
  • Medications
  • Lifestyle modifications

Surgical Interventions

  • Open-heart surgery
  • Catheter-based procedures
  • Valve replacement

Living with CHD

Lifestyle Considerations

  • Regular medical check-ups
  • Proper dental hygiene
  • Exercise as recommended
  • Balanced nutrition

Long-term Outlook

  • Many patients lead normal lives
  • Regular monitoring required
  • Pregnancy considerations for women
  • Need for lifelong cardiac care

Prevention and Support

  • Genetic counseling
  • Family planning
  • Support groups
  • Educational resources

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