Clinical Approach to a Neonate with Cyanosis
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Cyanosis is always pathological and demands detailed evaluation. Combined use of clinical findings, electrocardiogram and chest radiograph permits determination of underlying cause in vast majority. Stepwise approach allows hemodynamic classification of the cardiac lesion and directs immediate management. Accurate anatomic diagnosis of the cardiac malformation is seldom essential for preliminary management and therefore, emphasis must be on clinical classification rather than on obtaining echocardiographic diagnosis.
KeywordsCyanosis Neonate Congenital heart disease
The author is grateful to Dr. Sandeep Singh, Professor of Cardiology, All India Institute Medical Sciences, New Delhi for critical review of the manuscript.
SKG prepared and finalised the manuscript. Anita Saxena, Professor of Cardiology, Department of Cardiology, AIIMS, New Delhi, India, will act as guarantor for this paper.
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- 22.Cloherty JP, Eichenwald EC, Stark AR. Manual of neonatal care. 6th ed, South Asian edition, 4th Indian reprint edition. New Delhi: Wolters Kluwer Company; 2009.Google Scholar
- 24.Tandon R. Bedside approach. In: Tandon R, editor. The diagnosis of congenital heart disease. 2nd ed. New Delhi: Sitaram Bhartia Institute of Science and Research Publishers; 2011.Google Scholar
- 25.Allen HD, Driscoll DJ, Shaddy RE, Timothy FF. Moss and Adam’s Heart disease in infants, children and adolescents: including the fetus and young adults. 8th ed. Philadelphia: Lippincott Willaims and Wilkins; 2012.Google Scholar