Abstract
A number of pitfalls accompany the various schemes and classifications that have been put forth in attempt to help the clinician in the diagnosis of cardiac malformations. Although congenital heart malformations can be divided into cyanotic and acyanotic forms, the mode of presentation may obscure any such simple approach. Since the newborn presents in relatively few ways, i.e., with cyanosis, congestive heart failure, a rhythm disturbance or heart murmur, these may be used as a juncture to define the diagnosis. This approach must, however, be highlighted by a clear understanding of the status of the circulation in the first days and weeks of life.
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References
Abbott ME (1936) Atlas of congenital cardiac disease. American Heart Association, New York, pp 60–61
Alter BP, Czapek EE, Rowe RD (1968) Sweating in con-genital heart disease. Paediatrics 41: 123–129
Bauer C, Ludwig M, Ludwig I et al. (1969) Factors governing the oxygen affinity of human adult and foetal blood. Resp Physiol 7: 271–277
Bing RJ (1952) Congenital heart disease. An introduction and classification. Am J Med 12: 77–96
Boucek RJ Jr, Graham TP Jr, Morgan JP, Atwood GF, Boerth RC (1976) Spontaneous resolution of massive congenital tricuspid insufficiency. Circulation 54:795- 800
Braudo M, Rowe RD, (1961) Auscultation of the heart — early neonatal period. Am J Dis Child 101: 575–586
Bucciarelli RL, Nelson RM, Egan EA II, Eitzman DV, Gessner IH (1977) Transient tricuspid insufficiency of the newborn: a form of myocardial dysfunction in stressed newborns. Pediatrics 59: 330–337
Cabrera E, Monroy JR (1952) Systolic and diastolic loading of the heart. Physiologic and clinical data. Am Heart J 43: 661–668
Davachi F, Lucas RV Jr, Moller JH (1970) The electrocar-diogram and vectorcardiogram in tricuspid atresia. Correlation with pathologic anatomy. Am J Cardiol 25: 18–27
Delivoria-Papadopoulos M, Roncevic NP, Oski F (1971) Postnatal changes in oxygen transport of term, premature and sick infants: the role of red cell 2,3- diphosphoglycerate and adult hemoglobin. Pediatr Res 5: 235–245
Friedman WF (1984) Congenital heart disease in infancy and childhood, In: Braunwald E (ed) Heart disease, a textbook of cardiovascular medicine. Saunders, Phi-ladelphia, pp 941–1023
Gersony WM (1973) Persistence of the fetal circulation: a commentary. J Pediatr 82: 1103–1106
Goetzman BW, Sunshine P, Johnson JD et al. (1976) Neonatal hypoxia and pulmonary vasospasm response to tolazaline. J Pediatr 89: 617–621
Graettinger JS, Gasul BM (1960) Congenital malformations of the heart with correlation of the clinical and physiologic features. In: Gordon BL (ed) Clinical cardiopulmonary physiology. Grune and Stratton, New York, p 222
Griffin AJ, Ferrara JD, Lax JC, Cassells DE (1972) Pulmonary compliance. An index of cardiovascular status in infancy. Am J Dis Child 123: 89–95
Hastreiter AR, Abella JB (1971) The electrocardiogram in the newborn period. 1. The normal infant. J Pediatr 78: 146–156
Hastreiter AR, Abella JB (1971) The electrocardiogram in the newborn period. 2. The infant with disease. J Pediatr 78: 346–354
Haworth SG, Shinebourne EA, Miller GAH (1975) Right-to-left interatrial shunting with normal right ventricular pressure. A puzzling haemodynamic picture associated with some rare congenital malformations of the right ventricle and tricuspid valve. Br Heart J 37: 386–391
Howlett G (1972) Lung mechanics in normal infants and infants with congenital heart disease. Arch Dis Child 47: 707–715
Jones RWA, Baumer JH, Joseph MC, Shinebourne EA (1976) Arterial oxygen tension and response to oxygen breathing in differential diagnosis of congenital heart disease in infancy. Arch Dis Child 51: 667–673
Kincaid OW (1961) Roentgenologic consideration in the diagnosis of congenial heart disease. Mod Concepts Cardiovasc Dis 30: 657–665
Lees MH, Bristow JD, Griswold HE, Olmsted RW (1965) Relative hypermetabolism in infants with congenital heart disease and undernutrition. Pediatrics 36: 183–191
Lister G, Talner NS (1981) Oxygen transport in congenital heart disease. In: Engle MA (ed) Pediatric cardiovascular disease. FA Davis, Philadelphia, pp 129–148 (Cardiovascular clinics, vol 11, no. 2 )
Marcano BA, Riemenschneider TA, Ruttenberg HD, Goldberg ST, Gyepes M (1969) Tricuspid atresia with increased pulmonary blood flow. An analysis of 13 cases. Circulation 40: 399–410
Marin-Garcia J, Tandon R, Moller JH, Edwards JE (1974) Single ventricle with transposition. Circulation 49:994- 1004
Marin-Garcia J, Tandon R, Moller JH, Edwards JE (1974) Common (single) ventricle with normally related great arteries. Circulation 49: 565–573
McCue CM, Young RB (1961) Cardiac failure in infancy. J Pediatr 58: 330–341
Miller GAH, Restifo M, Shinebourne EA et al. (1973) Pulmonary atresia with intact ventricular septum and critical pulmonary stenosis, presenting in first month of life. Investigation and surgical results. Br Heart J 35: 9–16
Moes CAF (1975) Analysis of the chest in the neonate with congenital heart disease. Radiol Clin North Am 13: 251–276
Mok J, Pintar M, Benson LN, McLaughlin J, Levison H (1986) Evaluation of non-invasive measurements of oxygenation in stable infants. Crit Care Med 14: 960–963
Morgan CD, Nadas AS (1963) Sweating and congestive heart failure. N Engl J Med 268: 580–585
Musewe NN, Smallhorn JF, Burrows PE, Izukawa T, Freedom RM (1988) Echocardiographic and Doppler evaluation of the aortic arch and brachiocephalic vessels in cerebral and systemic arteriovenous fistulas. J Am Coll Cardiol 12: 1529–1535
Neill CA, Brink AJ (1955) Left axis deviation in tricuspid atresia and single ventricle: the electrocardiogram in 36 autopsied cases. Circulation 12: 612–619
Phelan PD, Gillam GL, Menahem SA, Coombs E, Venables AW (1972) Respiratory function in infants with a ventricular septal defect. Aust Paediatr J 8: 79–85
Reisman M, Hipona FA, Bloor CM, Talner NS (1965) Congenital tricuspid insufficiency. A cause of massive cardiomegaly and heart failure in the neonate. J Pediatr 66: 869–876
Rowe RD, Hoffman T (1972) Transient myocardial ischemia of the newborn infant: a form of severe cardiorespiratory distress in full term infants. J Pediatr 81: 243–250
Rowe RD, Freedom RM, Mehrizi A, Bloom K (1981) The neonate with congenital heart disease. Saunders, Philadelphia, pp 137–165
Rudolph AM (1965) The effects of postnatal circulatory adjustments in congenital heart disease. Pediatrics 36: 763–772
Sahn DJ, Friedman WF (1973) Difficulties in distinguishing cardiac from pulmonary disease in the neonate. Pediatr Clin North Am 20: 293–301
Saunders KB (1965) Alveolar-arterial gradient for oxygen in heart failure. Lancet ii: 160–162
Stahlman M (1966) Perinatal circulation. Pediatr Clin North Am 13:753–767
Talner NS (1971) Congestive heart failure in the infant. A functional approach. Pediatr Clin North Am 18:1011–1029
Talner NS (1989) Heart failure. In: Adams FH, Emmanouilides GC (eds) Moss7 heart disease in infants, children and adolescents, 3rd edn. Williams and Wilkins, Baltimore, pp 890–911
Talner NS, Campbell AGM (1972) Recognition and management of cardiologic problems in the newborn infant. Prog Cardiovasc Dis 15: 159–189
Talner NS, Sanyal SK, Halloran KH, Gardner TH, Ordway NK (1965) Congestive heart failure in infancy. 1. Anomalies in blood gases and acid-base equlibrium. Pediatrics 35: 20–26
Taussig HB (1960) Congenital malformations of the heart. Specific malformations. Harvard University Press, Cambridge, Mass, p 119
Versmold HT, Linderkamp O, Dohlemann C et al. (1976) Oxygen transport in congenifal heart disease: influence of fetal hemoglobin, red cell pH, and 2,3 diphosphoglycerate. Pediatr Res 10: 566–570
Ziegler RF (1965) Cardiac evaluation in normal infants. Mosby, St Louis
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© 1992 Springer-Verlag London Limited
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Benson, L.N., Freedom, R.M. (1992). The Clinical Diagnostic Approach in Congenital Heart Disease. In: Neonatal Heart Disease. Springer, London. https://doi.org/10.1007/978-1-4471-1814-5_13
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DOI: https://doi.org/10.1007/978-1-4471-1814-5_13
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