cet college of nursing thidal has pulice on the this content its helps to improving health care services .congenital heart diseae in chilhood really .thankyou dear sir mr.A.P.Edwin madhu really thanking you sir

2. INDRODUCTION
CONGENITAL HEART DISEASE OR A
CONGENITAL HEART DEFECT IS A
HEART ABNORMALITY PRESENT AT
BIRTH THE PROBLEM CAN AFFECT
 THE HEART WALLS
THE HEART VALVES
THE BLOOD VESSELS

3. DEFINITION
• CONGENITAL HEART DISEASE IS A
MALFORMATION OF THE HEART
,AORTA OR OTHER LARGE BLOOD
VESSELS THAT IS THE MOST
FREQUENT FROM OF MAJOR BIRTH
DEFECT IN NEWBORN

4. CHD – Epidemiology
• 600-700/100 000 (live newborn in CR) ~ 6-
7/1000
• 30-40% of all CHD - Ventricular Septal
Defect (VSD) - most common CHD
• Bicuspid Aortic Valve – 1-2% of General
Population
• Atrial Septal Defect – Most common CHD
diagnosed in adulthood
• No exact evidence – Complex CHD
(e.g.TGA+VSD)

5. PROBIEMS WITH GENES OR
CHROMOSOMES IN THE CHILD ,SUCH
AS DOWN SYNDROME
TAKING CERTAIN MRDICATION ,OR
ALCOHOL OR DRINK ABUSE DURING
PREGNANCY
A VIRAL INFECTION LIKE RUBELLA
(GERMAN MEASLES)IN THE MOTHER
IN THE FIRST TRIMESTER OF
PREGNANCY

6. GENERAL SIGNS
 SHORTNESS OF BREATH
 CYANOSIS
 FAINTING
 HEART MURMUR

7. ASSOCIATED SIGNS
VACTERL ASSOCIATION
V-VERTEBRAL ANOMALIES
A-ANAL ATRESIA
C-CARDIO VASCULAR ANOMALIES
T-TRACHEOESOPHAGEAL FISTULA
E-ESOPHAGEAL ATRESIA
R-RENAL or RADIAL ANOMALIES
L-LIMB DEFECTS

9. ACYANOTIC HERAT DISEASE
BLOOD IS SHUNDED FROM THE
LEFT SIDE OF THE HEART TO THE
RIGHT SIDE OF THE HEART DUE TO A
STRUCTURAL DEFECT IN THE INTER
VENTRICULAR SEPTUM
ACYANOTIC HEART DISEASE MAT
SHOW CYANOSIS(turn blue due to
insufficient oxygen in the blood)

10. HEART ABNORMALITY WITH LEFT
RIGHT SHUNT (ACYANOTIC WITH A LEFT
RIGHT SHUNT AN INCREASED
PULMONARY PERFUSION TO THE
DETRIMENT OF THE SYSTEMIC
CIRULATION SYSTEM IN THE RESULT
SHUNT FROM THE OXYGEN RICH SIDE
TO THE OXYGEN POOR SIDE ARE NOT
USUALLY ACCOMPANIED BY A
CYANOSIS PERSISTING DUCTUS
ARTERIOSUS(PDA)

27. • Left to right shunt as blood flow from aorta
•
• pulmonary over load

41. OUT FLOW OBSTRUCTION
A ventricular out flow tract obstraction
is one type of congenital heart defect in
which either the right or left ventricular out
flow tract is blocked or obstruction.

42. Introduction;

43. Definition;
a condition in which the
pulmonary valve is too tight so that the flow
of blood from the right ventricle of the heart
in to the pulmonary artery is impeded this
means that the right ventricle must pump
harder than normal to over come the
obstruction.

44. signs @ symptoms;
 heart murmur
 shortness of breath
 fainting(loss of consciousness)
 chest pain
 fatigue

47. Introduction;

51. Pathophysiology :
Increase out flow obstruction
left ventricular hypertrophy
increase left ventricular end diastolic volume
increase pulmonary capillary pressure
pulmonary edema
diastolic heart failure
AS

60. COARCTATION OF AORDA:

74. TOF:Introduction

75. Definition:
TOF is a type of heart defect
present at birth stmtoms include episodes of
bluish colour to the skin other symtoms may
include a heart murmur finger clubbing and
easy tiring upon breast feeding

76. CAUSES:

77. PATHOPHYSIOLOGY:
Right ventricular hypertrophy with out
cardiac enlargement and increase in right
ventricular pressure
Right to left shuunt appars to decompress
the right ventricle
VSD is silent

78. Ejection systolic murmur
pulmonic stenosis
TOF

79. CLINICAL MANIFESTRATION:
CYANOSIS
BREATHING DIFFICULTY
HEART MURMUR
FINGER CLUBBING

87. TGA

101. Thank you for your attention!!!