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Congenital heart disease

Information from the Medical Directory health library.

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This information supports, and does not replace, advice from your healthcare professional.

Overview

Congenital heart disease (CHD) refers to a range of structural heart defects present from birth. These defects affect the way blood flows through the heart and can vary from simple conditions with no symptoms to complex problems causing life-threatening complications.

Symptoms

Rapid breathing Blue tinge to the skin, lips, or fingernails (cyanosis) Fatigue during feeding in infants Poor weight gain Heart murmurs Shortness of breath

Causes

Genetic mutations Chromosomal abnormalities (e.g., Down syndrome) Maternal illnesses during pregnancy (e.g., rubella, diabetes) Exposure to certain medications or substances during pregnancy

Diagnosis

Prenatal ultrasound or fetal echocardiogram Postnatal echocardiogram, ECG, or chest X-ray Pulse oximetry to check oxygen levels

Treatment

Observation for minor defects that may close naturally Medications to help heart function Surgical repair or catheter-based procedures for severe defects Ongoing cardiac follow-up

Complications

Heart failure Arrhythmias Stroke Infective endocarditis

Prevention

Prenatal care and avoiding harmful substances during pregnancy Maternal vaccination against rubella Managing maternal health conditions

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