Ventricular Septal Defect Outline
MED294 | Ventricular Septal Defect | VSD |
Ashley Shutz
10/7/2010
|
Bibliography 1. www.righthealth.com/topic/Septal_Defect 2. www.medterms.com/script 3. www.bing.com/health/article/mayo 4. www.AHA.com/ventricularseptaldefect 5. www.wikipedia.org/wiki/Ventricular_septal_defect 6. www.childrenshospital.org
Ventricular Septal Defect or VSD is commonly called the “hole in the heart.” It is a defect in the septum between the two ventricles of the left and right. It is more common in newborn babies. It is less obvious in older children and adults, because it usually closes on its own without any surgery or help. VSD is the most common type of heart defect; it can also be accompanied by other heart …show more content…
defects or alone. Before a child is born the right and left ventricles are not separated, as the fetus grows the wall begins to form and if it does not then that is when Ventricular Septal Defect is formed. The child usually has no symptoms, but if the hole is too large and too much blood is pumped into the lungs this will lead to heart failure. The only telltale sign there is to a child having VSD is the bluish tint to the skin which is due to oxygen poor blood being pumped through the body, is most visible in the lips and fingernails. There is at least 1 out of every 500 babies that are born with VSD. I was one of those children born with this congenital birth defect; I became very sick and was hospitalized on and off for the first 4 years of my life. I now have a slight murmur that has to be checked every 3 years with an ultrasound of the heart. It consists of an inferior muscular and superior membranous portion and is extensively innervated with conducting cardiomyocytes. There are a few known symptoms that have been associated with VSD, they are; a bluish tint of the skin also called cyanosis, poor eating habits, failure to gain weight, fast breathing or shortness of breath, rapid heart rate, easily tired, swelling in the feet, legs, abdomen(edema), paleness, sweating while eating, and/or frequent respiratory infections.
No matter what size your VSD is a patient should always take antibiotics for any dental or other procedures that are to be performed on that patient. This is also a way to prevent endocarditis. Most of these signs or symptoms don’t always occur at birth, most but not all are seen until adulthood when heart failure is suspected. If you are lucky though, at your first baby checkup the doctor will be able to hear through his/her stethoscope a heart murmur, which is the sound of blood rushing from one hole to the other. The sound and size of the murmur depends on the amount of blood rushing through. Tests for VSD include; Chest x-ray, ECG, Echocardiogram, Cardiac catherization, and MRI of the heart. These will all determine the definite diagnosis, along with the size of the heart, how much blood is going to the lungs, and show the enlarged left ventricle. A VSD can be detected by cardiac auscultation. A VSD can be silent if there is not much pressure difference between the ventricles and will not be very …show more content…
great. The treatment for VSD usually varies, depends on the size and the age of the patient. If they were as lucky as I was then it will close all on its own and have no need for surgery. Here below is the sizes of “holes” and what is to be done with them. 1. If the defect is small enough that no treatment is needed then the baby should be closely monitored for any changing symptoms or signs if heart failure. Hopefully, these will not occur. 2. Babies with large VSD have related symptoms close to heart failure may need medications such as digitalis (digoxin) and diuretics. Also surgery using the Gore-tex patch may be used for closing of the “hole.”
When the VSD is large, your lung pressure determines if it can be closed during adulthood. If you have low lung pressure then the surgery will be beneficial and if its high pressures you may or may not have problems. “VSDs are the most common congenital cardiac anomalies.
They are found in 30-60% of all newborns with a congenital heart defect, or about 2-6 per 1000 births. During heart formation, when the heart begins life as a hollow tube, it begins to partition, forming a septa. If this does not occur properly it can lead to an opening being left within the ventricular septum. It is debatable whether all those defects are true heart defects, or if some of them are normal phenomena, since most of the trabecular VSDs close spontaneously. Prospective studies give a prevalence of 2-5 per 100 births of trabecular VSDs that closes shortly after birth in 80-90% of the cases. Congenital VSDs are frequently associated with other congenital conditions, such as Down syndrome. A VSD can also form a few days after a myocardial infarction (heart attack) due to mechanical tearing of the septal wall, before scar tissue forms, when macrophages start remodeling the dead heart tissue.(wikipedia, Nov
10)”
--------------------------------------------
[ 1 ]. www.AHA.com/ventricularseptaldefect
[ 2 ]. www.righthealth.com/topic/Septal_Defect
[ 3 ]. www.bing.com/health/article
[ 4 ]. www.medterms.com/script
[ 5 ]. www.righthealth.com/topic/Septal_Defect
[ 6 ]. www.medterms.com/script1
Ashley Shutz
10/7/2010
|
Bibliography 1. www.righthealth.com/topic/Septal_Defect 2. www.medterms.com/script 3. www.bing.com/health/article/mayo 4. www.AHA.com/ventricularseptaldefect 5. www.wikipedia.org/wiki/Ventricular_septal_defect 6. www.childrenshospital.org
Ventricular Septal Defect or VSD is commonly called the “hole in the heart.” It is a defect in the septum between the two ventricles of the left and right. It is more common in newborn babies. It is less obvious in older children and adults, because it usually closes on its own without any surgery or help. VSD is the most common type of heart defect; it can also be accompanied by other heart …show more content…
defects or alone. Before a child is born the right and left ventricles are not separated, as the fetus grows the wall begins to form and if it does not then that is when Ventricular Septal Defect is formed. The child usually has no symptoms, but if the hole is too large and too much blood is pumped into the lungs this will lead to heart failure. The only telltale sign there is to a child having VSD is the bluish tint to the skin which is due to oxygen poor blood being pumped through the body, is most visible in the lips and fingernails. There is at least 1 out of every 500 babies that are born with VSD. I was one of those children born with this congenital birth defect; I became very sick and was hospitalized on and off for the first 4 years of my life. I now have a slight murmur that has to be checked every 3 years with an ultrasound of the heart. It consists of an inferior muscular and superior membranous portion and is extensively innervated with conducting cardiomyocytes. There are a few known symptoms that have been associated with VSD, they are; a bluish tint of the skin also called cyanosis, poor eating habits, failure to gain weight, fast breathing or shortness of breath, rapid heart rate, easily tired, swelling in the feet, legs, abdomen(edema), paleness, sweating while eating, and/or frequent respiratory infections.
No matter what size your VSD is a patient should always take antibiotics for any dental or other procedures that are to be performed on that patient. This is also a way to prevent endocarditis. Most of these signs or symptoms don’t always occur at birth, most but not all are seen until adulthood when heart failure is suspected. If you are lucky though, at your first baby checkup the doctor will be able to hear through his/her stethoscope a heart murmur, which is the sound of blood rushing from one hole to the other. The sound and size of the murmur depends on the amount of blood rushing through. Tests for VSD include; Chest x-ray, ECG, Echocardiogram, Cardiac catherization, and MRI of the heart. These will all determine the definite diagnosis, along with the size of the heart, how much blood is going to the lungs, and show the enlarged left ventricle. A VSD can be detected by cardiac auscultation. A VSD can be silent if there is not much pressure difference between the ventricles and will not be very …show more content…
great. The treatment for VSD usually varies, depends on the size and the age of the patient. If they were as lucky as I was then it will close all on its own and have no need for surgery. Here below is the sizes of “holes” and what is to be done with them. 1. If the defect is small enough that no treatment is needed then the baby should be closely monitored for any changing symptoms or signs if heart failure. Hopefully, these will not occur. 2. Babies with large VSD have related symptoms close to heart failure may need medications such as digitalis (digoxin) and diuretics. Also surgery using the Gore-tex patch may be used for closing of the “hole.”
When the VSD is large, your lung pressure determines if it can be closed during adulthood. If you have low lung pressure then the surgery will be beneficial and if its high pressures you may or may not have problems. “VSDs are the most common congenital cardiac anomalies.
They are found in 30-60% of all newborns with a congenital heart defect, or about 2-6 per 1000 births. During heart formation, when the heart begins life as a hollow tube, it begins to partition, forming a septa. If this does not occur properly it can lead to an opening being left within the ventricular septum. It is debatable whether all those defects are true heart defects, or if some of them are normal phenomena, since most of the trabecular VSDs close spontaneously. Prospective studies give a prevalence of 2-5 per 100 births of trabecular VSDs that closes shortly after birth in 80-90% of the cases. Congenital VSDs are frequently associated with other congenital conditions, such as Down syndrome. A VSD can also form a few days after a myocardial infarction (heart attack) due to mechanical tearing of the septal wall, before scar tissue forms, when macrophages start remodeling the dead heart tissue.(wikipedia, Nov
10)”
--------------------------------------------
[ 1 ]. www.AHA.com/ventricularseptaldefect
[ 2 ]. www.righthealth.com/topic/Septal_Defect
[ 3 ]. www.bing.com/health/article
[ 4 ]. www.medterms.com/script
[ 5 ]. www.righthealth.com/topic/Septal_Defect
[ 6 ]. www.medterms.com/script1