Congenital heart disease is a heart defect that occurs during the formation of the heart in uterus. It could be fatal (i.e. causes intrauterine death, or death at anytime afterwards).
It is an important cause of perinatal morbidity/mortality.
Will depend on the type of the defect.
Mild defects go unnoticed
- Stunted growth
- Failure to thrive
- Heart murmurs
- Rheumatic heart disease
- Endomyocardial fibrosis
- Embolic phenomena
- Cardiac failure
- Full Blood Count and differentials
- Urea, Electrolytes and Creatinine
- Chest radiograph
- Foetal echocardiography.
- Relieve symptoms
- Treat the definitive defect(s)
- Low salt diet
- Treatment of cardiac failure if present
- Digoxin, diuretics and potassium supplements
- Pre-conception nutrition education
- Antenatal care
- Genetic counselling