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The early diagnosis of congenital heart disease
REVIEWS
Krause: kologie,
A Rare Double 1924, Ixxxvii,
Malformation. 92.
AND
291
ABSTRACTS
Zeitschrift
fiir
The author describes and illustrates a double monster stillbirth. omphalopagus, which occurred as a six months’ of the condition in considerable detail.
Wtisthoff, H.: The fiir Geburtshiilfe
Early und
Diagnosis Gynlkologie,
of Congenital Heart 1922, lx, 365.
Geburtshiilfe
und
Gynt
of the type cephaloxiphoHe discusses the etiology MARGARET
Disease.
S~~JL~E.
Monatsschrift
All the abnormalities in the development of the heart are well tderated during fetal life and immediately after birth. Only when the placental circulation is ended, do symptoms arise. One of the earliest is dyspnea and this is soon aocompanied by cyanosis. The latter symptom msy not appear for days or even weeks, or it may occur periodically when the child overexerts itself. The cyanosis is due essentially to a venous stasis, therefore insuf6ciency of the right side of the heart. With the slowed circulation there is sometimes a marked drop in body temperature. While auscultation in adults is mffst essential for a correct diagnosis, it is not so important in infants. First becau’se there is great difficulty in localizing the various sounds heard and secondly because in many cases of fetal heart disease no murmurs are heard. Sometimes murmurs are heard only after a few days. Organic murmurs differ from functional ones in that they are loud, rough, are heard all over the card& area and in the ba,ck aud are constant regardless of respiration or posture of the child. Single murmurs are always systolic while a diastolic one is always associated with a systolic one. Percuseion is of very little value in infants. The x-ray may help by showing the size and configuration of the heart. Extracardiac symptoms are diminished response to external stimuli, drowsiness, poor nursing and absence of signs of discomfort when wet. Other maldevelopments suc11 as hare lip, cleft palate, epispadias, etc., may help to make the diagnosis. Heredity may play a part. J. P. GKEENHILL.
Krause: kologie,
A Rare Double 1924, Ixxxvii,
Malformation. 92.
AND
291
ABSTRACTS
Zeitschrift
fiir
The author describes and illustrates a double monster stillbirth. omphalopagus, which occurred as a six months’ of the condition in considerable detail.
Wtisthoff, H.: The fiir Geburtshiilfe
Early und
Diagnosis Gynlkologie,
of Congenital Heart 1922, lx, 365.
Geburtshiilfe
und
Gynt
of the type cephaloxiphoHe discusses the etiology MARGARET
Disease.
S~~JL~E.
Monatsschrift
All the abnormalities in the development of the heart are well tderated during fetal life and immediately after birth. Only when the placental circulation is ended, do symptoms arise. One of the earliest is dyspnea and this is soon aocompanied by cyanosis. The latter symptom msy not appear for days or even weeks, or it may occur periodically when the child overexerts itself. The cyanosis is due essentially to a venous stasis, therefore insuf6ciency of the right side of the heart. With the slowed circulation there is sometimes a marked drop in body temperature. While auscultation in adults is mffst essential for a correct diagnosis, it is not so important in infants. First becau’se there is great difficulty in localizing the various sounds heard and secondly because in many cases of fetal heart disease no murmurs are heard. Sometimes murmurs are heard only after a few days. Organic murmurs differ from functional ones in that they are loud, rough, are heard all over the card& area and in the ba,ck aud are constant regardless of respiration or posture of the child. Single murmurs are always systolic while a diastolic one is always associated with a systolic one. Percuseion is of very little value in infants. The x-ray may help by showing the size and configuration of the heart. Extracardiac symptoms are diminished response to external stimuli, drowsiness, poor nursing and absence of signs of discomfort when wet. Other maldevelopments suc11 as hare lip, cleft palate, epispadias, etc., may help to make the diagnosis. Heredity may play a part. J. P. GKEENHILL.