A 6 month-old boy is brought to your pediatric cardiology clinic for evaluation of a murmur heard by her primary care doctor. Her mother informs you that he is healthy and active. He is playful, no shortness of breath, and no childhood infections, not more than usual for other kids of his age. On physical examination, you note that the boy is well nourished and appropriately sized for his age. On auscultation of his heart, you heard a harsh, holosystolic murmur at the left lower sternal border. There is no cyanosis, no clubbing. What is the most valuable diagnostic tool to detect the cardiac anomaly in this boy?
A 6-month-old baby boy is brought in for a wellness check. His mother reports that he experiences shortness of breath, especially during feeding, and is not gaining weight appropriately. Occasionally, his skin, lips, and nails turn deep blue. You suspect tetralogy of Fallot and order an ECG and chest radiograph. Which of the following findings on the chest radiograph is most characteristic of tetralogy of Fallot?
A 3-month-old baby girl is brought in for a wellness check. The mother reports that the baby has an issue where she ‘turns blue’ while crying. Which of the following congenital heart diseases is most likely responsible for these symptoms and involves right-to-left shunting?
A 42-year-old male patient presents to the cardiologist’s office with complaints of palpitations. He has a history of prior surgeries for the repair of Tetralogy of Fallot. Which of the following is the most appropriate annual test to monitor this patient?
Which of the following medications is recommended for a high-risk 6-month-old with Tetralogy of Fallot during the fall and winter season to prevent severe respiratory syncytial virus (RSV) infection?
Which of the following congenital heart defects is associated with an increased risk of sudden cardiac death?
