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Congenital Heart Disease, Acyanotic

Congenital Heart Disease, Acyanotic is a topic covered in the 5-Minute Emergency Consult.

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Abnormality in the cardiocirculatory system that is present at birth but does not cause mixing of deoxygenated and oxygenated blood:
  • L→R shunting lesions:
    • Ventricular septal defect (VSD)
    • Atrial septal defect (ASD)
    • Patent ductus arteriosus (PDA)
    • Endocardial cushion defects (AV canal)
  • Ventricular outflow obstructions:
    • Coarctation of aorta (LV)
    • Aortic stenosis (LV)
    • Pulmonic stenosis (RV)
    • Hypoplastic left-heart syndrome (HLHS)
  • Ductal dependent: Symptoms as DA closes:
    • Coarctation of aorta
    • Critical aortic stenosis
    • Critical pulmonic stenosis
    • HLHS


For most forms, cause is unknown:
  • Genetic: Down (AV canal), Turner (coarct)
  • Environmental: Congenital rubella (PDA, AS)

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Rosen, Peter, et al., editors. "Congenital Heart Disease, Acyanotic." 5-Minute Emergency Consult, 5th ed., Lippincott Williams & Wilkins, 2016. Emergency Central, emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307422/all/Congenital_Heart_Disease__Acyanotic.
Congenital Heart Disease, Acyanotic. In: Rosen P, Shayne P, Barkin AZ, et al, eds. 5-Minute Emergency Consult. 5th ed. Lippincott Williams & Wilkins; 2016. https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307422/all/Congenital_Heart_Disease__Acyanotic. Accessed April 25, 2019.
Congenital Heart Disease, Acyanotic. (2016). In Rosen, P., Shayne, P., Barkin, A. Z., Wolfe, R. E., Hayden, S. R., Barkin, R. M., & Schaider, J. J. (Eds.), 5-Minute Emergency Consult. Available from https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307422/all/Congenital_Heart_Disease__Acyanotic
Congenital Heart Disease, Acyanotic [Internet]. In: Rosen P, Shayne P, Barkin AZ, Wolfe RE, Hayden SR, Barkin RM, Schaider JJ, editors. 5-Minute Emergency Consult. Lippincott Williams & Wilkins; 2016. [cited 2019 April 25]. Available from: https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307422/all/Congenital_Heart_Disease__Acyanotic.
* Article titles in AMA citation format should be in sentence-case
TY - ELEC T1 - Congenital Heart Disease, Acyanotic ID - 307422 ED - Rosen,Peter, ED - Shayne,Philip, ED - Barkin,Adam Z, ED - Wolfe,Richard E, ED - Hayden,Stephen R, ED - Barkin,Roger M, ED - Schaider,Jeffrey J, BT - 5-Minute Emergency Consult UR - https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307422/all/Congenital_Heart_Disease__Acyanotic PB - Lippincott Williams & Wilkins ET - 5 DB - Emergency Central DP - Unbound Medicine ER -