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C.

Schematic Diagram

PREDISPOSING PRECIPITATING

 Race (Asian)  Stress during pregnancy


 Family History of congenital  Complications during pregnancy
heart disease  Substance consumption

HEART

Hole in the septum of two


ventricles

Blood communication between ventricular cavities

Blood from right to left Blood from left to right


ventricle (R to L shunt) heart murmurs ventricle (L to R shunt)

mixed blood oxygenated blood enters


pulmonary artery
↓ O2 concentration in the
blood to the aorta - cyanosis
↑ of extra blood to the normal
- ↑ cardiac pulmonary flow
↓ O2 concentrated blood to rate to
systemic circulation compensate

↑ pulmonary ↑ pulmonary
hypoxia - fatigue
artery pressure capillary pressure

↑ pulmonary return ↑ pulmonary


interstitial fluid

↑ left atrial and ventricular


pressure pulmonary
edema

↑ blood volume
- left atrial hypertrophy
struggle to get
enough O2
- left / bi-ventricular ↑ myocardial
hypertrophy contractility
- asymmetrical chest
- shortness
of breath

- poor
weight gain
 echocardiogram
 electrocardiogram
 chest x-ray
 cardiac catheterization
 pulse oximetry

NO TREATMENT  surgical repair


 catheter procedure
 hybrid procedure
 lung problems
 heart failure
 irregular heart rhythms TREATED
 heart valve problems
 poor growth and normal healthy life
development

DEATH

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