Doctor insights on:
Asd Closure In Adults
Maybe and no: I'm not a pediatric cardiologist and can't tell you definitively if they are the "commonest" problems in infants but, for sure, they're not nearly the commonest problem in patients with diabetes (whom i see everyday). Remember, newborns normally have patent foramen ovale which closes shortly (but may be delayed) after birth. ...Read more
Does atrial septal defect (asd) or ventricular septal defect (vsd) occur in some population groups more than others?
Yes: ASD is more common in females 2-3/1, while vsd is only slightly more common. A variety of heart defects are frequently seen in chromasome defects, trisomies, deletions etc. Some asian populations have a form of vsd at higher frequency. There are polygenic factors that increase risk within families with heart defects for offspring with a lesion. ...Read moreSee 1 more doctor answer
Asd yes pfo maybe: Significantly large (meaning that the right heart is enlarged) ASD needs to be closed. Pfo is noted in up to 20 % of the population. It has no relevance. There may be (data is weak) an association of pfo with stroke. Currently the american society of neurology recommends closure only after first recurrence of a stroke. Very controversial topic. ...Read moreSee 1 more doctor answer
Just found out that my PFO closure may have been an ASD closure. Is an ASD closure safe with flecainide?
Yes generally: In general yes however sonographers are frequently trained specially for kids while nearly every sonographer knows how to perform on adults...There are technical differences....Pediatric echos are usually interpreted by pediatric cardiologists. ...Read more
See below: Dehydration in children may be subtle and the infant or child will be listless, and may have atemperature, and high pulse rate and low blood pressure.In adults they will complain of feeling thirsty, generalized weakness.Dry skin, headache, and have a high pulse rate and low blood pressure. ...Read more
Good Question: The whole issue of bipolar disorder in children is controversial, mostly because what we call bipolar disorder in children tends to look different than with adults. Chidlren with bipolar disorder tend to be more irritable, and their moods tend to be more fluctuating or mixed. There are not usually the clear cycles of mania and depression that occur more with teens and adults. ...Read moreSee 1 more doctor answer
Heart failure and CHF occurs in 1-2% of population under age 55. Even less for age 20-30. Is uncommon in the young (age 20-30), correct?
HF in young adults: Yes uncommon but heart failure remains a significant medical problem as this is the age where genetic causes can first manifest. In many cases the hf diagnosis is missed at first because the young patients symptoms are attributed to asthma or a respiratory infection. ...Read moreSee 1 more doctor answer
Are most atrial septal defects found at birth or early child hood? Rare not to be discovered until adulthood? Sinus venosus specifically?
Yes and no: Most individuals with a significant ASD are diagnosed in utero or in early childhood with echocardiography or auscultation of the heart sounds during physical examination, sinus venosus ASD account for only 10% of asd's, symptoms depend on the size of the shunt, it is not uncommon for ASD to be diagnosed in adulthood when symptoms develop or chest xray/ekg incidentally found to be abnormal. ...Read more
Considerable: Children on the autism spectrum present with considerable variation in communication skills, motor + other developmental delays. Changes may be subtle. The m-chat or modified checklist for autism in toddlers is a screening tool for possible autism. Drs use this tool in toddlers from 12-18 mos of age. If an infant has developmental delays- they need referral to a specialist to confirm diagnosis. ...Read moreSee 2 more doctor answers
Can malnutrition worsen 13 year olds congenital heart defect-tetralogy of Fallot, valve regurgitation, and various holes throughout the heart?
Yes, because...: Malnutrition worsens everything related to a one's health, both mentally and physically. In the U.S., with it's economic wealth and ample food supply, there is little malnutrition, except for people who have very little variety in their diets, who refuse to eat, who cannot eat due to medical problems, or who cannot absorb nutrients from their food. Heart is muscle, and muscles need good nutrition. ...Read more