Congenital Heart Disease – Septal Defects - Symptoms And Signs

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Written by Padma Sundareson | Medically Reviewed by Dr. Sunil Shroff, MBBS, MS, FRCS (UK), D. Urol (Lond) on Jul 22, 2016
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Symptoms and Signs

Symptoms and signs of the two most common heart defects are described below.

Atrial Septal Defect (ASD)

On examination, a doctor can hear a heart murmur by auscultation. A murmur is a sound that is caused due to shunting of blood from one chamber to another through the defective hole. It denotes an abnormal blood flow pattern in the heart. Most babies born with atrial septal defects do not show any symptoms. They usually grow normally and feel well. Rarely they can present with fatigue and abnormal heart beat. Large ASDs can cause pulmonary hypertension and can affect the lung vessels permanently. Fortunately large ASDs are found and treated early before complications occur.

Link - Listen to/Download

  • Listen to Normal Heart Sound
  • Listen to Atrial Septal Defect (ASD) Murmur

Ventricular Septal Defect

A heart murmur is present in babies born with ventricular septal defect. This is usually the first sign. Most often the murmur can be heard right after birth, but at times cannot be heard until the baby is a few weeks old.

Most infants do not have symptoms with a small VSD. On the other hand, babies with large VSDs can develop heart failure. Within the first two months of life, infants can have breathing difficulties, fluid build up in their extremities or even lungs. Infants do not eat well and there can be poor growth. After infancy, there may not be any symptoms because the hole either reduces in size or is treated by intervention.

Teenagers or adults with a small VSD may have no symptoms during life. These individuals will have to go the doctor regularly and be monitored for any changes or problems.

Link - Listen to/Download

  • Listen to Normal Heart Sound
  • Listen to Ventricular Septal Defect (VSD) Murmur

References:

  1. http://medind.nic.in/icb/t05/i7/icbt05i7p595.pdf - (http://medind.nic.in/icb/t05/i7/icbt05i7p595.pdf)
  2. CIRCULATORY CHANGES AT BIRTH - (http://mcb.berkeley.edu/courses/mcb135e/fetal.html)
  3. KidsHealth - (http://www.kidshealth.org/)

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I have VSD since birth [Tetralogy of Fallot] and I'm now 29 years old, I'm aware that I'm not allowed to do any strenuous activities but is yoga allowable for me? I can't afford to go to a doctor. I'm from a 3rd world country in Asia.

HOLE IN HEART IN MY COSION HEART ,I HAVE NO MORE MONEY FOR SURGERY.MY BABY LIE ON BED AND WAITING FOR DEATH.PLEASE SUGGEST ME FOR SOME WELFARE SOSITY ,WHO HEALP MY CHILD.

Man56

dear friend, why don't u try get BPL [below poverty line]card, once this card made i belive free medicins and treatment avilable at all govt hospitals.

RameshRaju

get it done in Sathyasai Institute of Medical sciences in Bangalore.. They will do for free..

Well and briefly explained; VSD account for upto 25% of all Cardiac Heart Failure, which simply means that 2 out of 1000 lives birth are affected. Isolated complex malformations do happened and lower left sternal edge with/or without parasternal thrill is encountered mostly during examination. Yeah/and ballabalala....

Ventricular Septal Defect Ventricular Septal Defect is usually symptomless at birth. It usually manifests a few weeks after birth. Small VSD can be asymptomatic, but larger ones can result in heart failure, pulmonary hypertension or growth restriction with recurrent respiratory infections like pneumonia. Other features may be poor weight gain, breathlessness on breast feeding and increased heart rate. If not intervened, it can develop into Eisenmenger Syndrome, which has a very bad outcome. http://heart-consult.com

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