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Comunicación interventricular - Symptom

Nombres alternativos

CIV; Defecto del tabique ventricular

Síntomas:

Los pacientes con comunicaciones interventriculares pueden no presentar síntomas. Sin embargo, si el orificio es grande, el bebé a menudo tiene síntomas relacionados con insuficiencia cardíaca.

Los síntomas más comunes abarcan:

  • Dificultad respiratoria
  • Respiración rápida
  • Respiración forzada
  • Palidez
  • Insuficiencia para aumentar de peso
  • Frecuencia cardíaca rápida
  • Sudoración al comer
  • Infecciones respiratorias frecuentes

Signos y exámenes:

La auscultación con el estetoscopio generalmente revela un soplo cardíaco (el sonido de la sangre que sale por el orificio). El volumen de sonido del soplo está relacionado con el tamaño del defecto y con la cantidad de sangre que pasa a través de éste.

Los exámenes pueden ser:

  • Radiografía de tórax para observar si hay un corazón grande con líquido en los pulmones
  • ECG que muestra signos de agrandamiento del ventrículo izquierdo
  • Ecocardiografía utilizada para hacer un diagnóstico definitivo
  • Cateterismo cardíaco (rara vez se necesita, a menos que haya preocupación de presión arterial alta en los pulmones)
  • Resonancia magnética del corazón, empleado para averiguar qué tanta sangre está llegando a los pulmones
  • Reviewed last on: 12/21/2009
  • Kurt R. Schumacher, MD, Pediatric Cardiology, University of Michigan Congenital Heart Center, Ann Arbor, MI. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

Referencias

Zipes DP, Libby P, Bonow RO, Braunwald E, eds. Braunwald's Heart Disease: A Textbook of Cardiovascular Medicine. 8th ed. St. Louis, Mo: WB Saunders; 2007.

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