SlideShare ist ein Scribd-Unternehmen logo
1 von 56
MANAGEMENT OF CONGENITAL HEART DISEASE IN INFANTS Dr Syed Raza Consultant Cardiologist
Objectives ,[object Object],[object Object],[object Object],[object Object]
Size Of The Problem ! ,[object Object],[object Object],[object Object],[object Object],[object Object]
Size of The Problem! ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
Other Associated Birth Defects (TRAVEL) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
How to deal with the problem? ,[object Object],[object Object],[object Object]
CLASSIFICATION ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Common Types of CHD ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Types of CHD – contd: ,[object Object],[object Object],[object Object]
Heart Anatomy
Patent Ductus Arteriosus
Atrial Septal Defect
Ventricular Septal Defect
Hypoplastic Left Heart Syndrome
Coarctation of the Aorta
Tetralogy of Fallot
Tetrology of Fallot
Transposition of the Great Arteries
Problems Associated : ,[object Object],[object Object],[object Object],[object Object]
History Taking ,[object Object],[object Object]
Associated Risk Factors ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
How to suspect CHD? ,[object Object],[object Object],[object Object],[object Object]
CLINICAL  SIGNS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
MURMUR ,[object Object],[object Object],[object Object],[object Object]
Pulmonary vs Cardiac Cyanosis ,[object Object],[object Object]
Heart Failure Signs ,[object Object],[object Object],[object Object],[object Object],[object Object]
INVESTIGATIONS ,[object Object],[object Object],[object Object]
Investigations : contd ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
DIAGNOSIS ,[object Object],[object Object],[object Object]
Cardiac Catheterization ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
MRI ,[object Object],[object Object],[object Object]
TREATMENT AIMS  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
TREATMENT  OPTIONS ,[object Object],[object Object],[object Object],[object Object]
Heart Failure Management ,[object Object],[object Object],[object Object]
Heart Failure Management: Cont’d ,[object Object],[object Object]
Important Points about Care of the Child with a Heart Defect ,[object Object],[object Object],[object Object]
CLOSURE DEVICE : AMPLATZ
CLOSURE DEVICE
BALOON VALVULOPLASTY
BALOON VALVULOPLASTY
SURGERY
Nutrition Requirements ,[object Object],[object Object],[object Object]
Nutrition Requirements: Contd. ,[object Object],[object Object]
Prophylaxis Against Bacterial Endocarditis:  ACC/AHA Guidelines ,[object Object]
Infective Endocarditis Prophylaxis ,[object Object]
Prophylaxis Not Recommended ,[object Object]
VACCINATION ,[object Object],[object Object],[object Object]
 
Psychological Issues ,[object Object],[object Object],[object Object]
Effect of High Demand of Child’s Medical Treatment and Care ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Handling Psychological Stress ,[object Object],[object Object]
General Physician’s Role ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]

Weitere ähnliche Inhalte

Was ist angesagt? (20)

Congenital heart diseases
Congenital heart diseasesCongenital heart diseases
Congenital heart diseases
 
Congenital heart disease
Congenital heart diseaseCongenital heart disease
Congenital heart disease
 
Tetralogy of fallot
Tetralogy of fallotTetralogy of fallot
Tetralogy of fallot
 
Acyanotic Heart Defects
Acyanotic Heart DefectsAcyanotic Heart Defects
Acyanotic Heart Defects
 
Atrial septal defect
Atrial septal defectAtrial septal defect
Atrial septal defect
 
Ventricular Septal Defect
Ventricular Septal DefectVentricular Septal Defect
Ventricular Septal Defect
 
Pulmonary stenosis
Pulmonary stenosisPulmonary stenosis
Pulmonary stenosis
 
Transposition of great arteries
Transposition of great arteriesTransposition of great arteries
Transposition of great arteries
 
Tof
TofTof
Tof
 
ventricular septal defect
ventricular septal defectventricular septal defect
ventricular septal defect
 
Tricuspid atresia
Tricuspid atresiaTricuspid atresia
Tricuspid atresia
 
Patent Ductus Arteriosus (PDA)
Patent Ductus Arteriosus (PDA)Patent Ductus Arteriosus (PDA)
Patent Ductus Arteriosus (PDA)
 
Congenital Heart Disease
Congenital Heart DiseaseCongenital Heart Disease
Congenital Heart Disease
 
Reaction and care of hospitalized child
Reaction and care of hospitalized childReaction and care of hospitalized child
Reaction and care of hospitalized child
 
pediatrics congenital heart disease
pediatrics congenital heart diseasepediatrics congenital heart disease
pediatrics congenital heart disease
 
Congenital heart-disease
Congenital heart-diseaseCongenital heart-disease
Congenital heart-disease
 
tertalogy of fallot
tertalogy of fallottertalogy of fallot
tertalogy of fallot
 
Atrial septal defect
Atrial septal defectAtrial septal defect
Atrial septal defect
 
Patent ductus arteriosus
Patent ductus arteriosusPatent ductus arteriosus
Patent ductus arteriosus
 
Acynotic heart disease
Acynotic heart diseaseAcynotic heart disease
Acynotic heart disease
 

Andere mochten auch

Congenital heart disease (chd)
Congenital heart disease (chd)Congenital heart disease (chd)
Congenital heart disease (chd)Girmawi-Mekelle
 
A good ppt on Clinical congenital heart disease for Post Graduate
A good ppt on Clinical congenital heart disease for Post GraduateA good ppt on Clinical congenital heart disease for Post Graduate
A good ppt on Clinical congenital heart disease for Post GraduateKurian Joseph
 
Nursing care plans
Nursing care plansNursing care plans
Nursing care plansReynel Dan
 
Congenital heart diseases
Congenital heart diseasesCongenital heart diseases
Congenital heart diseasesNassr ALBarhi
 
Congenital cyanotic heart disease approach
Congenital cyanotic heart disease approachCongenital cyanotic heart disease approach
Congenital cyanotic heart disease approachVarsha Shah
 
Classification of Congential Heart Diseases and cyanotic heart disease
Classification of Congential Heart Diseases and cyanotic heart diseaseClassification of Congential Heart Diseases and cyanotic heart disease
Classification of Congential Heart Diseases and cyanotic heart diseaseChristian Medical College & Hospital
 
surgical approach of cyanotic congenital heart disease
surgical approach of cyanotic congenital heart diseasesurgical approach of cyanotic congenital heart disease
surgical approach of cyanotic congenital heart diseasedibufolio
 
Congenital heart disease
Congenital heart diseaseCongenital heart disease
Congenital heart diseaseACI Limited
 
Congenital heart disease, by dr Shaymaa Fayad, El Nasr Hospital Port said
Congenital heart disease, by dr Shaymaa Fayad, El Nasr Hospital Port saidCongenital heart disease, by dr Shaymaa Fayad, El Nasr Hospital Port said
Congenital heart disease, by dr Shaymaa Fayad, El Nasr Hospital Port saidmohamed osama hussein
 
History and physical examination of congenital heart disease
History and physical examination of congenital heart diseaseHistory and physical examination of congenital heart disease
History and physical examination of congenital heart diseaseMd Rahman
 
Congenital heart diseases
Congenital heart diseasesCongenital heart diseases
Congenital heart diseasestksuja10
 
Cardiac diseases in pregnancy 30.7.2013
Cardiac diseases in pregnancy 30.7.2013Cardiac diseases in pregnancy 30.7.2013
Cardiac diseases in pregnancy 30.7.2013limgengyan
 
Pediatric-Cardiology-101.ppt
Pediatric-Cardiology-101.pptPediatric-Cardiology-101.ppt
Pediatric-Cardiology-101.pptempite
 
Nursing care plan ppt final draft
Nursing care plan ppt final draftNursing care plan ppt final draft
Nursing care plan ppt final draftgntc
 
Coronary heart diseases ppt
Coronary heart diseases pptCoronary heart diseases ppt
Coronary heart diseases pptUma Binoy
 
7.congenital heart dss
7.congenital heart dss7.congenital heart dss
7.congenital heart dssWhiteraven68
 
Cardiovascular Disease.ppt
Cardiovascular Disease.pptCardiovascular Disease.ppt
Cardiovascular Disease.pptShama
 
Gambro dieu tri thay the than lien tuc crrt-vn
Gambro   dieu tri thay the than lien tuc crrt-vnGambro   dieu tri thay the than lien tuc crrt-vn
Gambro dieu tri thay the than lien tuc crrt-vnDang Thanh Tuan
 
Internet dieu tri thay the than crrt-vn
Internet   dieu tri thay the than crrt-vnInternet   dieu tri thay the than crrt-vn
Internet dieu tri thay the than crrt-vnDang Thanh Tuan
 

Andere mochten auch (20)

Congenital heart disease (chd)
Congenital heart disease (chd)Congenital heart disease (chd)
Congenital heart disease (chd)
 
A good ppt on Clinical congenital heart disease for Post Graduate
A good ppt on Clinical congenital heart disease for Post GraduateA good ppt on Clinical congenital heart disease for Post Graduate
A good ppt on Clinical congenital heart disease for Post Graduate
 
Nursing care plans
Nursing care plansNursing care plans
Nursing care plans
 
Congenital heart diseases
Congenital heart diseasesCongenital heart diseases
Congenital heart diseases
 
Congenital Heart Disease
Congenital Heart DiseaseCongenital Heart Disease
Congenital Heart Disease
 
Congenital cyanotic heart disease approach
Congenital cyanotic heart disease approachCongenital cyanotic heart disease approach
Congenital cyanotic heart disease approach
 
Classification of Congential Heart Diseases and cyanotic heart disease
Classification of Congential Heart Diseases and cyanotic heart diseaseClassification of Congential Heart Diseases and cyanotic heart disease
Classification of Congential Heart Diseases and cyanotic heart disease
 
surgical approach of cyanotic congenital heart disease
surgical approach of cyanotic congenital heart diseasesurgical approach of cyanotic congenital heart disease
surgical approach of cyanotic congenital heart disease
 
Congenital heart disease
Congenital heart diseaseCongenital heart disease
Congenital heart disease
 
Congenital heart disease, by dr Shaymaa Fayad, El Nasr Hospital Port said
Congenital heart disease, by dr Shaymaa Fayad, El Nasr Hospital Port saidCongenital heart disease, by dr Shaymaa Fayad, El Nasr Hospital Port said
Congenital heart disease, by dr Shaymaa Fayad, El Nasr Hospital Port said
 
History and physical examination of congenital heart disease
History and physical examination of congenital heart diseaseHistory and physical examination of congenital heart disease
History and physical examination of congenital heart disease
 
Congenital heart diseases
Congenital heart diseasesCongenital heart diseases
Congenital heart diseases
 
Cardiac diseases in pregnancy 30.7.2013
Cardiac diseases in pregnancy 30.7.2013Cardiac diseases in pregnancy 30.7.2013
Cardiac diseases in pregnancy 30.7.2013
 
Pediatric-Cardiology-101.ppt
Pediatric-Cardiology-101.pptPediatric-Cardiology-101.ppt
Pediatric-Cardiology-101.ppt
 
Nursing care plan ppt final draft
Nursing care plan ppt final draftNursing care plan ppt final draft
Nursing care plan ppt final draft
 
Coronary heart diseases ppt
Coronary heart diseases pptCoronary heart diseases ppt
Coronary heart diseases ppt
 
7.congenital heart dss
7.congenital heart dss7.congenital heart dss
7.congenital heart dss
 
Cardiovascular Disease.ppt
Cardiovascular Disease.pptCardiovascular Disease.ppt
Cardiovascular Disease.ppt
 
Gambro dieu tri thay the than lien tuc crrt-vn
Gambro   dieu tri thay the than lien tuc crrt-vnGambro   dieu tri thay the than lien tuc crrt-vn
Gambro dieu tri thay the than lien tuc crrt-vn
 
Internet dieu tri thay the than crrt-vn
Internet   dieu tri thay the than crrt-vnInternet   dieu tri thay the than crrt-vn
Internet dieu tri thay the than crrt-vn
 

Ähnlich wie Management of congenital heart disease in infants

Pediatric_Cardiac_Disorders.ppt
Pediatric_Cardiac_Disorders.pptPediatric_Cardiac_Disorders.ppt
Pediatric_Cardiac_Disorders.pptSalam467227
 
CONGENITAL HEART DISEASE
CONGENITAL HEART DISEASECONGENITAL HEART DISEASE
CONGENITAL HEART DISEASEPraTik Trivedi
 
Congenital Heart Defects
Congenital Heart DefectsCongenital Heart Defects
Congenital Heart Defectsdapinderjitgill
 
Timing of Interventions in Acyanotic CHD
Timing of Interventions in Acyanotic CHDTiming of Interventions in Acyanotic CHD
Timing of Interventions in Acyanotic CHDRavi Kumar
 
medically compromised - Cardiovascular Disease
medically compromised - Cardiovascular Disease medically compromised - Cardiovascular Disease
medically compromised - Cardiovascular Disease Hamzeh AlBattikhi
 
2.CHD1.pptx
2.CHD1.pptx2.CHD1.pptx
2.CHD1.pptxBiniam24
 
Care of the child with a physical disorder08
Care of the child with a physical disorder08Care of the child with a physical disorder08
Care of the child with a physical disorder08bholmes
 
Rheumatic Heart Disease (RHD)
Rheumatic Heart Disease (RHD)Rheumatic Heart Disease (RHD)
Rheumatic Heart Disease (RHD)BrahmjotKaur11
 
Congenital heart diseases
Congenital heart diseasesCongenital heart diseases
Congenital heart diseasesABHIJIT BHOYAR
 
Eisenmenger Syndrome Dr md toufiqur rahman cardiologist nicvd
Eisenmenger Syndrome Dr md toufiqur rahman cardiologist nicvdEisenmenger Syndrome Dr md toufiqur rahman cardiologist nicvd
Eisenmenger Syndrome Dr md toufiqur rahman cardiologist nicvdPROFESSOR DR. MD. TOUFIQUR RAHMAN
 
Seminar on Congenital Heart Disease
Seminar on Congenital Heart DiseaseSeminar on Congenital Heart Disease
Seminar on Congenital Heart DiseaseSoumen Sengupta
 
Congenital Heart Diseases in Children.pptx
Congenital Heart Diseases in Children.pptxCongenital Heart Diseases in Children.pptx
Congenital Heart Diseases in Children.pptxAshik Alvee
 
Congestive cardiac failure
Congestive cardiac failureCongestive cardiac failure
Congestive cardiac failureGautam Hariish
 
Overview of congenital heart disease
Overview of congenital heart diseaseOverview of congenital heart disease
Overview of congenital heart diseaseRunal Shah
 
ACYANOTIC DISEASE- Non cyanotic heart diseases
ACYANOTIC DISEASE- Non cyanotic heart diseasesACYANOTIC DISEASE- Non cyanotic heart diseases
ACYANOTIC DISEASE- Non cyanotic heart diseasesNelsonNgulube
 
Drs. Escobar, Pikus, and Blackwell’s CMC X-Ray Mastery Project: January Cases
Drs. Escobar, Pikus, and Blackwell’s CMC X-Ray Mastery Project: January CasesDrs. Escobar, Pikus, and Blackwell’s CMC X-Ray Mastery Project: January Cases
Drs. Escobar, Pikus, and Blackwell’s CMC X-Ray Mastery Project: January CasesSean M. Fox
 

Ähnlich wie Management of congenital heart disease in infants (20)

Pediatric_Cardiac_Disorders.ppt
Pediatric_Cardiac_Disorders.pptPediatric_Cardiac_Disorders.ppt
Pediatric_Cardiac_Disorders.ppt
 
CONGENITAL HEART DISEASE
CONGENITAL HEART DISEASECONGENITAL HEART DISEASE
CONGENITAL HEART DISEASE
 
Congenital Heart Defects
Congenital Heart DefectsCongenital Heart Defects
Congenital Heart Defects
 
Timing of Interventions in Acyanotic CHD
Timing of Interventions in Acyanotic CHDTiming of Interventions in Acyanotic CHD
Timing of Interventions in Acyanotic CHD
 
Acyanotic hd
Acyanotic hdAcyanotic hd
Acyanotic hd
 
medically compromised - Cardiovascular Disease
medically compromised - Cardiovascular Disease medically compromised - Cardiovascular Disease
medically compromised - Cardiovascular Disease
 
2.CHD1.pptx
2.CHD1.pptx2.CHD1.pptx
2.CHD1.pptx
 
Care of the child with a physical disorder08
Care of the child with a physical disorder08Care of the child with a physical disorder08
Care of the child with a physical disorder08
 
Rheumatic Heart Disease (RHD)
Rheumatic Heart Disease (RHD)Rheumatic Heart Disease (RHD)
Rheumatic Heart Disease (RHD)
 
Congenital heart diseases
Congenital heart diseasesCongenital heart diseases
Congenital heart diseases
 
Atrial septal defect
Atrial septal defectAtrial septal defect
Atrial septal defect
 
Eisenmenger Syndrome Dr md toufiqur rahman cardiologist nicvd
Eisenmenger Syndrome Dr md toufiqur rahman cardiologist nicvdEisenmenger Syndrome Dr md toufiqur rahman cardiologist nicvd
Eisenmenger Syndrome Dr md toufiqur rahman cardiologist nicvd
 
Seminar on Congenital Heart Disease
Seminar on Congenital Heart DiseaseSeminar on Congenital Heart Disease
Seminar on Congenital Heart Disease
 
Paediatric stroke
Paediatric strokePaediatric stroke
Paediatric stroke
 
Congenital Heart Diseases in Children.pptx
Congenital Heart Diseases in Children.pptxCongenital Heart Diseases in Children.pptx
Congenital Heart Diseases in Children.pptx
 
Congestive cardiac failure
Congestive cardiac failureCongestive cardiac failure
Congestive cardiac failure
 
Overview of congenital heart disease
Overview of congenital heart diseaseOverview of congenital heart disease
Overview of congenital heart disease
 
ACYANOTIC DISEASE- Non cyanotic heart diseases
ACYANOTIC DISEASE- Non cyanotic heart diseasesACYANOTIC DISEASE- Non cyanotic heart diseases
ACYANOTIC DISEASE- Non cyanotic heart diseases
 
Optimizing Cardiac health.pptx
Optimizing Cardiac health.pptxOptimizing Cardiac health.pptx
Optimizing Cardiac health.pptx
 
Drs. Escobar, Pikus, and Blackwell’s CMC X-Ray Mastery Project: January Cases
Drs. Escobar, Pikus, and Blackwell’s CMC X-Ray Mastery Project: January CasesDrs. Escobar, Pikus, and Blackwell’s CMC X-Ray Mastery Project: January Cases
Drs. Escobar, Pikus, and Blackwell’s CMC X-Ray Mastery Project: January Cases
 

Mehr von SMSRAZA

Do Not Resuscitate Orders : What They Mean ?
Do Not Resuscitate Orders : What They Mean ?Do Not Resuscitate Orders : What They Mean ?
Do Not Resuscitate Orders : What They Mean ?SMSRAZA
 
Heat and heart
Heat  and heartHeat  and heart
Heat and heartSMSRAZA
 
Hypertension - Deciphered
Hypertension - DecipheredHypertension - Deciphered
Hypertension - DecipheredSMSRAZA
 
ARRHYTHMIA - WHAT YOU NEED TO KNOW FOR ACLS.
ARRHYTHMIA - WHAT YOU NEED TO KNOW FOR ACLS.ARRHYTHMIA - WHAT YOU NEED TO KNOW FOR ACLS.
ARRHYTHMIA - WHAT YOU NEED TO KNOW FOR ACLS.SMSRAZA
 
Hypertensive crisis
Hypertensive crisisHypertensive crisis
Hypertensive crisisSMSRAZA
 
Hypertensive crisis
Hypertensive crisisHypertensive crisis
Hypertensive crisisSMSRAZA
 
Acute medical emergencies
Acute  medical emergenciesAcute  medical emergencies
Acute medical emergenciesSMSRAZA
 
Heart failure symposium
Heart failure symposiumHeart failure symposium
Heart failure symposiumSMSRAZA
 
Atrial fibrillation
Atrial  fibrillation Atrial  fibrillation
Atrial fibrillation SMSRAZA
 
Ace inhibitor
Ace inhibitorAce inhibitor
Ace inhibitorSMSRAZA
 
Ace inhibitor :From Venom to Drug
Ace inhibitor :From Venom to DrugAce inhibitor :From Venom to Drug
Ace inhibitor :From Venom to DrugSMSRAZA
 
BALANCING THROMBOSIS AND BLEEDING RISKS
BALANCING THROMBOSIS AND BLEEDING  RISKSBALANCING THROMBOSIS AND BLEEDING  RISKS
BALANCING THROMBOSIS AND BLEEDING RISKSSMSRAZA
 
Chest pain presentation
Chest pain presentationChest pain presentation
Chest pain presentationSMSRAZA
 
Early repolarization: Safety Profile
Early repolarization: Safety ProfileEarly repolarization: Safety Profile
Early repolarization: Safety ProfileSMSRAZA
 
Commotio cordis
Commotio  cordisCommotio  cordis
Commotio cordisSMSRAZA
 
Commotio cordis
Commotio  cordisCommotio  cordis
Commotio cordisSMSRAZA
 
TACHYARRHYTHMIA
TACHYARRHYTHMIATACHYARRHYTHMIA
TACHYARRHYTHMIASMSRAZA
 
Tachyarrhythmia
TachyarrhythmiaTachyarrhythmia
TachyarrhythmiaSMSRAZA
 
Syncope
Syncope  Syncope
Syncope SMSRAZA
 

Mehr von SMSRAZA (20)

Do Not Resuscitate Orders : What They Mean ?
Do Not Resuscitate Orders : What They Mean ?Do Not Resuscitate Orders : What They Mean ?
Do Not Resuscitate Orders : What They Mean ?
 
Heat and heart
Heat  and heartHeat  and heart
Heat and heart
 
Hypertension - Deciphered
Hypertension - DecipheredHypertension - Deciphered
Hypertension - Deciphered
 
ARRHYTHMIA - WHAT YOU NEED TO KNOW FOR ACLS.
ARRHYTHMIA - WHAT YOU NEED TO KNOW FOR ACLS.ARRHYTHMIA - WHAT YOU NEED TO KNOW FOR ACLS.
ARRHYTHMIA - WHAT YOU NEED TO KNOW FOR ACLS.
 
Hypertensive crisis
Hypertensive crisisHypertensive crisis
Hypertensive crisis
 
Hypertensive crisis
Hypertensive crisisHypertensive crisis
Hypertensive crisis
 
Acute medical emergencies
Acute  medical emergenciesAcute  medical emergencies
Acute medical emergencies
 
Heart failure symposium
Heart failure symposiumHeart failure symposium
Heart failure symposium
 
Atrial fibrillation
Atrial  fibrillation Atrial  fibrillation
Atrial fibrillation
 
Ace inhibitor
Ace inhibitorAce inhibitor
Ace inhibitor
 
Ace inhibitor :From Venom to Drug
Ace inhibitor :From Venom to DrugAce inhibitor :From Venom to Drug
Ace inhibitor :From Venom to Drug
 
BALANCING THROMBOSIS AND BLEEDING RISKS
BALANCING THROMBOSIS AND BLEEDING  RISKSBALANCING THROMBOSIS AND BLEEDING  RISKS
BALANCING THROMBOSIS AND BLEEDING RISKS
 
Chest pain presentation
Chest pain presentationChest pain presentation
Chest pain presentation
 
Early repolarization: Safety Profile
Early repolarization: Safety ProfileEarly repolarization: Safety Profile
Early repolarization: Safety Profile
 
Bmj
BmjBmj
Bmj
 
Commotio cordis
Commotio  cordisCommotio  cordis
Commotio cordis
 
Commotio cordis
Commotio  cordisCommotio  cordis
Commotio cordis
 
TACHYARRHYTHMIA
TACHYARRHYTHMIATACHYARRHYTHMIA
TACHYARRHYTHMIA
 
Tachyarrhythmia
TachyarrhythmiaTachyarrhythmia
Tachyarrhythmia
 
Syncope
Syncope  Syncope
Syncope
 

Kürzlich hochgeladen

❤️Call Girl Service In Chandigarh☎️9814379184☎️ Call Girl in Chandigarh☎️ Cha...
❤️Call Girl Service In Chandigarh☎️9814379184☎️ Call Girl in Chandigarh☎️ Cha...❤️Call Girl Service In Chandigarh☎️9814379184☎️ Call Girl in Chandigarh☎️ Cha...
❤️Call Girl Service In Chandigarh☎️9814379184☎️ Call Girl in Chandigarh☎️ Cha...Sheetaleventcompany
 
❤️Chandigarh Escorts Service☎️9814379184☎️ Call Girl service in Chandigarh☎️ ...
❤️Chandigarh Escorts Service☎️9814379184☎️ Call Girl service in Chandigarh☎️ ...❤️Chandigarh Escorts Service☎️9814379184☎️ Call Girl service in Chandigarh☎️ ...
❤️Chandigarh Escorts Service☎️9814379184☎️ Call Girl service in Chandigarh☎️ ...Sheetaleventcompany
 
Jaipur Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Jaipur No💰...
Jaipur Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Jaipur No💰...Jaipur Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Jaipur No💰...
Jaipur Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Jaipur No💰...Sheetaleventcompany
 
Goa Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Goa No💰Advanc...
Goa Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Goa No💰Advanc...Goa Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Goa No💰Advanc...
Goa Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Goa No💰Advanc...Sheetaleventcompany
 
Dehradun Call Girls Service {8854095900} ❤️VVIP ROCKY Call Girl in Dehradun U...
Dehradun Call Girls Service {8854095900} ❤️VVIP ROCKY Call Girl in Dehradun U...Dehradun Call Girls Service {8854095900} ❤️VVIP ROCKY Call Girl in Dehradun U...
Dehradun Call Girls Service {8854095900} ❤️VVIP ROCKY Call Girl in Dehradun U...Sheetaleventcompany
 
🚺LEELA JOSHI WhatsApp Number +91-9930245274 ✔ Unsatisfied Bhabhi Call Girls T...
🚺LEELA JOSHI WhatsApp Number +91-9930245274 ✔ Unsatisfied Bhabhi Call Girls T...🚺LEELA JOSHI WhatsApp Number +91-9930245274 ✔ Unsatisfied Bhabhi Call Girls T...
🚺LEELA JOSHI WhatsApp Number +91-9930245274 ✔ Unsatisfied Bhabhi Call Girls T...soniya pandit
 
Dehradun Call Girl Service ❤️🍑 8854095900 👄🫦Independent Escort Service Dehradun
Dehradun Call Girl Service ❤️🍑 8854095900 👄🫦Independent Escort Service DehradunDehradun Call Girl Service ❤️🍑 8854095900 👄🫦Independent Escort Service Dehradun
Dehradun Call Girl Service ❤️🍑 8854095900 👄🫦Independent Escort Service DehradunSheetaleventcompany
 
Control of Local Blood Flow: acute and chronic
Control of Local Blood Flow: acute and chronicControl of Local Blood Flow: acute and chronic
Control of Local Blood Flow: acute and chronicMedicoseAcademics
 
Call Girls Bangalore - 450+ Call Girl Cash Payment 💯Call Us 🔝 6378878445 🔝 💃 ...
Call Girls Bangalore - 450+ Call Girl Cash Payment 💯Call Us 🔝 6378878445 🔝 💃 ...Call Girls Bangalore - 450+ Call Girl Cash Payment 💯Call Us 🔝 6378878445 🔝 💃 ...
Call Girls Bangalore - 450+ Call Girl Cash Payment 💯Call Us 🔝 6378878445 🔝 💃 ...gragneelam30
 
Cara Menggugurkan Kandungan Dengan Cepat Selesai Dalam 24 Jam Secara Alami Bu...
Cara Menggugurkan Kandungan Dengan Cepat Selesai Dalam 24 Jam Secara Alami Bu...Cara Menggugurkan Kandungan Dengan Cepat Selesai Dalam 24 Jam Secara Alami Bu...
Cara Menggugurkan Kandungan Dengan Cepat Selesai Dalam 24 Jam Secara Alami Bu...Cara Menggugurkan Kandungan 087776558899
 
ANATOMY AND PHYSIOLOGY OF RESPIRATORY SYSTEM.pptx
ANATOMY AND PHYSIOLOGY OF RESPIRATORY SYSTEM.pptxANATOMY AND PHYSIOLOGY OF RESPIRATORY SYSTEM.pptx
ANATOMY AND PHYSIOLOGY OF RESPIRATORY SYSTEM.pptxSwetaba Besh
 
💰Call Girl In Bangalore☎️63788-78445💰 Call Girl service in Bangalore☎️Bangalo...
💰Call Girl In Bangalore☎️63788-78445💰 Call Girl service in Bangalore☎️Bangalo...💰Call Girl In Bangalore☎️63788-78445💰 Call Girl service in Bangalore☎️Bangalo...
💰Call Girl In Bangalore☎️63788-78445💰 Call Girl service in Bangalore☎️Bangalo...gragneelam30
 
7 steps How to prevent Thalassemia : Dr Sharda Jain & Vandana Gupta
7 steps How to prevent Thalassemia : Dr Sharda Jain & Vandana Gupta7 steps How to prevent Thalassemia : Dr Sharda Jain & Vandana Gupta
7 steps How to prevent Thalassemia : Dr Sharda Jain & Vandana GuptaLifecare Centre
 
👉 Amritsar Call Girls 👉📞 8725944379 👉📞 Just📲 Call Ruhi Call Girl Near Me Amri...
👉 Amritsar Call Girls 👉📞 8725944379 👉📞 Just📲 Call Ruhi Call Girl Near Me Amri...👉 Amritsar Call Girls 👉📞 8725944379 👉📞 Just📲 Call Ruhi Call Girl Near Me Amri...
👉 Amritsar Call Girls 👉📞 8725944379 👉📞 Just📲 Call Ruhi Call Girl Near Me Amri...Sheetaleventcompany
 
tongue disease lecture Dr Assadawy legacy
tongue disease lecture Dr Assadawy legacytongue disease lecture Dr Assadawy legacy
tongue disease lecture Dr Assadawy legacyDrMohamed Assadawy
 
Gorgeous Call Girls Dehradun {8854095900} ❤️VVIP ROCKY Call Girls in Dehradun...
Gorgeous Call Girls Dehradun {8854095900} ❤️VVIP ROCKY Call Girls in Dehradun...Gorgeous Call Girls Dehradun {8854095900} ❤️VVIP ROCKY Call Girls in Dehradun...
Gorgeous Call Girls Dehradun {8854095900} ❤️VVIP ROCKY Call Girls in Dehradun...Sheetaleventcompany
 
Electrocardiogram (ECG) physiological basis .pdf
Electrocardiogram (ECG) physiological basis .pdfElectrocardiogram (ECG) physiological basis .pdf
Electrocardiogram (ECG) physiological basis .pdfMedicoseAcademics
 
Call 8250092165 Patna Call Girls ₹4.5k Cash Payment With Room Delivery
Call 8250092165 Patna Call Girls ₹4.5k Cash Payment With Room DeliveryCall 8250092165 Patna Call Girls ₹4.5k Cash Payment With Room Delivery
Call 8250092165 Patna Call Girls ₹4.5k Cash Payment With Room DeliveryJyoti singh
 
VIP Hyderabad Call Girls KPHB 7877925207 ₹5000 To 25K With AC Room 💚😋
VIP Hyderabad Call Girls KPHB 7877925207 ₹5000 To 25K With AC Room 💚😋VIP Hyderabad Call Girls KPHB 7877925207 ₹5000 To 25K With AC Room 💚😋
VIP Hyderabad Call Girls KPHB 7877925207 ₹5000 To 25K With AC Room 💚😋mahima pandey
 
Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...
Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...
Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...Sheetaleventcompany
 

Kürzlich hochgeladen (20)

❤️Call Girl Service In Chandigarh☎️9814379184☎️ Call Girl in Chandigarh☎️ Cha...
❤️Call Girl Service In Chandigarh☎️9814379184☎️ Call Girl in Chandigarh☎️ Cha...❤️Call Girl Service In Chandigarh☎️9814379184☎️ Call Girl in Chandigarh☎️ Cha...
❤️Call Girl Service In Chandigarh☎️9814379184☎️ Call Girl in Chandigarh☎️ Cha...
 
❤️Chandigarh Escorts Service☎️9814379184☎️ Call Girl service in Chandigarh☎️ ...
❤️Chandigarh Escorts Service☎️9814379184☎️ Call Girl service in Chandigarh☎️ ...❤️Chandigarh Escorts Service☎️9814379184☎️ Call Girl service in Chandigarh☎️ ...
❤️Chandigarh Escorts Service☎️9814379184☎️ Call Girl service in Chandigarh☎️ ...
 
Jaipur Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Jaipur No💰...
Jaipur Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Jaipur No💰...Jaipur Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Jaipur No💰...
Jaipur Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Jaipur No💰...
 
Goa Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Goa No💰Advanc...
Goa Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Goa No💰Advanc...Goa Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Goa No💰Advanc...
Goa Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Goa No💰Advanc...
 
Dehradun Call Girls Service {8854095900} ❤️VVIP ROCKY Call Girl in Dehradun U...
Dehradun Call Girls Service {8854095900} ❤️VVIP ROCKY Call Girl in Dehradun U...Dehradun Call Girls Service {8854095900} ❤️VVIP ROCKY Call Girl in Dehradun U...
Dehradun Call Girls Service {8854095900} ❤️VVIP ROCKY Call Girl in Dehradun U...
 
🚺LEELA JOSHI WhatsApp Number +91-9930245274 ✔ Unsatisfied Bhabhi Call Girls T...
🚺LEELA JOSHI WhatsApp Number +91-9930245274 ✔ Unsatisfied Bhabhi Call Girls T...🚺LEELA JOSHI WhatsApp Number +91-9930245274 ✔ Unsatisfied Bhabhi Call Girls T...
🚺LEELA JOSHI WhatsApp Number +91-9930245274 ✔ Unsatisfied Bhabhi Call Girls T...
 
Dehradun Call Girl Service ❤️🍑 8854095900 👄🫦Independent Escort Service Dehradun
Dehradun Call Girl Service ❤️🍑 8854095900 👄🫦Independent Escort Service DehradunDehradun Call Girl Service ❤️🍑 8854095900 👄🫦Independent Escort Service Dehradun
Dehradun Call Girl Service ❤️🍑 8854095900 👄🫦Independent Escort Service Dehradun
 
Control of Local Blood Flow: acute and chronic
Control of Local Blood Flow: acute and chronicControl of Local Blood Flow: acute and chronic
Control of Local Blood Flow: acute and chronic
 
Call Girls Bangalore - 450+ Call Girl Cash Payment 💯Call Us 🔝 6378878445 🔝 💃 ...
Call Girls Bangalore - 450+ Call Girl Cash Payment 💯Call Us 🔝 6378878445 🔝 💃 ...Call Girls Bangalore - 450+ Call Girl Cash Payment 💯Call Us 🔝 6378878445 🔝 💃 ...
Call Girls Bangalore - 450+ Call Girl Cash Payment 💯Call Us 🔝 6378878445 🔝 💃 ...
 
Cara Menggugurkan Kandungan Dengan Cepat Selesai Dalam 24 Jam Secara Alami Bu...
Cara Menggugurkan Kandungan Dengan Cepat Selesai Dalam 24 Jam Secara Alami Bu...Cara Menggugurkan Kandungan Dengan Cepat Selesai Dalam 24 Jam Secara Alami Bu...
Cara Menggugurkan Kandungan Dengan Cepat Selesai Dalam 24 Jam Secara Alami Bu...
 
ANATOMY AND PHYSIOLOGY OF RESPIRATORY SYSTEM.pptx
ANATOMY AND PHYSIOLOGY OF RESPIRATORY SYSTEM.pptxANATOMY AND PHYSIOLOGY OF RESPIRATORY SYSTEM.pptx
ANATOMY AND PHYSIOLOGY OF RESPIRATORY SYSTEM.pptx
 
💰Call Girl In Bangalore☎️63788-78445💰 Call Girl service in Bangalore☎️Bangalo...
💰Call Girl In Bangalore☎️63788-78445💰 Call Girl service in Bangalore☎️Bangalo...💰Call Girl In Bangalore☎️63788-78445💰 Call Girl service in Bangalore☎️Bangalo...
💰Call Girl In Bangalore☎️63788-78445💰 Call Girl service in Bangalore☎️Bangalo...
 
7 steps How to prevent Thalassemia : Dr Sharda Jain & Vandana Gupta
7 steps How to prevent Thalassemia : Dr Sharda Jain & Vandana Gupta7 steps How to prevent Thalassemia : Dr Sharda Jain & Vandana Gupta
7 steps How to prevent Thalassemia : Dr Sharda Jain & Vandana Gupta
 
👉 Amritsar Call Girls 👉📞 8725944379 👉📞 Just📲 Call Ruhi Call Girl Near Me Amri...
👉 Amritsar Call Girls 👉📞 8725944379 👉📞 Just📲 Call Ruhi Call Girl Near Me Amri...👉 Amritsar Call Girls 👉📞 8725944379 👉📞 Just📲 Call Ruhi Call Girl Near Me Amri...
👉 Amritsar Call Girls 👉📞 8725944379 👉📞 Just📲 Call Ruhi Call Girl Near Me Amri...
 
tongue disease lecture Dr Assadawy legacy
tongue disease lecture Dr Assadawy legacytongue disease lecture Dr Assadawy legacy
tongue disease lecture Dr Assadawy legacy
 
Gorgeous Call Girls Dehradun {8854095900} ❤️VVIP ROCKY Call Girls in Dehradun...
Gorgeous Call Girls Dehradun {8854095900} ❤️VVIP ROCKY Call Girls in Dehradun...Gorgeous Call Girls Dehradun {8854095900} ❤️VVIP ROCKY Call Girls in Dehradun...
Gorgeous Call Girls Dehradun {8854095900} ❤️VVIP ROCKY Call Girls in Dehradun...
 
Electrocardiogram (ECG) physiological basis .pdf
Electrocardiogram (ECG) physiological basis .pdfElectrocardiogram (ECG) physiological basis .pdf
Electrocardiogram (ECG) physiological basis .pdf
 
Call 8250092165 Patna Call Girls ₹4.5k Cash Payment With Room Delivery
Call 8250092165 Patna Call Girls ₹4.5k Cash Payment With Room DeliveryCall 8250092165 Patna Call Girls ₹4.5k Cash Payment With Room Delivery
Call 8250092165 Patna Call Girls ₹4.5k Cash Payment With Room Delivery
 
VIP Hyderabad Call Girls KPHB 7877925207 ₹5000 To 25K With AC Room 💚😋
VIP Hyderabad Call Girls KPHB 7877925207 ₹5000 To 25K With AC Room 💚😋VIP Hyderabad Call Girls KPHB 7877925207 ₹5000 To 25K With AC Room 💚😋
VIP Hyderabad Call Girls KPHB 7877925207 ₹5000 To 25K With AC Room 💚😋
 
Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...
Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...
Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...
 

Management of congenital heart disease in infants