Tetralogy of Fallot
RV(OH)OV RV outlet obstruction RV hypertrophy Overriding aorta VSD
MC cyanosis outside neonatal pd, knee to chest (inc SVR)
Transposition of the great vessels
MC cyanosis neonatal pd, PDA, VSD or PFO give PGE
DiGeorge (George is trans)
PDA
Can be NBD, LEFT TO RIGHT SHUNT
RHD
If valvular dz give pen G ppx until age 40
HCM
Louder w dec preload (Valsalva, Abrupt standing, Nitroglycerine) think of a VAN honking the horn
Tricuspid valve atresia
L axis dev (ALWAYS PATH)
Edwards syndrome
VSD
Down syndrome
Endocardial cushion defect, atrioventricular septal defect
Cardiogenic shock
Give dopamine
V tach
Stable —> adenosine
Unstable —> unsynchronized cardioversion
Long QT
Hypocalcemia, GDM baby, check Mg