Ventricular Septal Defect : Etiology, Pathophysiology, Clinical features, Diagnostics, Treatment
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- เผยแพร่เมื่อ 1 พ.ค. 2022
- 📌𝐅𝐨𝐥𝐥𝐨𝐰 𝐨𝐧 𝐈𝐧𝐬𝐭𝐚𝐠𝐫𝐚𝐦 :- / drgbhanuprakash
Ventricular Septal Defect : Etiology, Pathophysiology, Clinical features, Diagnostics, Treatment
Summary
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A VSD is an opening in the interventricular septum that arises due to errors in embryological development of cardiac tissue.
VSDs are the most common congenital heart defect.
The most prominent physical exam finding associated with VSD is a holosystolic murmur best heard over the tricuspid area.
Patients with a small VSD are generally asymptomatic.
Patients with a large VSD may present as infants with symptoms of heart failure, such as tachypnea and poor feeding or weight gain, or they may present later in childhood with symptoms of Eisenmenger syndrome.
Electrocardiography, chest x-ray, and echocardiography are all tests that can be used to aid in the diagnosis and work-up of VSDs.
Many small to moderate-size VSD are benign and close spontaneously, so treatment is not necessary.
Patients with large symptomatic VSDs can undergo surgical intervention or a cardiac catheterization procedure to correct VSD in first few years of life to avoid further pathologic remodeling.
VSDs that go uncorrected may lead to Eisenmenger syndrome, in which direction of shunt reverses and patients present with symptoms such as cyanosis.
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My father diagnosed with Eisengmner syndrome at the age of 25 in 2000 and he is now still using medicines but having more edema
I am a Resident from Bangladesh Shishu(Children) Hospital, This video helped me a lot..Thank you so much Sir ❤ Keep sharing ur knowledge
I'm loving it already..
This is wonderful, I'm an echo tech studying for pediatric echo boards and your videos are so helpful. Thank you so much!
Loved the way you taught sir. Today I got to know what my problem was and what could have happened if surgery was not done.
excellent as always sir . You are an inspiration to many of young doctors
DrKrishna...great as always😊
Excellent as always.
Awsome Dr krishna 👏🏻👏🏻👏🏻
Very nice explanation ,Lot of thanks to Respect ed Dr
You are an excellent teacher sir
100% crystal clear 👍
Most easy way to learn hard things with you is great
Thank you sir❤❤
Best one on this topic bhaiyya 👍
Namaste, Doc 🙏
Awesome...clear Explanation 😍
After watching this video ill just need to revise it once before exam 😊 easy explanation
You are really awesome thank you so much 😊
Well explained 👌❤️
Very good explanation sir
Best❤️❤️
Thank you :)
Very nice sir
Osm 💛👍✌️
Would you like to explain PEMF and cold laser device?
just wow
Please upload microbiology, pathology and pharmacology 🙂
Outstanding explanation sir . This is truly awesome .
You have a unique style
Tysm
Marvelous
Tysm
TOO GOOD!
Tysm
Thank you for this detailed and fantastic lecture
Ur most welcome
That is very informative
Thankyou sir for giving me a clear concept 🥰
Always welcome
I was not getting this topic .thank you Sir for making this video so easy and through
You are most welcome
Awasom.
Thanx sir
So nice of you
Thank you soo much..
Teaching methood is amazing..
Thanks and welcome
Well explained sir
Thanks and welcome
Extremely awesome👍👏👏👏,
Tysm
Plz reply this my son born with primembranous vsd in 2mm hole is closed naturally or any treatment
Clearly explained sir ,much useful to understand
Keep watching
amazing sir v.well explained
Thanks and welcome.
Very nice your the best teacher
Tysm
AoA How are you please help me
are you know about moderate vsd treatment
thanks
You're welcome!
Nice, very concise
Glad you think so!
Tq a lot sir❤
All the best
Superb explanation amazing sir content is very clearful clarity and easy to understand
Thanks and welcome.
Teaching is very nice
Thank you sir
So nice of you
Very nice
Thanks
great video, gorgeous explanation. I love Indıan teachers very much:) indian music too:)
Thank u so much
Missing many sign example in VSD we see KATZ WACHTEL SIGN IN ECG
I had done surgery VSD in 1995 years in India Medras Medical mission.
At what time ur surgery done ,plss rly me sir bcs my baby 4 month old she have large vsd ,doctor advice open heart surgery ,am worried lot ,r u doing all well
Nice from PTI Tiger 🐯
U r the teacher I always looked for ❤
TYSM
@@doctorbhanuprakash I really wish u upload the all videos on paediatrics disease condition
Amazing . Make more CHD
Thank you, I will
@@doctorbhanuprakash thank you and keep it up buddy . But please do mention the surgical indication ie what could be the surgical indication I mean size of vsd ,symptom, Qp :Qs etc
सर, मेरे बच्चे का जब वो 8 दिन का था तब उसका echo किया तब उसमे 3 Apical Muscular VSD aya jo (3.46 mm) , ( 3.04 mm), (2.01 mm) aya... क्या ये अपने आप ठीक हो जायेगा..?? Please ans sir
Hi, Sir! I just saw your video today because I found out that my baby has Congenital heart disease, a ventricular septal defect perimembranous. She's 9 months old and doesn't have any symptoms as she looks normal, eats normally, and gains weight. Her VSD measures 0.34-0.45cm. Can it be closed without medication? Thanks in advance for your answer doctor 🤍
Sar social anxiety ka medicine kya hai
Sir, I am vijay, my son 15 day born baby. He has VSD 5 mm hole. And PDA 3-4 mm hole. So i so confused, fear waht will do please suggest me. Is the holes closer automatically. 🙏🙏🙏
Sir ..is ur baby okay...did echo done again? My baby also has dat?
My father died because of heart attack Doctors said due to severe heart attack ventricular septal rupture is happening..pls explain about this condition is ventricular septal rupture happening because of heart attack???
Sorry about your father.. the VSDs discussed in this video are congenital, meaning they are present from birth. The type of VSD that occurs after a heart attack is also referred to as a ventricular septal rupture, and it's a hole created in the muscular portion of the septum that was previously intact. When you have a heart attack (myocardial infarction), you lose blood flow to a coronary artery supplying blood to the muscle wall of your heart. Depending on the artery that is affected, it could be a large part or a small part of the muscle that loses blood flow. This immediately begins damaging the heart muscle and usually results in chest pain or other symptoms that send you to the hospital and you get blood flow restored by medicine, stents, or a bypass, which can either reverse the damage or prevent further damage. In rare cases, if you don't have symptoms or notice that anything is happening and restore blood flow, the portion of the muscle wall that is fed by that coronary can actually die and atrophy away. If this happens in the wall between the left and right ventricles, it's a post-MI VSD and is a life-threatening complication of a heart attack. This heart which is not used to compensating for a hole in the septum suddenly has a significant volume of blood shunting from left to right, causing an acute form of the above complications, namely acute heart failure/cardiogenic shock and flash pulmonary edema, both of which can be fatal. I'm not a doctor, just an echocardiographer, but I hope this helps.
@@emilysenior7402 No blood flow in heart muscle can cause the ventricular septum ruptured ? Or high blood pressure cause ventricular septum rupture ?
@@gopikrish5736 No blood flow in the muscle
listen 1.75X
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excellent as always sir . You are an inspiration to many of young doctors
Thank you Sir. I understand it now 😢
You are welcome