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Eisenmenger's Complex
Aka: Eisenmenger's Complex
- See also
- Congenital Heart Disease
- Congenital Heart Disease Causes
- History
- First described by German physician in 1897
- Pathophysiology
- Complication of untreated Ventricular Septal Defect
- Findings
- Ventricular Septal Defect
- Pulmonary Hypertension
- Right to left shunt
- Overriding aorta variably present
- Symptoms
- Dyspnea on exertion
- Fatigue
- Palpitations
- Hemoptysis
- Signs
- Cyanosis
- Systolic Murmur in the 4th left intercostal interspace
- Accentuated P2 of the Second Heart Sound
- Finger Clubbing
- Accentuated precordial thrust of right ventricle
- Diagnostics: Electrocardiogram
- Right Axis Deviation
- Ventricular Hypertrophy
- Labs
- Hemoglobin increased (Erythrocytosis)
- Complications
- Right Ventricular failure
- Tricuspid regurgitation
- Cerebrovascular Accident
- Renal Failure
- Arrhythmia
- Iron Deficiency Anemia
- References
- Saenz (1999) Am Fam Physician 59(7):1857-66 [PubMed]
- Cyran (1998) PREP review lecture, October, Phoenix
- Merenstein (1994) Pediatrics, Lange