title: Perinatal management of major congenital heart disease.
abstract: Congenital heart disease (CHD) is the most common form of congenital anomaly. Prenatal diagnosis of CHD has been associated with decreased morbidity and mortality for some forms of major CHD. As most cases of major CHD are not identified prenatally, clinical examination of the newborn and pulse oximetry are also important means of identifying more cases. Clinicians must suspect CHD as a diagnosis in a cyanosed or shocked neonate and be familiar with appropriate management, namely the commencement of prostaglandin if a duct dependent cardiac lesion is suspected. Telemedicine can aid prompt diagnosis of CHD and therefore direct appropriate management.
authors.affiliation: Paediatric Basic Specialist Trainee, Paediatric Department, Galway University Hospital.
authors.forename: Eiméar
authors.initials: E
authors.lastname: McGovern
authors.affiliation: Consultant Paediatric Cardiologist, Department of Paediatric Cardiology Royal Belfast Hospital for Sick Children.
authors.forename: Andrew J
authors.initials: AJ
authors.lastname: Sands
mesh_terms: D005260:Female; D006330:Heart Defects, Congenital / Q000175:diagnosis* / Q000628:therapy*; D006801:Humans; D007231:Infant, Newborn; D011247:Pregnancy; D011296:Prenatal Diagnosis; D017216:Telemedicine