CARDIOLOGY
EISENMENGER S SYNDROME
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Question
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day old newborn boy. Grade 2/6 medium-pitched systolic ejection murmur, best heard at L upper sternal border. Murmur radiates to the back and axillae.Most likely etiology?
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Venous hum
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Peripheral pulmonary stenosis
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Vibratory (Still’s) murmur
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Pulmonary flow murmur
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VSD
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Explanation:
Detailed explanation-1: -GRADES. Systolic murmurs are graded on a six-point scale. A grade 1 murmur is barely audible, a grade 2 murmur is louder and a grade 3 murmur is loud but not accompanied by a thrill. A grade 4 murmur is loud and associated with a palpable thrill.
Detailed explanation-2: -Physiologic Peripheral Pulmonary Stenosis (PPS) This murmur is typically heard at 1 to 2 months of age. Babies with this type of murmur are typically born with relatively small blood vessels to the lungs. After the main trunk of the pulmonary artery leaves the heart, it branches to the right and the left lung.
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