MEDICINE FOR ALL

Heart 1

A thorough  clinical evaluation is of a critical importance in the diagnostic work up of  grown up congenital heart disease. The aim of analysing history is to assess present and past symptoms as well as to look for intercurrent events and any changes in medication. The patient should be questioned on his/her lifestyle to detect progressive changes in daily activity in order to limit  the subjectivity of symptom analysis. Clinical examination plays a major role and includes, during follow-up, careful evaluation with regard to any changes in auscultation findings or blood pressure or development of signs of heart failure. An electrocardiogram and pulse oxymetry are routinely carried out alongside clinical examination. Chest X-ray  is no longer performed routinely at each visit, but rather when indicated. It remains, nevertheless, helpful for long-term follow-up, providing information on changes in heart size and configuration as well as pulmonary vascularization.

Strategies for investigation of…

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