Congenital Heart Disease

Clinical Manifestations of Congestive Heart Failure

IMPAIRED MYOCARDIAL FUNCTION
Tachycardia
Sweating (inappropriate)
Decreased urinary output
Fatigue
Weakness
Restlessness
Anorexia
Pale, cool extremities
Weak peripheral pulses
Decreased blood pressure
Gallop rhythm
Cardiomegaly

PULMONARY CONGESTION
Tachypnea
Dyspnea
Retractions (infants)
Flaring nares
Exercise intolerance
Orthopnea
Cough, hoarseness
Cyanosis
Wheezing
Grunting

SYSTEMIC VENOUS CONGESTION
Weight gain
Hepatomegaly
Peripheral edema, especially periorbital
Ascites
Neck vein distention (children)
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