Hypoplastic left heart syndrome physical examination

Hypoplastic left heart syndrome Microchapters
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-In-Chief: Priyamvada Singh, M.B.B.S.[2], Cafer Zorkun, M.D., Ph.D. [3], Keri Shafer, M.D. [4]; Assistant Editor(s)-In-Chief: Kristin Feeney, B.S.[5]

Overview

A physical examination is an integral part of diagnosing hypoplastic left heart syndrome. During a routine visit, a doctor may find signs of right ventricle enlargement, presence of additional birth defects, and hemodynamic imbalances.

Physical examination

Vitals

Pulse

• Poor peripheral pulses

Respiratory rate

• Tachypnea

Heart

• Single second heart sound which is loud reflecting absence of aortic valve with pulmonary hypertension.

Abdomen

Hepatomegaly

Extremities

• Cool extremities
• Cyanosis