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Questions for the pediatric cardiologist

Questions for the pediatric cardiologist

My daughter is 3 months old. After bathing and feeding her nasolabial triangle turns blue. How serious is this?

The girl is gaining weight well, develops normally, is cheerful. Irina, Rostov-on-Don

The blue of the nasolabial triangle after bathing and feeding in newborns and infants may be explained by the fact that the cardiovascular system after the birth of the baby has not yet been rebuilt and the structures that after the birth of the baby must gradually close remain open. For example, the anatomical closure of an oval window usually occurs on the 5–7th day of life, the venous duct on the 3rd week of life; ductus arteriosus – on the 2-3rd month of life. Usually, this condition is temporary and passes on its own.

However, it should be borne in mind that in each specific case a diagnosis can only be made by a pediatric cardiologist after receiving the results of additional studies – ECG and echocardiogram (cardiac ultrasound).

Son 10 months. The pediatrician heard a heart murmur, an ultrasound of the heart revealed an open oval window.

Does this mean that the child needs to have an operation? Lyudmila, Moscow

The oval window is a temporary opening in the middle part of the interatrial septum, which separates the right and left atria. After the birth of the baby it should be closed. If this does not happen, then when crying, shouting, feeding, pressure in the right parts of the heart rises and venous blood begins to be discharged through the oval window.

You can suspect a similar violation if your baby, for example, has a blue nasolabial triangle.

The open oval window refers to small anomalies of heart development (MARS) and is not an indication for surgery, because, as a rule, there are no complaints, complications are rare, treatment is not required.

If the child has no other abnormalities in the work of the heart, then there is no reason for concern. Nevertheless, the baby must be shown to the pediatric cardiologist in order to clarify the dimensions of the open oval window and the condition of the heart chambers.

With such a diagnosis, the baby should be observed by this specialist, and, in addition, the child should regularly do an ECG and echocardiogram.

Now we are preparing the documents for the kindergarten. Have made an electrocardiogram. Has shown moderate tachycardia.

What does this mean? Can a child with such a diagnosis attend kindergarten?

Could the result be that the child was spinning heavily during the ECG? Marina, Pushkino

Tachycardia is called an increase in heart rate. It can occur both for physiological reasons: anxiety of the child, fear, excitement, staying in a stuffy room, physical activity, and due to disruptions in the work of various organs and systems. Therefore, in identifying even mild tachycardia, a consultation with a pediatric cardiologist is needed.

In your case, the result could be affected by the fact that the child was spinning during the examination. Make the ECG at rest and show the baby to the pediatric cardiologist.

All further recommendations, including the possibility of attending a kindergarten, and the amount of physical activity will depend on the results of the examination.

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