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Neonatal Cardiology, 2eNeonatal Cardiology, 2e

Chapter 3. Perinatal Cardiovascularphysiology

Topics Discussed: cardiovascular physiology; pediatric cardiology.
Sections: Fetal Cardiovascular Physiology, Transitional Circulation, Suggested Readings.
Excerpt:"A comprehensive understanding of fetal cardiovascular physiology and of the changes that occur at birth is essential for developing a systematic approach to the diagnosis and treatment of a newborn with congenital heart disease. The fetus with complex congenital heart disease is rarely symptomatic, yet many newborn infants with the same defects are critically ill within hours or days after birth. In addition, specific cardiovascular abnormalities are associated with specific cardiac defects, and knowledge of such associations assists the clinician in the evaluation, diagnosis, and treatment of the critically ill newborn. This chapter reviews important physiologic aspects of the fetal circulation, how the fetal circulation can be monitored for hemodynamic stability, and the changes in circulatory physiology which occur at birth...."
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