|Neonatal 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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