The system was now hierarchical with 12 separate trees, six for congenital cardiac anomalies.
However, on the basis of these data, it is very unlikely that cardiac rehabilitation reduces mortality in older patients.
There was no visible tear on the cardiac wall.
Any factor which decreases either cardiac output or peripheral vascular resistance diminishes systemic arterial pressure and hence cerebral perfusion.
Consequently, careful cardiac and peripheral vascular examination should be undertaken in older syncopal patients.
Management options will be discussed again after cardiac catheterisation, and then when the child is admitted for surgery.
Surgical options include fenestration (which benefits patients with high right atrium-left atrium gradient most), partial or complete takedown (associated with high risk), and cardiac transplantation.
Lack of both accuracy and precision becomes more problematic in malformed hearts when cardiac structures are hypoplastic.
