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Question 19
The following are associated with sudden death in childhood:
A.Aortic stenosis.
B.Primary pulmonary hypertension.
C.Atrioventricular septal defect.
D.Fallot's tetralogy.
E.Cardiomyopathy.
ANSWER & COMMENTS:
•A,B,D,E
•Comments:
–Sudden death may be caused by tricyclic antidepressants, haemosiderosis, SIDS, metabolic disorders such as MCAD, child abuse, trauma, hyperthermia, asthma, meningitis/septicaemia, bacterial endocarditis, pertussis, cholera, RSV, gastro-oesophageal reflux, Reye Syndrome, unrecognised diaphragmatic hernia, upper respiratory obstruction, pulmonary thromboembolism, prolonged QT Syndrome, aortic stenosis, mitral valve prolapse, aspiration, anomalous right coronary artery or left coronary artery, Tetralogy of Fallot, pulmonary atresia intact septum, tricuspid atresia, transposition of the great arteries, arrhythmia, coronary artery disease in Hurler's Syndrome, calcinosis of the coronary arteries, viral myocarditis, primary cardiomyopathy, hypertrophic cardiomyopathy, Marfan's Syndrome, achondroplasia secondary to cervical cord compression, and volatile substance abuse.
The following are associated with sudden death in childhood:
A.Aortic stenosis.
B.Primary pulmonary hypertension.
C.Atrioventricular septal defect.
D.Fallot's tetralogy.
E.Cardiomyopathy.
ANSWER & COMMENTS:
•A,B,D,E
•Comments:
–Sudden death may be caused by tricyclic antidepressants, haemosiderosis, SIDS, metabolic disorders such as MCAD, child abuse, trauma, hyperthermia, asthma, meningitis/septicaemia, bacterial endocarditis, pertussis, cholera, RSV, gastro-oesophageal reflux, Reye Syndrome, unrecognised diaphragmatic hernia, upper respiratory obstruction, pulmonary thromboembolism, prolonged QT Syndrome, aortic stenosis, mitral valve prolapse, aspiration, anomalous right coronary artery or left coronary artery, Tetralogy of Fallot, pulmonary atresia intact septum, tricuspid atresia, transposition of the great arteries, arrhythmia, coronary artery disease in Hurler's Syndrome, calcinosis of the coronary arteries, viral myocarditis, primary cardiomyopathy, hypertrophic cardiomyopathy, Marfan's Syndrome, achondroplasia secondary to cervical cord compression, and volatile substance abuse.
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