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S2 Ep24: Congenital Heart Disease for the General Pediatrician: Putting the Fun in Fenestrated Fontan

The Cribsiders

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Congestive Heart Failure Symptoms

If the murmur is getting louder, that is a good sign that the gradient is higher because the VSD is getting smaller and that's a reassuring sign. The most helpful class of medications are diuretic medications usually loop diuretics, like furosemide or some people will also use more like aldosterone antagonist like spironolactone. But in the not too old days, these kids were routinely treated with medicines like de joxone. And you know boy if it's not proven to make a huge difference then we've moved away from that type of medicine.

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