Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents for follow-up of known Ebstein's Anomaly. Reports [stable/progressive] exertional dyspnea (NYHA class [I-IV]), palpitations suggestive of supraventricular tachycardia, or decreased exercise tolerance. Denies syncope, orthopnea, or peripheral edema. Current medications: [list].
Clinical Examination Findings
Cardiovascular exam: Irregularly irregular or regular rhythm. S1 split, loud S2, prominent S3/S4 gallop. Holosystolic murmur at the left lower sternal border (tricuspid regurgitation). Jugular venous distension present/absent. Peripheral pulses symmetric. No cyanosis or clubbing noted.
Treatment Protocol
Management plan: Continue [Beta-blockers/Diuretics/Antiarrhythmics]. Monitor for arrhythmias (Holter/Event monitor). Evaluate for surgical intervention (Tricuspid valve repair/replacement, ASD closure) if symptomatic or evidence of right ventricular dysfunction. Maintain endocarditis prophylaxis as indicated.