Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with a history of Ebstein's Anomaly (ICD-10: Q22.5). Primary complaints include [exertional dyspnea / palpitations / cyanosis / fatigue]. Symptoms are [progressive/stable]. History significant for [atrial arrhythmias / right-sided heart failure / paradoxical embolism]. Current functional status: NYHA Class [I-IV].
Clinical Examination Findings
Cardiovascular exam reveals: [Holosystolic murmur of tricuspid regurgitation at the left sternal border / widely split S1 and S2 / S3 or S4 gallop]. Jugular venous distension noted. Peripheral edema [present/absent]. Cyanosis [present/absent]. Hepatomegaly [present/absent]. Precordial palpation reveals [right ventricular heave].
Treatment Protocol
Management plan: [Medical therapy: Diuretics for volume overload, anti-arrhythmics for SVT/AFib]. Surgical consultation for [tricuspid valve repair or replacement / Glenn shunt / Fontan procedure]. Monitoring: Serial echocardiography, Holter monitoring for arrhythmia surveillance, and pulse oximetry. Prophylaxis for infective endocarditis as indicated.