Screening for Congenital Heart Defects

Screening for congenital heart defects (CHDs) has become an essential part of newborn care, enabling the early detection and treatment of potentially life-threatening conditions. This session explores the implementation of pulse oximetry screening protocols to identify critical CHDs within the first 24–48 hours of life. Participants will gain knowledge about interpreting oxygen saturation results, determining follow-up echocardiography needs, and minimizing false positives. The role of prenatal screening, family history evaluation, and physical examination in detecting cardiac murmurs or cyanosis is also discussed. Advances in fetal echocardiography and its role in high-risk pregnancies will be briefly reviewed. Case discussions will focus on common CHDs like Tetralogy of Fallot, transposition of the great arteries, and coarctation of the aorta. By identifying defects early, interventions such as surgery or catheter-based repair can be initiated promptly, leading to better survival and long-term developmental outcomes. Screening programs, when universally implemented, greatly enhance neonatal cardiac care.

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