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Ebstein anomaly

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Overview

Ebstein anomaly is a rare, congenital heart defect characterized by the malformation of the tricuspid valve and right ventricle. This condition disrupts the normal flow of blood through the heart, leading to various health complications.

Types of Ebstein anomaly

  1. Type A: The mildest form, with minimal displacement of the tricuspid valve.
  2. Type B: Moderate displacement and dilation of the right atrium.
  3. Type C: Severe form with significant displacement and atrialization of the right ventricle.
  4. Type D: The most severe form, with nearly the entire right ventricle effectively becoming part of the right atrium.

Causes of Ebstein anomaly

Ebstein anomaly is caused by the improper development of the heart during the early stages of pregnancy. Specific causes include:

  1. Genetic Factors: Certain genetic mutations or a family history of heart defects can increase the risk.
  2. Environmental Factors: Exposure to certain drugs or chemicals during pregnancy may contribute to the development of this condition.

Risk Factors of Ebstein anomaly

Risk factors for Ebstein anomaly include:

  1. Family History: Individuals with a family history of heart defects are at a higher risk.
  2. Maternal Drug Use: Use of certain medications during pregnancy can increase the risk.

Symptoms of Ebstein anomaly

Symptoms of Ebstein anomaly can vary greatly, ranging from none to severe and may include:
1. Shortness of Breath: Especially during exertion due to reduced oxygen supply.
2. Fatigue: Due to the heart’s reduced capacity to pump blood.
3. Heart Palpitations: Irregular heart rhythms caused by the abnormal tricuspid valve.

Preventions of Ebstein anomaly

While Ebstein anomaly cannot be prevented as it is a congenital defect, certain measures can reduce the risk of congenital heart defects, such as:

  1. Avoiding Harmful Substances: Avoiding alcohol, tobacco, and illicit drugs during pregnancy.
  2. Managing Chronic Conditions: Proper management of conditions like diabetes and epilepsy.

Diagnosis of Ebstein anomaly

Diagnosis of Ebstein anomaly involves several tests, including:

  1. Echocardiogram: To visualize the structure of the heart.
  2. Electrocardiogram (ECG): To detect abnormal heart rhythms.
  3. Cardiac MRI: To get detailed images of the heart.

Treatment for Ebstein anomaly

Treatment options depend on the severity of the condition and may include:

  1. Medications: To manage symptoms such as arrhythmias and heart failure.
  2. Surgery: To repair the malformed tricuspid valve and correct the defect.

When to seek medical attention ?

Seek medical attention if you or your child experiences symptoms such as shortness of breath, fatigue, or heart palpitations.

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