Diagnosis of congenital heart disease in infants relies on recognizing key clinical signs including heart failure, cyanosis, and heart murmur.
Prompts heightened suspicion for CHD in symptomatic infants; leaves open validation of sign-based algorithms versus routine imaging.
Mortality among infants with congenital heart disease is high, especially in the first month of life, and some of these disorders may be fatal suddenly. Diagnosis is based on clinical signs, which vary with the age of the patient and the severity of the lesion. This discussion presents clues to recognizing the three main clinical signs—heart failure, cyanosis, and heart murmur.
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Chung et al. (1972) studied this question.
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