Non-modifiable Factors: Modifiable Factors:
Genetics: run in families and Rubella infection
sometimes occur with other genetic Poorly controlled diabetes
problems, such as Down Drug or alcohol use or exposure to
syndrome. chemicals or radiation
Age: premature infants Presence of other congenital heart
Gender: female defects.
damage to the fetus’ circulatory
system which includes blood vessels
and the heart
ductus arteriosus that connects the
aorta and the pulmonary artery fails to
close at birth
shunting of oxygenated blood from the high pressure
aorta to the low pressure pulmonary artery
increased volume of blood passing through the lungs
increased volume of blood returning to the left atrium
shunted blood passes to the left ventricle
bulging of the
aorta and
pulmonary artery
blood goes out to the aorta proximal to the
PDA occurs as a
result of increased
blood volume and
turbulent flow
blood shunts back to the
pulmonary artery
Pathophysiology from [Link]
.
continuous repetition of the
cycle of shunting pressure
difference between
the aorta and
pulmonary artery
backflow of blood to continuous increase of blood
(greatest during
the right ventricle volume circulating in the lungs
systole), and
consequently
continuous flow
through the PDA
compensation of the
cardiac muscle pulmonary congestion
production of a
right tachy- characteristic
ventricular cardia or increased pressure at the lungs continuous
hyper- other machine-like
trophy arrythmia murmur
pulmonary hypertension
pressure in the
loss of ability to pulmonary artery
efficiently pump blood equals or even
to the pulmonary exceeds that of the
artery and the lungs aorta
decreased oxygenated
blood
right-sided heart either the diastolic
failure portion of the
murmur or the
increase oxygen complete murmur
demand may disappear
due to flow
reversal (reverse
shunting PDA)
easy fatigability compensation by
increasing ventilation
blood then
poor eating persistent fast bypasses the
breathing or lungs
breathlessness
poor growth decreased functioning of the
immune system to resist infection no oxygenation of
Pathophysiology from
and of the respiratory system to [Link]
the blood
expel offending microorganisms
cyanosis
frequent respiratory
infections
Pathophysiology from [Link]