Eisenmenger’s syndrome differential diagnosis

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Abdelrahman Ibrahim Abushouk, MD[2]

Differential Diagnosis of causes of Eisenmenger's Syndrome

A number of congenital heart defects can cause Eisenmenger's syndrome, including atrial septal defect, patent ductus arteriosus, and ventricular septal defect.

Disorders	Etiology	Clinical Presentation	Laboratory Findings	Electrocardiogram	Echocardiography
Idiopathic Pulmonary Hypertension	Unknown, but possible reasons may include Connective tissue disease Liver cirrhosis Anorexic and alpha-adrenergic stimulants [cocaine/amphetamine] HIV infection	Dyspnea Recurrent syncope Fatigue Chest pain Cough Hemoptysis	+ve ANA assay +ve ANCA Anti-topoisomerase antibody Thyrotropin: screen thyroid disorders Elevated BNP & N-terminal BNP.	Right axis deviation Right ventricular hypertrophy ST depression T-wave inversion	Flattening of the intraventricular septum during systole & diastole Right ventricular hypertrophy Reduced right ventricular function Tricuspid regurgitation
Respiratory Failure	The most common causes of respiratory failure include: Respiratory Nervous Cardiac
Pulmonary Infarction
Tetralogy of Fallot
Total Anomalous Pulmonary Venous Connection
Tricuspid Atresia
Ventricular Septal Defect
Transposition of the Great Arteries
Truncus arteriosus

References

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