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How to decide?

  • A good history and thorough examination!

  • Ask specifically for

    • FH CHD

    • FH Marfan’s syndrome

    • FH sudden death or cardiomyopathy.

  • Symptoms and signs to look out for include chest pain and SOB in older children (very rarely elicited complaints)

  • Poor feeding + failure to thrive/cyanosis in early infancy.

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