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Examination showed mild tachycardia


Mr. Nattarji hails from Jacobpuram in Radhapuram taluk of Tirunelveli district. He joined the AIADMK in 1984. Key pointsSuspected congenital heart disease in the newborn is a medical emergencyRemain alert for the possibility of coarctation of the aorta, especially in an infant presenting with poor feeding, failure to thrive, or signs of heart failureSpecific physical findings include a systolic murmur, weak or absent femoral pulses, and upper body hypertensionHowever, a normal result on examination of a newborn does not rule out congenital heart diseaseDetection and treatment of coarctation of the aorta reduces morbidity and mortality from heart failure and improves long term outcomeCase scenarioA 14 day old infant presented with poor feeding, sleepiness, and loss of weight. He was born at term with normal vaginal delivery and was discharged within 24 hours after a newborn check was normal. Examination showed mild tachycardia, tachypnoea, weak femoral pulses, and a soft systolic murmur at the left sternal edge.

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