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What is Eisenmenger syndrome is characterized by all except - and explain in detail?
Ans. is 'a' i.e., Return of left ventricle and right ventricle to normal size Eisenmenger syndrome is associated with severe pulmonary aerial hypeension and right ventricular hyperophy. The right ventricular size will ceainly not return to normal once eisenminger syndrome develops. Chest X-ray in Eisenmenger syndrome o Dilated and prominent central aeries. o Rapid tapering (pruning) of the peripheral pulmonary vasculature. o The hilar (central) area suggests pulmonary plethora whereas the peripheral lung fields suggest pulmonary oligemia. Clinical manifestations of Eisenmenger syndrome o Symptoms ---> Cyanosis (Differential cynosis in PDA), fatigue, effo intolerance and dyspnea. o Physical examination Cyanosis and clubbing Parasternal impulse (more in ASD) Palpable P2 Wide and fixed splitting of S, in ASD Pulmonary regurgitation murmur. Normal splitting of S2 in PDA Ejection systolic murmur (pulmonic). Single S2 or paradoxical splitting in VSD ECG Right ventricular hyperophy with right axis detion. 'P' pulmonale.