pɹɪzˈɛntɪŋ sˈaɪnz ænd sˈɪmptəmz ʌvðə kəndʒˈɛnɪɾəl hˈɑːɹt dˈiːfɛkt mˈeɪ ɪŋklˈuːd sˌaɪɐnˈoʊsɪs, bɹˈɛθləsnəs, lˈɛθɚdʒi ænd pˈʊɹ fˈiːdɪŋ.
Presenting signs and symptoms of the congenital heart defect may include cyanosis, breathlessness, lethargy and poor feeding.