Keypoints CHD. 31.01.01 DOWN'S SYNDROME CONGENITAL HEART DISEASE Key points (Based on DSMIG guidelines for basic essential medical surveillance) The cardiac status of every child must be established by around age 6 weeks either by: neonatal paediatric examination + ECHO or: paediatric exam + CXR + ECG 1. neonatally 2. repeated at age 6 weeks Note: Even with Echo an occasional lesion is 'missed'. Therefore constant clinical vigilance essential -------------------------------------------------------------------------------------------------------------------------------------------------------------------------- DSMIG (UK) 2001 www.dsmig.org.uk 16.01.02