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In the newborn, certain physical findings, such as heart murmur, arrhythmia, congestive heart failure (CHF), and cyanosis, are suspicious for heart disease.

The prevalence of congenital heart disease (CHD) in infants in the United States is approximately 5 to 8 per 1,000 live births. Of these patients, approximately 2.5 to 3 per 1,000 live births will have critical congenital heart disease that requires an intervention in the first year after birth.1 Almost all pediatricians will see patients with CHD in their practice. The sex distribution is equal for CHD as a whole, but the male-to-female ratio varies widely among...

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