Eisenmenger Syndrome

Eisenmenger Syndrome

This syndrome is a complication of congenital heart defect. The most common cause of eisenmenger syndrome is the presence of heart defect characterized by hole between two chambers of heart.


This syndrome presents as:Eisenmenger Syndrome Symptoms causes Treatment

  • Cyanosis i-e bluish or grayish skin color
  • Clubbing of fingernails and toenails
  • Shortness of breath with little activity
  • Palpitations
  • Pain in the chest
  • Chest tightness
  • Fainting
  • Hemoptysis
  • Abdominal swelling
  • Weakness
  • Tingling sensations in the fingers and toes

The main cause of Eisenmenger syndrome is the presence of hole between the chambers of heart which is a birth defect. As the result of this blood flows backward through the shunt, causing oxygen-rich and oxygen-poor blood to mix. This will ultimately lead to low oxygen level in the body. Following are the heart defects that causes Eisenmenger syndrome:


Diagnosis of this condition depends upon detailed medical history and complete general physical examination of the patient. Other tests include the following:

  • Electrocardiogram (ECG)
  • Echocardiogram
  • Imaging tests like chest X-ray, ultrasound, MRI
  • Cardiac catheterization

Treatment options include:

  • Observation and monitoring of the patient
  • Medications are generally prescribed which include iron supplements, aspirin, anti-arrhythmic medications, vasodilators, antibiotics.
  • Phlebotomy means blood drawing is done to reduce the symptoms which arises due to increase blood count.
  • Heart-lung transplantation is also rarely considered.
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