Can a patent ductus arteriosus cause cyanosis of the lips?

Written by Xie Zhi Hong
Cardiology
Updated on April 08, 2025
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Patent ductus arteriosus generally refers to a condition in infants where the tubular passage between the aorta and pulmonary artery fails to fully close within the first year after birth. This results in altered blood flow within the heart, leading to the occurrence of patent ductus arteriosus. This blood flow disorder can increase the burden on the heart, causing recurrent episodes of breathlessness and breathing difficulties, and in severe cases, can lead to serious heart failure. If left untreated until the late stages, right-to-left shunting may occur, causing a serious mixing of arterial and venous blood. This leads to venous blood being ejected directly outside the body, causing a bluish-purple discoloration in the patient. Such conditions indicate a particularly severe heart disease. However, the majority of cases of patent ductus arteriosus can be addressed through minimally invasive interventional treatments. It is a simple congenital heart disease that should be treated promptly.

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Written by Di Zhi Yong
Cardiology
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Is a 5mm patent ductus arteriosus serious?

Patent ductus arteriosus is a type of congenital heart defect. Typically, the ductus arteriosus is expected to close on its own, but if it remains open over time and is larger than about five centimeters, it is crucial to seek surgical treatment at a hospital promptly. Currently, there are no particularly effective medications to improve this condition since it is a congenital heart disease. Early surgical intervention is recommended. This condition is considered serious, and during this period, it is important to actively prevent upper respiratory infections, as they can repeatedly lead to pulmonary inflammation.

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Written by Cai Li E
Cardiology
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Can you run with a patent ductus arteriosus?

Patients with patent ductus arteriosus should avoid running. The condition can cause a left-to-right shunt, increasing pulmonary circulation and the volume of blood returning to the left heart system, which in turn leads to increased left heart workload and potential left heart dysfunction. In adults with patent ductus arteriosus, the clinical symptoms vary depending on the size of the shunt. Those with very small shunts may exhibit no subjective symptoms clinically. Patients with moderate shunts often experience symptoms such as fatigue, palpitations after activity, shortness of breath, and chest tightness. Those with large shunts, often accompanied by severe secondary pulmonary hypertension, may experience a right-to-left shunt, leading to cyanosis and very severe clinical symptoms.

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Written by Di Zhi Yong
Cardiology
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Can you swim with patent ductus arteriosus?

If the patient has a history of patent ductus arteriosus, it is recommended that they avoid vigorous exercise, as this can increase the heart's oxygen consumption, leading to symptoms such as palpitations, chest tightness, and difficulty breathing. If it is solely this condition, sometimes palpitations may occur, leading to changes in cardiac function. It is advised not to swim. While appropriate exercise can be beneficial, swimming requires better cardiopulmonary function. It is recommended that patients undergo early surgical treatment to improve their current condition.

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Written by Xie Zhi Hong
Cardiology
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Will patent ductus arteriosus show signs of peripheral vascular disease?

Peripheral vascular signs refer to a medical sign characterized by enhanced pulsation of the peripheral arteries and capillaries due to increased pulse pressure. Patients with a patent ductus arteriosus can experience increased pulse pressure, leading to rapid rises and falls in pressure within the peripheral vessels, thereby causing a series of peripheral vascular signs. When a patent ductus arteriosus is combined with peripheral vascular signs, indicating a substantial shunt, it is advisable for such individuals to undergo surgery as soon as possible. Delaying surgery may lead to a right-to-left shunt, resulting in Eisenmenger's syndrome, and the loss of the opportunity for surgical intervention.

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Written by Tang Li
Cardiology
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What are the symptoms of patent ductus arteriosus?

Patients with patent ductus arteriosus may exhibit several clinical manifestations based on the amount of shunting. 1. Small shunt volume: The internal diameter of the patent ductus arteriosus is small, and the patient may exhibit no subjective symptoms. The prominent sign is a continuous machinery murmur heard at the left sternal border at the second intercostal space and below the left clavicle, accompanied by a thrill; pulse pressure may slightly increase. 2. Moderate shunt: Patients commonly experience fatigue, palpitations, shortness of breath, and chest discomfort after exertion. The heart murmur is similar in character to the above but louder, accompanied by a thrill, and widely transmitted. At times, diastolic and mild systolic murmurs caused by left ventricular enlargement, relative mitral valve insufficiency, and stenosis can be heard at the apex, with a positive vascular sign. 3. Large shunt volume: This condition in a patent ductus arteriosus often accompanies secondary severe pulmonary hypertension, leading to a right-to-left shunt. The typical murmur's diastolic component may diminish or disappear, followed by the disappearance of the systolic murmur, and only a diastolic murmur due to pulmonic valve insufficiency can be heard. Patients often exhibit cyanosis and severe clinical symptoms.