SlideShare una empresa de Scribd logo
1 de 12
congenital HEART
DISEASE
CONGENITAL HEART
DISEASE
A Congenital Heart Disease(CHD), also
known as a congenital heart anomaly
or congenital heart defect, is a problem in
the structure of the heart that is present at
birth. Congenital heart disease is one of the
most common types of birth defects,
affecting up to 9 in every 1,000 babies
born.
CLASSIFICATION
According to arterial oxygen saturation
congenital heart diseases are classified into
two main categories:
Acyanotic CHD- Normal arterial oxygen
saturation
Cyanotic CHD- Reduced arterial oxygen
saturated
VARIOUS ACYANOTIC
CHD
Ventricular septal defect(VSD)
Atrial septal defect(ASD)
Patent ductus arteriosus()PSD
Coarctation of aorta
Pulmonary stenosis
VARIOUS CYANOTIC
CHD
Tetrology of fallot
Transposition of great arteries
Tricuspid atresia
Truncus arteriosus
Total anomalies pulmonary venous drainage
Hypoplastic left or right heart
FACTORS CONTRIBUTING TO
CHD
85 to 90% of cases, there is no identifiable
cause for the heart defect. Generally
considered to be caused by the multifactorial
inheritance.
Factors are usually both genetic and
environmental, where a combination of genes
from both parents.
Maternal factors.
SYMPTOMS
Poor feeding
Low birth weight
Dizziness
Excessive sweating
Swelling in the hands,
Ankles or feet
TREATMENT
This is depend on the type of the C.H.D.
No treatment (observation and
reassurance)
Surgical treatment (palliative or curative).
Cardiac transplant or lung heart transplant
Medical treatment (antifailure,
antiarythmaic etc.,)
Artificial heart valves
Chest X-Ray
Echocardiography
Cardiac catheterization
Echocardiography
Systolic pulmonary flow murmur
DIAGNOSIS
Avoid pregnancy above age of 38
year.
Avoid smoking.
Avoid alcohol.
Avoid exposure to radiation.
Avoid drugs intake before medical
consultation.
Vaccination of all childbearing
women for rubella.
PREVENTIVE MEASURES
THANK YOU

Más contenido relacionado

La actualidad más candente

Congenital heart disease
Congenital heart diseaseCongenital heart disease
Congenital heart diseasejannet reena
 
14. congenital heart disease
14. congenital heart disease14. congenital heart disease
14. congenital heart diseaseAhmad Hamadi
 
Congenital heart disease
Congenital heart diseaseCongenital heart disease
Congenital heart diseasePuneet Shukla
 
Congenital heart diseases
Congenital heart diseasesCongenital heart diseases
Congenital heart diseasestksuja10
 
Congenital heart disease heart failure
Congenital heart disease  heart failureCongenital heart disease  heart failure
Congenital heart disease heart failureraj kumar
 
Introduction to congenital heart disease
Introduction to congenital heart diseaseIntroduction to congenital heart disease
Introduction to congenital heart diseaseBalasingam Balagobi
 
Congenital heart disease
Congenital heart diseaseCongenital heart disease
Congenital heart diseaseZahra Khan
 
congenital heart disease & rheumatic heart disease
congenital heart disease & rheumatic heart diseasecongenital heart disease & rheumatic heart disease
congenital heart disease & rheumatic heart diseaseMustapha Asaa'd
 
Congenital heart disease
Congenital heart diseaseCongenital heart disease
Congenital heart diseaseBharat Pokhrel
 
Congenital heart diseases
Congenital heart diseasesCongenital heart diseases
Congenital heart diseasesSnehil Agrawal
 
Congenital heart disease
Congenital heart diseaseCongenital heart disease
Congenital heart diseasenajahkh
 
Atrial septal defect sofia cris-patri
Atrial septal defect sofia cris-patriAtrial septal defect sofia cris-patri
Atrial septal defect sofia cris-patrialiciadiez
 
Congenital Heart Defects
Congenital Heart Defects Congenital Heart Defects
Congenital Heart Defects tejaspandya1988
 
8. heart pathoogy; pericardial diseases
8. heart pathoogy; pericardial diseases8. heart pathoogy; pericardial diseases
8. heart pathoogy; pericardial diseasesKrishna Tadepalli
 
Mayo Clinic Notes On Tof
Mayo Clinic Notes On TofMayo Clinic Notes On Tof
Mayo Clinic Notes On TofDeep Deep
 

La actualidad más candente (18)

Congenital heart disease
Congenital heart diseaseCongenital heart disease
Congenital heart disease
 
14. congenital heart disease
14. congenital heart disease14. congenital heart disease
14. congenital heart disease
 
Congenital heart disease
Congenital heart diseaseCongenital heart disease
Congenital heart disease
 
Congenital heart diseases
Congenital heart diseasesCongenital heart diseases
Congenital heart diseases
 
Congenital heart disease heart failure
Congenital heart disease  heart failureCongenital heart disease  heart failure
Congenital heart disease heart failure
 
Congenital heart-disease1506
Congenital heart-disease1506Congenital heart-disease1506
Congenital heart-disease1506
 
Introduction to congenital heart disease
Introduction to congenital heart diseaseIntroduction to congenital heart disease
Introduction to congenital heart disease
 
Congenital heart disease
Congenital heart diseaseCongenital heart disease
Congenital heart disease
 
congenital heart disease & rheumatic heart disease
congenital heart disease & rheumatic heart diseasecongenital heart disease & rheumatic heart disease
congenital heart disease & rheumatic heart disease
 
Congenital heart disease
Congenital heart diseaseCongenital heart disease
Congenital heart disease
 
Congenital heart diseases
Congenital heart diseasesCongenital heart diseases
Congenital heart diseases
 
Congenital heart disease
Congenital heart diseaseCongenital heart disease
Congenital heart disease
 
Atrial septal defect sofia cris-patri
Atrial septal defect sofia cris-patriAtrial septal defect sofia cris-patri
Atrial septal defect sofia cris-patri
 
Congenital Heart Defects
Congenital Heart Defects Congenital Heart Defects
Congenital Heart Defects
 
8. heart pathoogy; pericardial diseases
8. heart pathoogy; pericardial diseases8. heart pathoogy; pericardial diseases
8. heart pathoogy; pericardial diseases
 
Congenital heart disease
Congenital heart diseaseCongenital heart disease
Congenital heart disease
 
Mayo Clinic Notes On Tof
Mayo Clinic Notes On TofMayo Clinic Notes On Tof
Mayo Clinic Notes On Tof
 
Congenital heart disease
Congenital heart diseaseCongenital heart disease
Congenital heart disease
 

Destacado

Class 1: Email Marketing Certification course: Email Marketing and Your Business
Class 1: Email Marketing Certification course: Email Marketing and Your BusinessClass 1: Email Marketing Certification course: Email Marketing and Your Business
Class 1: Email Marketing Certification course: Email Marketing and Your BusinessHubSpot
 
Mazars Hospitality brochure
Mazars Hospitality brochureMazars Hospitality brochure
Mazars Hospitality brochureDanilo Papaleo
 
Wpw case presentation by dr adeel
Wpw case presentation by dr adeelWpw case presentation by dr adeel
Wpw case presentation by dr adeelWest Medicine Ward
 
Wolff parkinson-white
Wolff parkinson-whiteWolff parkinson-white
Wolff parkinson-whitemtzfco
 
Sal y leña
Sal y leñaSal y leña
Sal y leñasalylena
 
Cardiology cases[1]
Cardiology cases[1]Cardiology cases[1]
Cardiology cases[1]bsuhmess
 
Cardiovascular Embryology and Congenital abnormalities
Cardiovascular Embryology and Congenital abnormalitiesCardiovascular Embryology and Congenital abnormalities
Cardiovascular Embryology and Congenital abnormalitiesmeducationdotnet
 
Seperation anxiety disorders
Seperation anxiety disordersSeperation anxiety disorders
Seperation anxiety disordersTanecia Stevens
 
20 congenital heart disease Dr. Muhammmad Bin Zulfiqar
20 congenital heart disease Dr. Muhammmad Bin Zulfiqar20 congenital heart disease Dr. Muhammmad Bin Zulfiqar
20 congenital heart disease Dr. Muhammmad Bin ZulfiqarDr. Muhammad Bin Zulfiqar
 
Distracted driving
Distracted drivingDistracted driving
Distracted drivingPODIS Ltd
 
Natalia Trushina-Jimenez - Hilliarea to visit in Winter
Natalia Trushina-Jimenez - Hilliarea to visit in WinterNatalia Trushina-Jimenez - Hilliarea to visit in Winter
Natalia Trushina-Jimenez - Hilliarea to visit in WinterNatalia Trushina-Jimenez
 
Catalogo axis 360 fit
Catalogo axis 360 fit Catalogo axis 360 fit
Catalogo axis 360 fit Ortus Fitness
 
Austin Journal of Clinical Case Reports
Austin Journal of Clinical Case Reports Austin Journal of Clinical Case Reports
Austin Journal of Clinical Case Reports Austin Publishing Group
 

Destacado (18)

Class 1: Email Marketing Certification course: Email Marketing and Your Business
Class 1: Email Marketing Certification course: Email Marketing and Your BusinessClass 1: Email Marketing Certification course: Email Marketing and Your Business
Class 1: Email Marketing Certification course: Email Marketing and Your Business
 
Mazars Hospitality brochure
Mazars Hospitality brochureMazars Hospitality brochure
Mazars Hospitality brochure
 
Wpw case presentation by dr adeel
Wpw case presentation by dr adeelWpw case presentation by dr adeel
Wpw case presentation by dr adeel
 
Wolff parkinson-white
Wolff parkinson-whiteWolff parkinson-white
Wolff parkinson-white
 
Sal y leña
Sal y leñaSal y leña
Sal y leña
 
Cardiology cases[1]
Cardiology cases[1]Cardiology cases[1]
Cardiology cases[1]
 
Cardiovascular Embryology and Congenital abnormalities
Cardiovascular Embryology and Congenital abnormalitiesCardiovascular Embryology and Congenital abnormalities
Cardiovascular Embryology and Congenital abnormalities
 
Etiology of congenital heart disease
Etiology of congenital heart diseaseEtiology of congenital heart disease
Etiology of congenital heart disease
 
Embryological basis of congenital heart diseases
Embryological basis of congenital heart diseases   Embryological basis of congenital heart diseases
Embryological basis of congenital heart diseases
 
Seperation anxiety disorders
Seperation anxiety disordersSeperation anxiety disorders
Seperation anxiety disorders
 
Wolff parkinson white
Wolff parkinson whiteWolff parkinson white
Wolff parkinson white
 
ECG: WPW Syndrome
ECG: WPW SyndromeECG: WPW Syndrome
ECG: WPW Syndrome
 
ARCHICAD Bronze Badge
ARCHICAD Bronze BadgeARCHICAD Bronze Badge
ARCHICAD Bronze Badge
 
20 congenital heart disease Dr. Muhammmad Bin Zulfiqar
20 congenital heart disease Dr. Muhammmad Bin Zulfiqar20 congenital heart disease Dr. Muhammmad Bin Zulfiqar
20 congenital heart disease Dr. Muhammmad Bin Zulfiqar
 
Distracted driving
Distracted drivingDistracted driving
Distracted driving
 
Natalia Trushina-Jimenez - Hilliarea to visit in Winter
Natalia Trushina-Jimenez - Hilliarea to visit in WinterNatalia Trushina-Jimenez - Hilliarea to visit in Winter
Natalia Trushina-Jimenez - Hilliarea to visit in Winter
 
Catalogo axis 360 fit
Catalogo axis 360 fit Catalogo axis 360 fit
Catalogo axis 360 fit
 
Austin Journal of Clinical Case Reports
Austin Journal of Clinical Case Reports Austin Journal of Clinical Case Reports
Austin Journal of Clinical Case Reports
 

Similar a Austin Journal of Clinical Cardiology

Congenital heart diesease- presenatation.pdf
Congenital heart diesease- presenatation.pdfCongenital heart diesease- presenatation.pdf
Congenital heart diesease- presenatation.pdfVladIonita6
 
2. heart pathology; congenital disorders
2. heart pathology; congenital disorders2. heart pathology; congenital disorders
2. heart pathology; congenital disordersKrishna Tadepalli
 
Congenital heart diseases
Congenital heart diseasesCongenital heart diseases
Congenital heart diseasesABHIJIT BHOYAR
 
Congenital heart diseases
Congenital heart diseasesCongenital heart diseases
Congenital heart diseasesSuresh Arumugam
 
Cardiac Function Tests.ppt
Cardiac Function Tests.pptCardiac Function Tests.ppt
Cardiac Function Tests.pptKashifBashir51
 
Evaluation of congenital heart disease
Evaluation of congenital heart diseaseEvaluation of congenital heart disease
Evaluation of congenital heart diseaseSandip Gediya
 
surgery.Congenital heart disease.(dr.aram)
surgery.Congenital heart disease.(dr.aram)surgery.Congenital heart disease.(dr.aram)
surgery.Congenital heart disease.(dr.aram)student
 
Atrial fibrillation &stroke feb 2015 ngh
Atrial fibrillation &stroke feb 2015 nghAtrial fibrillation &stroke feb 2015 ngh
Atrial fibrillation &stroke feb 2015 nghasadsoomro1960
 
congenitalheartdisease-170425182745 (1).pdf
congenitalheartdisease-170425182745 (1).pdfcongenitalheartdisease-170425182745 (1).pdf
congenitalheartdisease-170425182745 (1).pdfjiregnaetichadako
 
1.CHD part 1_2.ppt have important document
1.CHD part 1_2.ppt have important document1.CHD part 1_2.ppt have important document
1.CHD part 1_2.ppt have important documentMulugetaAbeneh1
 
CONGENITAL HEART DISEASES.pptx
CONGENITAL HEART DISEASES.pptxCONGENITAL HEART DISEASES.pptx
CONGENITAL HEART DISEASES.pptxManikandan T
 
congenitalheartdiseases-221105151001-9038e702 (1).pdf
congenitalheartdiseases-221105151001-9038e702 (1).pdfcongenitalheartdiseases-221105151001-9038e702 (1).pdf
congenitalheartdiseases-221105151001-9038e702 (1).pdfjiregnaetichadako
 
HEART lecture MBChB III 2024.pdfnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnn
HEART lecture MBChB III 2024.pdfnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnHEART lecture MBChB III 2024.pdfnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnn
HEART lecture MBChB III 2024.pdfnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnn202112360
 

Similar a Austin Journal of Clinical Cardiology (20)

Congenital heart diesease- presenatation.pdf
Congenital heart diesease- presenatation.pdfCongenital heart diesease- presenatation.pdf
Congenital heart diesease- presenatation.pdf
 
2. heart pathology; congenital disorders
2. heart pathology; congenital disorders2. heart pathology; congenital disorders
2. heart pathology; congenital disorders
 
Ischemic Heart Disease:Pathophysiology
Ischemic Heart Disease:PathophysiologyIschemic Heart Disease:Pathophysiology
Ischemic Heart Disease:Pathophysiology
 
pedi chd.pptx
pedi chd.pptxpedi chd.pptx
pedi chd.pptx
 
Congenital heart diseases
Congenital heart diseasesCongenital heart diseases
Congenital heart diseases
 
Congenital heart diseases
Congenital heart diseasesCongenital heart diseases
Congenital heart diseases
 
Acyanotic heart diseases
Acyanotic heart diseasesAcyanotic heart diseases
Acyanotic heart diseases
 
Congenital heart diseases
Congenital heart diseasesCongenital heart diseases
Congenital heart diseases
 
chd.pptx
chd.pptxchd.pptx
chd.pptx
 
Cardiac Function Tests.ppt
Cardiac Function Tests.pptCardiac Function Tests.ppt
Cardiac Function Tests.ppt
 
Evaluation of congenital heart disease
Evaluation of congenital heart diseaseEvaluation of congenital heart disease
Evaluation of congenital heart disease
 
CVS.pptx
CVS.pptxCVS.pptx
CVS.pptx
 
surgery.Congenital heart disease.(dr.aram)
surgery.Congenital heart disease.(dr.aram)surgery.Congenital heart disease.(dr.aram)
surgery.Congenital heart disease.(dr.aram)
 
Atrial fibrillation &stroke feb 2015 ngh
Atrial fibrillation &stroke feb 2015 nghAtrial fibrillation &stroke feb 2015 ngh
Atrial fibrillation &stroke feb 2015 ngh
 
congenitalheartdisease-170425182745 (1).pdf
congenitalheartdisease-170425182745 (1).pdfcongenitalheartdisease-170425182745 (1).pdf
congenitalheartdisease-170425182745 (1).pdf
 
1.CHD part 1_2.ppt have important document
1.CHD part 1_2.ppt have important document1.CHD part 1_2.ppt have important document
1.CHD part 1_2.ppt have important document
 
CONGENITAL HEART DISEASES.pptx
CONGENITAL HEART DISEASES.pptxCONGENITAL HEART DISEASES.pptx
CONGENITAL HEART DISEASES.pptx
 
congenitalheartdiseases-221105151001-9038e702 (1).pdf
congenitalheartdiseases-221105151001-9038e702 (1).pdfcongenitalheartdiseases-221105151001-9038e702 (1).pdf
congenitalheartdiseases-221105151001-9038e702 (1).pdf
 
HEART lecture MBChB III 2024.pdfnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnn
HEART lecture MBChB III 2024.pdfnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnHEART lecture MBChB III 2024.pdfnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnn
HEART lecture MBChB III 2024.pdfnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnn
 
Optimizing Cardiac health.pptx
Optimizing Cardiac health.pptxOptimizing Cardiac health.pptx
Optimizing Cardiac health.pptx
 

Más de Austin Publishing Group

Role of bacteria in nanoparticle(s) synthesis and their applications
Role of bacteria in nanoparticle(s) synthesis and their applicationsRole of bacteria in nanoparticle(s) synthesis and their applications
Role of bacteria in nanoparticle(s) synthesis and their applicationsAustin Publishing Group
 
Nutrition, Sports, and Covid-19 Lockdown Impact on Young Competitive Artistic...
Nutrition, Sports, and Covid-19 Lockdown Impact on Young Competitive Artistic...Nutrition, Sports, and Covid-19 Lockdown Impact on Young Competitive Artistic...
Nutrition, Sports, and Covid-19 Lockdown Impact on Young Competitive Artistic...Austin Publishing Group
 
Austin Publishing Group- Case report of external compression in stevens johns...
Austin Publishing Group- Case report of external compression in stevens johns...Austin Publishing Group- Case report of external compression in stevens johns...
Austin Publishing Group- Case report of external compression in stevens johns...Austin Publishing Group
 
Austin publishing group - Oral kefir grains supplementation improves metaboli...
Austin publishing group - Oral kefir grains supplementation improves metaboli...Austin publishing group - Oral kefir grains supplementation improves metaboli...
Austin publishing group - Oral kefir grains supplementation improves metaboli...Austin Publishing Group
 
Mmp13 and serpinb2 as novel biomarkers for hypopharyngeal cancer
Mmp13 and serpinb2 as novel biomarkers for hypopharyngeal cancerMmp13 and serpinb2 as novel biomarkers for hypopharyngeal cancer
Mmp13 and serpinb2 as novel biomarkers for hypopharyngeal cancerAustin Publishing Group
 
Level of knowledge of the human papilloma virus in women of a primary care un...
Level of knowledge of the human papilloma virus in women of a primary care un...Level of knowledge of the human papilloma virus in women of a primary care un...
Level of knowledge of the human papilloma virus in women of a primary care un...Austin Publishing Group
 
Perspectives on Transitional Care for Vulnerable Older Patients A Qualitative...
Perspectives on Transitional Care for Vulnerable Older Patients A Qualitative...Perspectives on Transitional Care for Vulnerable Older Patients A Qualitative...
Perspectives on Transitional Care for Vulnerable Older Patients A Qualitative...Austin Publishing Group
 
Gastrointestinal Cancer: Research & Therapy
Gastrointestinal Cancer: Research & Therapy Gastrointestinal Cancer: Research & Therapy
Gastrointestinal Cancer: Research & Therapy Austin Publishing Group
 
Austin Journal of Drug Abuse and Addiction
Austin Journal of Drug Abuse and Addiction Austin Journal of Drug Abuse and Addiction
Austin Journal of Drug Abuse and Addiction Austin Publishing Group
 

Más de Austin Publishing Group (20)

Role of bacteria in nanoparticle(s) synthesis and their applications
Role of bacteria in nanoparticle(s) synthesis and their applicationsRole of bacteria in nanoparticle(s) synthesis and their applications
Role of bacteria in nanoparticle(s) synthesis and their applications
 
Nutrition, Sports, and Covid-19 Lockdown Impact on Young Competitive Artistic...
Nutrition, Sports, and Covid-19 Lockdown Impact on Young Competitive Artistic...Nutrition, Sports, and Covid-19 Lockdown Impact on Young Competitive Artistic...
Nutrition, Sports, and Covid-19 Lockdown Impact on Young Competitive Artistic...
 
Austin Publishing Group- Case report of external compression in stevens johns...
Austin Publishing Group- Case report of external compression in stevens johns...Austin Publishing Group- Case report of external compression in stevens johns...
Austin Publishing Group- Case report of external compression in stevens johns...
 
Austin publishing group - Oral kefir grains supplementation improves metaboli...
Austin publishing group - Oral kefir grains supplementation improves metaboli...Austin publishing group - Oral kefir grains supplementation improves metaboli...
Austin publishing group - Oral kefir grains supplementation improves metaboli...
 
Primary hypotensive reaction
Primary hypotensive reactionPrimary hypotensive reaction
Primary hypotensive reaction
 
Nalbuphine hydrochloride
Nalbuphine hydrochlorideNalbuphine hydrochloride
Nalbuphine hydrochloride
 
Mmp13 and serpinb2 as novel biomarkers for hypopharyngeal cancer
Mmp13 and serpinb2 as novel biomarkers for hypopharyngeal cancerMmp13 and serpinb2 as novel biomarkers for hypopharyngeal cancer
Mmp13 and serpinb2 as novel biomarkers for hypopharyngeal cancer
 
Level of knowledge of the human papilloma virus in women of a primary care un...
Level of knowledge of the human papilloma virus in women of a primary care un...Level of knowledge of the human papilloma virus in women of a primary care un...
Level of knowledge of the human papilloma virus in women of a primary care un...
 
Perspectives on Transitional Care for Vulnerable Older Patients A Qualitative...
Perspectives on Transitional Care for Vulnerable Older Patients A Qualitative...Perspectives on Transitional Care for Vulnerable Older Patients A Qualitative...
Perspectives on Transitional Care for Vulnerable Older Patients A Qualitative...
 
Austin Virology and Retrovirology
Austin Virology and Retrovirology Austin Virology and Retrovirology
Austin Virology and Retrovirology
 
Austin Transplantation Sciences
Austin Transplantation SciencesAustin Transplantation Sciences
Austin Transplantation Sciences
 
Austin Hematology
Austin HematologyAustin Hematology
Austin Hematology
 
Gastrointestinal Cancer: Research & Therapy
Gastrointestinal Cancer: Research & Therapy Gastrointestinal Cancer: Research & Therapy
Gastrointestinal Cancer: Research & Therapy
 
Endocrine disorders
Endocrine disordersEndocrine disorders
Endocrine disorders
 
Austin Journal of Drug Abuse and Addiction
Austin Journal of Drug Abuse and Addiction Austin Journal of Drug Abuse and Addiction
Austin Journal of Drug Abuse and Addiction
 
Austin Digestive System
Austin Digestive SystemAustin Digestive System
Austin Digestive System
 
Austin Diabetes Research
Austin Diabetes ResearchAustin Diabetes Research
Austin Diabetes Research
 
Austin Journal of Dermatology
Austin Journal of DermatologyAustin Journal of Dermatology
Austin Journal of Dermatology
 
Austin Journal of Dentistry
Austin Journal of DentistryAustin Journal of Dentistry
Austin Journal of Dentistry
 
Austin Cardiology
Austin CardiologyAustin Cardiology
Austin Cardiology
 

Último

(Sonam Bajaj) Call Girl in Jaipur- 09257276172 Escorts Service 50% Off with C...
(Sonam Bajaj) Call Girl in Jaipur- 09257276172 Escorts Service 50% Off with C...(Sonam Bajaj) Call Girl in Jaipur- 09257276172 Escorts Service 50% Off with C...
(Sonam Bajaj) Call Girl in Jaipur- 09257276172 Escorts Service 50% Off with C...indiancallgirl4rent
 
VIP Call Girls Noida Jhanvi 9711199171 Best VIP Call Girls Near Me
VIP Call Girls Noida Jhanvi 9711199171 Best VIP Call Girls Near MeVIP Call Girls Noida Jhanvi 9711199171 Best VIP Call Girls Near Me
VIP Call Girls Noida Jhanvi 9711199171 Best VIP Call Girls Near Memriyagarg453
 
Bangalore call girl 👯‍♀️@ Simran Independent Call Girls in Bangalore GIUXUZ...
Bangalore call girl  👯‍♀️@ Simran Independent Call Girls in Bangalore  GIUXUZ...Bangalore call girl  👯‍♀️@ Simran Independent Call Girls in Bangalore  GIUXUZ...
Bangalore call girl 👯‍♀️@ Simran Independent Call Girls in Bangalore GIUXUZ...Gfnyt
 
Call Girls Service In Goa 💋 9316020077💋 Goa Call Girls By Russian Call Girl...
Call Girls Service In Goa  💋 9316020077💋 Goa Call Girls  By Russian Call Girl...Call Girls Service In Goa  💋 9316020077💋 Goa Call Girls  By Russian Call Girl...
Call Girls Service In Goa 💋 9316020077💋 Goa Call Girls By Russian Call Girl...russian goa call girl and escorts service
 
Jodhpur Call Girls 📲 9999965857 Jodhpur best beutiful hot girls full satisfie...
Jodhpur Call Girls 📲 9999965857 Jodhpur best beutiful hot girls full satisfie...Jodhpur Call Girls 📲 9999965857 Jodhpur best beutiful hot girls full satisfie...
Jodhpur Call Girls 📲 9999965857 Jodhpur best beutiful hot girls full satisfie...seemahedar019
 
Call Now ☎ 9999965857 !! Call Girls in Hauz Khas Escort Service Delhi N.C.R.
Call Now ☎ 9999965857 !! Call Girls in Hauz Khas Escort Service Delhi N.C.R.Call Now ☎ 9999965857 !! Call Girls in Hauz Khas Escort Service Delhi N.C.R.
Call Now ☎ 9999965857 !! Call Girls in Hauz Khas Escort Service Delhi N.C.R.ktanvi103
 
Mangalore Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
Mangalore Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real MeetMangalore Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
Mangalore Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real MeetCall Girls Service
 
💚😋Chandigarh Escort Service Call Girls, ₹5000 To 25K With AC💚😋
💚😋Chandigarh Escort Service Call Girls, ₹5000 To 25K With AC💚😋💚😋Chandigarh Escort Service Call Girls, ₹5000 To 25K With AC💚😋
💚😋Chandigarh Escort Service Call Girls, ₹5000 To 25K With AC💚😋Sheetaleventcompany
 
Call Girls Hyderabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Hyderabad Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Hyderabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Hyderabad Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
pOOJA sexy Call Girls In Sector 49,9999965857 Young Female Escorts Service In...
pOOJA sexy Call Girls In Sector 49,9999965857 Young Female Escorts Service In...pOOJA sexy Call Girls In Sector 49,9999965857 Young Female Escorts Service In...
pOOJA sexy Call Girls In Sector 49,9999965857 Young Female Escorts Service In...Call Girls Noida
 
VIP Call Girl Sector 10 Noida Call Me: 9711199171
VIP Call Girl Sector 10 Noida Call Me: 9711199171VIP Call Girl Sector 10 Noida Call Me: 9711199171
VIP Call Girl Sector 10 Noida Call Me: 9711199171Call Girls Service Gurgaon
 
❤️♀️@ Jaipur Call Girl Agency ❤️♀️@ Manjeet Russian Call Girls Service in Jai...
❤️♀️@ Jaipur Call Girl Agency ❤️♀️@ Manjeet Russian Call Girls Service in Jai...❤️♀️@ Jaipur Call Girl Agency ❤️♀️@ Manjeet Russian Call Girls Service in Jai...
❤️♀️@ Jaipur Call Girl Agency ❤️♀️@ Manjeet Russian Call Girls Service in Jai...Gfnyt.com
 
Call Girls Service Faridabad 📲 9999965857 ヅ10k NiGhT Call Girls In Faridabad
Call Girls Service Faridabad 📲 9999965857 ヅ10k NiGhT Call Girls In FaridabadCall Girls Service Faridabad 📲 9999965857 ヅ10k NiGhT Call Girls In Faridabad
Call Girls Service Faridabad 📲 9999965857 ヅ10k NiGhT Call Girls In Faridabadgragmanisha42
 
(Ajay) Call Girls in Dehradun- 8854095900 Escorts Service 50% Off with Cash O...
(Ajay) Call Girls in Dehradun- 8854095900 Escorts Service 50% Off with Cash O...(Ajay) Call Girls in Dehradun- 8854095900 Escorts Service 50% Off with Cash O...
(Ajay) Call Girls in Dehradun- 8854095900 Escorts Service 50% Off with Cash O...indiancallgirl4rent
 
Jaipur Call Girls 9257276172 Call Girl in Jaipur Rajasthan
Jaipur Call Girls 9257276172 Call Girl in Jaipur RajasthanJaipur Call Girls 9257276172 Call Girl in Jaipur Rajasthan
Jaipur Call Girls 9257276172 Call Girl in Jaipur Rajasthanindiancallgirl4rent
 
Enjoyment ★ 8854095900 Indian Call Girls In Dehradun 🍆🍌 By Dehradun Call Girl ★
Enjoyment ★ 8854095900 Indian Call Girls In Dehradun 🍆🍌 By Dehradun Call Girl ★Enjoyment ★ 8854095900 Indian Call Girls In Dehradun 🍆🍌 By Dehradun Call Girl ★
Enjoyment ★ 8854095900 Indian Call Girls In Dehradun 🍆🍌 By Dehradun Call Girl ★indiancallgirl4rent
 
Local Housewife and effective ☎️ 8250192130 🍉🍓 Sexy Girls VIP Call Girls Chan...
Local Housewife and effective ☎️ 8250192130 🍉🍓 Sexy Girls VIP Call Girls Chan...Local Housewife and effective ☎️ 8250192130 🍉🍓 Sexy Girls VIP Call Girls Chan...
Local Housewife and effective ☎️ 8250192130 🍉🍓 Sexy Girls VIP Call Girls Chan...Russian Call Girls Amritsar
 
❤️♀️@ Jaipur Call Girls ❤️♀️@ Meghna Jaipur Call Girls Number CRTHNR Call G...
❤️♀️@ Jaipur Call Girls ❤️♀️@ Meghna Jaipur Call Girls Number CRTHNR   Call G...❤️♀️@ Jaipur Call Girls ❤️♀️@ Meghna Jaipur Call Girls Number CRTHNR   Call G...
❤️♀️@ Jaipur Call Girls ❤️♀️@ Meghna Jaipur Call Girls Number CRTHNR Call G...Gfnyt.com
 
Call Girl In Zirakpur ❤️♀️@ 9988299661 Zirakpur Call Girls Near Me ❤️♀️@ Sexy...
Call Girl In Zirakpur ❤️♀️@ 9988299661 Zirakpur Call Girls Near Me ❤️♀️@ Sexy...Call Girl In Zirakpur ❤️♀️@ 9988299661 Zirakpur Call Girls Near Me ❤️♀️@ Sexy...
Call Girl In Zirakpur ❤️♀️@ 9988299661 Zirakpur Call Girls Near Me ❤️♀️@ Sexy...Sheetaleventcompany
 
Hubli Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
Hubli Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real MeetHubli Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
Hubli Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real MeetCall Girls Service
 

Último (20)

(Sonam Bajaj) Call Girl in Jaipur- 09257276172 Escorts Service 50% Off with C...
(Sonam Bajaj) Call Girl in Jaipur- 09257276172 Escorts Service 50% Off with C...(Sonam Bajaj) Call Girl in Jaipur- 09257276172 Escorts Service 50% Off with C...
(Sonam Bajaj) Call Girl in Jaipur- 09257276172 Escorts Service 50% Off with C...
 
VIP Call Girls Noida Jhanvi 9711199171 Best VIP Call Girls Near Me
VIP Call Girls Noida Jhanvi 9711199171 Best VIP Call Girls Near MeVIP Call Girls Noida Jhanvi 9711199171 Best VIP Call Girls Near Me
VIP Call Girls Noida Jhanvi 9711199171 Best VIP Call Girls Near Me
 
Bangalore call girl 👯‍♀️@ Simran Independent Call Girls in Bangalore GIUXUZ...
Bangalore call girl  👯‍♀️@ Simran Independent Call Girls in Bangalore  GIUXUZ...Bangalore call girl  👯‍♀️@ Simran Independent Call Girls in Bangalore  GIUXUZ...
Bangalore call girl 👯‍♀️@ Simran Independent Call Girls in Bangalore GIUXUZ...
 
Call Girls Service In Goa 💋 9316020077💋 Goa Call Girls By Russian Call Girl...
Call Girls Service In Goa  💋 9316020077💋 Goa Call Girls  By Russian Call Girl...Call Girls Service In Goa  💋 9316020077💋 Goa Call Girls  By Russian Call Girl...
Call Girls Service In Goa 💋 9316020077💋 Goa Call Girls By Russian Call Girl...
 
Jodhpur Call Girls 📲 9999965857 Jodhpur best beutiful hot girls full satisfie...
Jodhpur Call Girls 📲 9999965857 Jodhpur best beutiful hot girls full satisfie...Jodhpur Call Girls 📲 9999965857 Jodhpur best beutiful hot girls full satisfie...
Jodhpur Call Girls 📲 9999965857 Jodhpur best beutiful hot girls full satisfie...
 
Call Now ☎ 9999965857 !! Call Girls in Hauz Khas Escort Service Delhi N.C.R.
Call Now ☎ 9999965857 !! Call Girls in Hauz Khas Escort Service Delhi N.C.R.Call Now ☎ 9999965857 !! Call Girls in Hauz Khas Escort Service Delhi N.C.R.
Call Now ☎ 9999965857 !! Call Girls in Hauz Khas Escort Service Delhi N.C.R.
 
Mangalore Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
Mangalore Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real MeetMangalore Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
Mangalore Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
 
💚😋Chandigarh Escort Service Call Girls, ₹5000 To 25K With AC💚😋
💚😋Chandigarh Escort Service Call Girls, ₹5000 To 25K With AC💚😋💚😋Chandigarh Escort Service Call Girls, ₹5000 To 25K With AC💚😋
💚😋Chandigarh Escort Service Call Girls, ₹5000 To 25K With AC💚😋
 
Call Girls Hyderabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Hyderabad Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Hyderabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Hyderabad Just Call 9907093804 Top Class Call Girl Service Available
 
pOOJA sexy Call Girls In Sector 49,9999965857 Young Female Escorts Service In...
pOOJA sexy Call Girls In Sector 49,9999965857 Young Female Escorts Service In...pOOJA sexy Call Girls In Sector 49,9999965857 Young Female Escorts Service In...
pOOJA sexy Call Girls In Sector 49,9999965857 Young Female Escorts Service In...
 
VIP Call Girl Sector 10 Noida Call Me: 9711199171
VIP Call Girl Sector 10 Noida Call Me: 9711199171VIP Call Girl Sector 10 Noida Call Me: 9711199171
VIP Call Girl Sector 10 Noida Call Me: 9711199171
 
❤️♀️@ Jaipur Call Girl Agency ❤️♀️@ Manjeet Russian Call Girls Service in Jai...
❤️♀️@ Jaipur Call Girl Agency ❤️♀️@ Manjeet Russian Call Girls Service in Jai...❤️♀️@ Jaipur Call Girl Agency ❤️♀️@ Manjeet Russian Call Girls Service in Jai...
❤️♀️@ Jaipur Call Girl Agency ❤️♀️@ Manjeet Russian Call Girls Service in Jai...
 
Call Girls Service Faridabad 📲 9999965857 ヅ10k NiGhT Call Girls In Faridabad
Call Girls Service Faridabad 📲 9999965857 ヅ10k NiGhT Call Girls In FaridabadCall Girls Service Faridabad 📲 9999965857 ヅ10k NiGhT Call Girls In Faridabad
Call Girls Service Faridabad 📲 9999965857 ヅ10k NiGhT Call Girls In Faridabad
 
(Ajay) Call Girls in Dehradun- 8854095900 Escorts Service 50% Off with Cash O...
(Ajay) Call Girls in Dehradun- 8854095900 Escorts Service 50% Off with Cash O...(Ajay) Call Girls in Dehradun- 8854095900 Escorts Service 50% Off with Cash O...
(Ajay) Call Girls in Dehradun- 8854095900 Escorts Service 50% Off with Cash O...
 
Jaipur Call Girls 9257276172 Call Girl in Jaipur Rajasthan
Jaipur Call Girls 9257276172 Call Girl in Jaipur RajasthanJaipur Call Girls 9257276172 Call Girl in Jaipur Rajasthan
Jaipur Call Girls 9257276172 Call Girl in Jaipur Rajasthan
 
Enjoyment ★ 8854095900 Indian Call Girls In Dehradun 🍆🍌 By Dehradun Call Girl ★
Enjoyment ★ 8854095900 Indian Call Girls In Dehradun 🍆🍌 By Dehradun Call Girl ★Enjoyment ★ 8854095900 Indian Call Girls In Dehradun 🍆🍌 By Dehradun Call Girl ★
Enjoyment ★ 8854095900 Indian Call Girls In Dehradun 🍆🍌 By Dehradun Call Girl ★
 
Local Housewife and effective ☎️ 8250192130 🍉🍓 Sexy Girls VIP Call Girls Chan...
Local Housewife and effective ☎️ 8250192130 🍉🍓 Sexy Girls VIP Call Girls Chan...Local Housewife and effective ☎️ 8250192130 🍉🍓 Sexy Girls VIP Call Girls Chan...
Local Housewife and effective ☎️ 8250192130 🍉🍓 Sexy Girls VIP Call Girls Chan...
 
❤️♀️@ Jaipur Call Girls ❤️♀️@ Meghna Jaipur Call Girls Number CRTHNR Call G...
❤️♀️@ Jaipur Call Girls ❤️♀️@ Meghna Jaipur Call Girls Number CRTHNR   Call G...❤️♀️@ Jaipur Call Girls ❤️♀️@ Meghna Jaipur Call Girls Number CRTHNR   Call G...
❤️♀️@ Jaipur Call Girls ❤️♀️@ Meghna Jaipur Call Girls Number CRTHNR Call G...
 
Call Girl In Zirakpur ❤️♀️@ 9988299661 Zirakpur Call Girls Near Me ❤️♀️@ Sexy...
Call Girl In Zirakpur ❤️♀️@ 9988299661 Zirakpur Call Girls Near Me ❤️♀️@ Sexy...Call Girl In Zirakpur ❤️♀️@ 9988299661 Zirakpur Call Girls Near Me ❤️♀️@ Sexy...
Call Girl In Zirakpur ❤️♀️@ 9988299661 Zirakpur Call Girls Near Me ❤️♀️@ Sexy...
 
Hubli Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
Hubli Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real MeetHubli Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
Hubli Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
 

Austin Journal of Clinical Cardiology