congenital heart defect (fetal heart anomalies ) may be either GENETIC or environmental but usually a combination of both .Known environmental factors include maternal infections(rubella, toxoplasmosis ,,,)drugs (alcohol,lithium, hydantoin ,,,,),maternal illness(diabetes, lupus,phenylketonuria .....)maternal OBESITY ... ,
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It is recommended that all individuals see a Family Doctor for a full medical examination annually. Adults should get their blood pressure checked (US Preventive Task Force), a flu vaccine (CDC) and more each year.