Abstract
Atrial Septal Defect (ASD) is the third most common congenital heart defect. This chapter describes the clinical presentation and unique characteristics of ASD. It is important to recognize specific auscultative findings such as the fixed split S2, which is pathognomonic for ASD. This may be accompanied by a systolic flow murmur or an S3 heart sound, but these are more nonspecific findings. Other times patients can present with dyspnea or palpitations. This paper highlights the EKG and radiographic findings that are often used for diagnosis in conjunction with the physical exam. This paper also discusses ASD as a primary manifestation and as a part of a clinical syndrome. Additional physical exam findings are highlighted that should not be missed in patients with ASD. Finally, management of a patient with ASD including surgical correction is outlined as determined by certain characteristics including the size of the defect.
Original language | English (US) |
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Title of host publication | Learning Cardiac Auscultation |
Subtitle of host publication | From Essentials to Expert Clinical Interpretation |
Publisher | Springer-Verlag London Ltd |
Pages | 279-287 |
Number of pages | 9 |
ISBN (Electronic) | 9781447167389 |
ISBN (Print) | 9781447167372 |
DOIs | |
State | Published - Jan 1 2015 |
All Science Journal Classification (ASJC) codes
- General Medicine
- General Nursing