atrial septal defects Flashcards
(5 cards)
1
Q
features of atrial septal defect
A
ejection systolic murmur, fixed splitting of S2
- crescendo-decresendo
asymptomatic in child hood
present in adulthood with SOB, heart failure or stroke
2
Q
types of atrial septal defects
A
ostium secundum
ostium primum
3
Q
features of ostium secundum
A
most common type
associated with holt-oram syndrome (tri-phalangeal thumbs)
ECG: RBBB with RAD
4
Q
ECG of ostium primum
A
associated with abnormal AV valves
RBBB with LAD, prolonged PR
5
Q
management of ASD
A
echocardio to confirm diagnosis
monitor or percutaneous transvenous catheter or open surgery