Atrial septal defect: Difference between revisions
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==Clinical Features== | ==Clinical Features== | ||
A patient may be asymptomatic or have any of the following features: | |||
*Dyspnea on Exertion | |||
*[[CHF]] | |||
*Palpitations | |||
*Syncope | |||
*[[Pulmonary hypertension]] | |||
*Right heart failure | |||
*[[A. fib]] | |||
*[[Stroke]] (via an embolism) | |||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
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==Disposition== | ==Disposition== | ||
*Generally unless there is a complication, the septal defect if found incidentally can be evaluated as an outpatient with elective repair | |||
==See Also== | ==See Also== | ||
Revision as of 20:14, 4 April 2016
Background
Clinical Features
A patient may be asymptomatic or have any of the following features:
- Dyspnea on Exertion
- CHF
- Palpitations
- Syncope
- Pulmonary hypertension
- Right heart failure
- A. fib
- Stroke (via an embolism)
Differential Diagnosis
Diagnosis
- An ECG may show the “crochetage” pattern—a notch near the apex of the R wave in electrocardiographic (ECG) inferior limb leads[1]
Management
Disposition
- Generally unless there is a complication, the septal defect if found incidentally can be evaluated as an outpatient with elective repair