Basic diagnosis is Down's syndrome. As a newborn this child had a total AVSD that could not be corrected because of abnormally attached papillary muscles. An obvious Eisenmengerþs cyanosis has developed, but without the symptoms of heart failure. First-degree systolic murmur is present and the second heart sound is enhanced. Two separate clicks can be seen on the phonogram, apparently originating from the tricuspid and mitral valves. The second heart sound is hardly split at all and the pulmonary component is very strong because of the elevated pulmonary circulation pressure. Echocardiography shows only a minor shunt in the valves between the atria and the ventricles, which is why the spectrogram does not show clear shunt sounds. Age 19.0 years, height 145.0 cm, weight 53.0 kg. Area of auscultation: left fourth ic (LIC4).
"AVSD and Eisenmenger Syndrome - Audio." Evidence-Based Medicine Guidelines, Duodecim Medical Publications Limited, 2019. Evidence Central, evidence.unboundmedicine.com/evidence/view/EBMG/453955/all/AVSD_and_Eisenmenger_syndrome___Audio.
AVSD and Eisenmenger syndrome - Audio. Evidence-Based Medicine Guidelines. Duodecim Medical Publications Limited; 2019. https://evidence.unboundmedicine.com/evidence/view/EBMG/453955/all/AVSD_and_Eisenmenger_syndrome___Audio. Accessed December 7, 2023.
AVSD and Eisenmenger syndrome - Audio. (2019). In Evidence-Based Medicine Guidelines. Duodecim Medical Publications Limited. https://evidence.unboundmedicine.com/evidence/view/EBMG/453955/all/AVSD_and_Eisenmenger_syndrome___Audio
AVSD and Eisenmenger Syndrome - Audio [Internet]. In: Evidence-Based Medicine Guidelines. Duodecim Medical Publications Limited; 2019. [cited 2023 December 07]. Available from: https://evidence.unboundmedicine.com/evidence/view/EBMG/453955/all/AVSD_and_Eisenmenger_syndrome___Audio.
* Article titles in AMA citation format should be in sentence-case
TY - ELEC
T1 - AVSD and Eisenmenger syndrome - Audio
ID - 453955
BT - Evidence-Based Medicine Guidelines
UR - https://evidence.unboundmedicine.com/evidence/view/EBMG/453955/all/AVSD_and_Eisenmenger_syndrome___Audio
PB - Duodecim Medical Publications Limited
DB - Evidence Central
DP - Unbound Medicine
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