This child was referred for investigation of an easily rising pulse under strain. ECG and chest radiograph show no signs of cardiac loading nor had the murmur been detected earlier. On auscultation a quiet systolic flow murmur is heard in the pulmonary area. It resembles the physiological sound but is longer and pansystolic. The second heart sound is clearly and constantly split. The finding is well depicted on the phono- and spectrograms. Echocardiography showed a 13 x 8 mm secundum-type ASD. Pulmonary artery flow velocity was 1.7 m/s, that of aorta 0.9 m/s. Because the ASD secundum murmur is caused by increased pulmonary artery flow, the sound is sometimes difficult to distinguish from the physiological sound. In such cases attention should be paid on the possible splitting of the second heart sound. After this investigation this child was referred for corrective surgery. Age 11.3 years. Area of auscultation: left second ic (LIC2).
"ASD in an 11-year-old Child - Audio." Evidence-Based Medicine Guidelines, Duodecim Medical Publications Limited, 2019. Evidence Central, evidence.unboundmedicine.com/evidence/view/EBMG/456306/all/ASD_in_an_11_year_old_child___Audio.
ASD in an 11-year-old child - Audio. Evidence-Based Medicine Guidelines. Duodecim Medical Publications Limited; 2019. https://evidence.unboundmedicine.com/evidence/view/EBMG/456306/all/ASD_in_an_11_year_old_child___Audio. Accessed June 10, 2023.
ASD in an 11-year-old child - Audio. (2019). In Evidence-Based Medicine Guidelines. Duodecim Medical Publications Limited. https://evidence.unboundmedicine.com/evidence/view/EBMG/456306/all/ASD_in_an_11_year_old_child___Audio
ASD in an 11-year-old Child - Audio [Internet]. In: Evidence-Based Medicine Guidelines. Duodecim Medical Publications Limited; 2019. [cited 2023 June 10]. Available from: https://evidence.unboundmedicine.com/evidence/view/EBMG/456306/all/ASD_in_an_11_year_old_child___Audio.
* Article titles in AMA citation format should be in sentence-case
TY - ELEC
T1 - ASD in an 11-year-old child - Audio
ID - 456306
BT - Evidence-Based Medicine Guidelines
UR - https://evidence.unboundmedicine.com/evidence/view/EBMG/456306/all/ASD_in_an_11_year_old_child___Audio
PB - Duodecim Medical Publications Limited
DB - Evidence Central
DP - Unbound Medicine
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