This 11-year-old girl, who was previously thought to be healthy, came in for a check-up because of tachycardia during stress. A seemingly innocent 2/6 degree murmur (however, holosystolic) can be heard. Note the permanent splitting of the 2nd heart sound. The ultrasound showed a large ASD (atrial septal defect) (10 x 8 mm). Earlier electrocardiography (ECG) and a radiograph had been interpreted as normal. Surgery is required.
"ASD (atrial Septal Defect) Secundum - Audio." Evidence-Based Medicine Guidelines, Duodecim Medical Publications Limited, 2019. Evidence Central, evidence.unboundmedicine.com/evidence/view/EBMG/456743/all/ASD__atrial_septal_defect__secundum___Audio.
ASD (atrial septal defect) secundum - Audio. Evidence-Based Medicine Guidelines. Duodecim Medical Publications Limited; 2019. https://evidence.unboundmedicine.com/evidence/view/EBMG/456743/all/ASD__atrial_septal_defect__secundum___Audio. Accessed December 6, 2023.
ASD (atrial septal defect) secundum - Audio. (2019). In Evidence-Based Medicine Guidelines. Duodecim Medical Publications Limited. https://evidence.unboundmedicine.com/evidence/view/EBMG/456743/all/ASD__atrial_septal_defect__secundum___Audio
ASD (atrial Septal Defect) Secundum - Audio [Internet]. In: Evidence-Based Medicine Guidelines. Duodecim Medical Publications Limited; 2019. [cited 2023 December 06]. Available from: https://evidence.unboundmedicine.com/evidence/view/EBMG/456743/all/ASD__atrial_septal_defect__secundum___Audio.
* Article titles in AMA citation format should be in sentence-case
TY - ELEC
T1 - ASD (atrial septal defect) secundum - Audio
ID - 456743
BT - Evidence-Based Medicine Guidelines
UR - https://evidence.unboundmedicine.com/evidence/view/EBMG/456743/all/ASD__atrial_septal_defect__secundum___Audio
PB - Duodecim Medical Publications Limited
DB - Evidence Central
DP - Unbound Medicine
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