Describe the differences between small/large defects.
Clinical Features depend on defect size and shunt volume
Small defects: usually asymptomatic
Medium-sized to large defects
Symptoms can vary from asymptomatic to heart failure.
ASDs typically manifest with advancing age.
List other symptoms/findings.
Systolic ejection murmur over the second left ICS sternal border
Widely split second heart sound (S2) over the second left ICS, which is fixed (does not change with respiration )
Soft mid-diastolic murmur over the lower left sternal border
Last changed2 years ago