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Clinical Detection of Hemodynamically Significant Isolated Secundum Atrial Septal Defect

Robert L Geggel1

  • 1Department of Cardiology, Boston Children's Hospital, Boston, MA; Department of Pediatrics, Harvard Medical School, Boston, MA.

The Journal of Pediatrics
|September 19, 2017
PubMed

Insights

Delayed diagnosis of secundum atrial septal defect (ASD) is common. This study examines why diagnosis is missed in patients with hemodynamically significant ASD, highlighting referral symptoms and examination limitations.

Area of Science:

  • Cardiology
  • Pediatric Cardiology
  • Congenital Heart Disease

Background:

  • Secundum atrial septal defects (ASDs) are common congenital heart conditions.
  • Delayed diagnosis of secundum ASD can lead to significant morbidity.
  • Early identification is crucial for timely intervention and improved patient outcomes.

Purpose of the Study:

  • To investigate the reasons behind delayed diagnosis of secundum atrial septal defects.
  • To analyze the clinical presentation and diagnostic challenges associated with secundum ASD.
  • To identify factors contributing to missed or delayed diagnoses in a large patient cohort.

Main Methods:

  • Retrospective review of 310 patients with hemodynamically significant secundum ASD.
  • Analysis of referral symptoms, physical examination findings, and electrocardiography results.
  • Evaluation of the basis for initial diagnostic delays.

Main Results:

  • The study identified common symptoms that prompted referral for secundum ASD.
  • Limitations in physical examination and electrocardiography were found to contribute to diagnostic delays.
  • Specific factors contributing to the initial misdiagnosis or delayed diagnosis were elucidated.

Conclusions:

  • Secundum atrial septal defect diagnosis is frequently delayed.
  • Understanding the reasons for delayed diagnosis can improve early detection strategies.
  • Improved clinical awareness and diagnostic approaches are needed for timely secundum ASD management.

Keywords:
congenital heart disease

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