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Related Concept Videos

Cardiovascular System Abnormal Findings I: Inspection and Palpation01:29

Cardiovascular System Abnormal Findings I: Inspection and Palpation

In a cardiovascular examination, inspection and palpation are crucial for identifying abnormalities.
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Cardiovascular System Abnormal Findings II: Auscultation01:25

Cardiovascular System Abnormal Findings II: Auscultation

Auscultation, an essential part of a heart examination, is done using a stethoscope. It provides crucial information about heart function and possible heart problems. Due to heart problems, abnormal sounds can be heard during systole or diastole. These sounds include S3 and S4 gallops, opening snaps, systolic clicks, and murmurs.
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Imaging Studies for Cardiovascular System III: X-Ray01:20

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Mitral Stenosis II: Clinical features and Diagnostic Tests01:23

Mitral Stenosis II: Clinical features and Diagnostic Tests

Mitral stenosis is a heart condition in which the mitral valve, which allows blood to flow from the left atrium to the left ventricle, becomes narrowed or stenotic. This narrowing hinders blood flow and leads to clinical symptoms requiring specific medical evaluations and management strategies. The following overview outlines the clinical symptoms, assessments, diagnostic findings, prevention methods, and treatments for mitral stenosis.Clinical ManifestationsDyspnea (shortness of breath): This...
Development of the Heart01:27

Development of the Heart

The development of the human heart, a crucial organ, commences from the mesoderm on the 18th or 19th day after fertilization. This process initiates in the cardiogenic area, a group of mesodermal cells at the embryo's head end, which evolves into elongated strands known as cardiogenic cords. These cords undergo a transformation to form hollow-centered endocardial tubes.
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Mitral Valve Prolapse I: Introduction

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Related Experiment Video

Updated: May 22, 2026

A Pipeline to Characterize Structural Heart Defects in the Fetal Mouse
08:19

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Left P-Wave Axis Deviation: A Clue for Cardiovascular Malformation?

Nicholas Borkey1, Peter Aziz1, Akash Patel1

  • 1Cleveland Clinic Children's, Cleveland, Ohio, USA.

JACC. Case Reports
|May 21, 2026
PubMed
Summary

Left atrial axis deviation on an electrocardiogram can be a normal finding in children, known as low atrial rhythm. However, it may also signal underlying heart abnormalities requiring further pediatric cardiology evaluation.

Keywords:
congenital heart defectechocardiographyelectrocardiogram

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Published on: June 16, 2023

Area of Science:

  • Pediatric Cardiology
  • Cardiac Electrophysiology

Background:

  • Left atrial axis deviation on electrocardiograms (ECG) often suggests a nonsinus atrial rhythm.
  • While commonly a benign finding (low atrial rhythm) in children with healthy hearts, it can also indicate congenital heart defects.

Purpose of the Study:

  • To evaluate the significance of left atrial axis deviation in a pediatric patient presenting with a cardiac murmur.
  • To differentiate between normal variations and potential cardiovascular malformations.

Main Methods:

  • A 12-year-old female underwent a pediatric cardiology consultation for a heart murmur.
  • Diagnostic tools included cardiac auscultation, a 15-lead electrocardiogram (ECG), and a transthoracic echocardiogram.

Main Results:

  • The patient exhibited a systolic ejection murmur consistent with Still's murmur, a common benign finding.
  • Further results from the ECG and echocardiogram are pending analysis to determine the cause of the left atrial axis deviation.

Conclusions:

  • Left atrial axis deviation necessitates careful evaluation in pediatric cardiology.
  • Distinguishing between normal physiological variants and pathological conditions is crucial for appropriate patient management.