Comparación de hallazgos electrocardiográficos y clínicos a la radiografía de tórax en pacientes portadores de CIA con o sin repercusión hemodinámica ecocardiográfica
Background: Atrial septal defect (ASD) is the most frequent congenital heart disease reaching adulthood without diagnosis. It can be presented as a heart anorganic murmur. Some ASD require surgical closure, before irreversible pulmonary hypertension and / or arrhythmias. Objective: Describe imagenologic, electrocardiographic and clinical findings in patient with ASD with or without hemodynamic repercussion. Methods and Materials: We reviewed medical records of patients with echocardiographic ASD in Félix Bulnes Hospital, in a 1 year period. ASD was considered as ≥ 3 millimeters diameter septal defects, without associated heart
disease, hemodynamic repercussion was considered as right ventricular enlargement. We also analyzed: reason for referral, sex, age, cardiologic examination, electrocardiography, chest radiography, treatment and outcome. Results: We analyzed 56 patients, 59% female. The median diagnosis age was 5 months. Of the total referral causes, 70% was heart murmur and 30% for other reasons. Ten showed hemodynamic repercussion, most of them referred for heart murmur, 2 for radiological cardiomegaly, 7 had ECG changes. Eight required treatment, three of them surgical. Conclusions: The most common finding in children with ASD diagnosis is heart murmur. Timing on referral is important, especially if the murmur is associated with ECG changes and/or radiological cardiomegaly, because in these cases is more frecuent to find hemodynamic repercution and some may require a faster and specific treatment.
Palabras clave:
Radiografía Torácica, Defectos del Tabique Interatrial
Sanhueza Z., A. ., Gattini S., F. ., & Zegers C., C. . (2014). Comparación de hallazgos electrocardiográficos y clínicos a la radiografía de tórax en pacientes portadores de CIA con o sin repercusión hemodinámica ecocardiográfica. Revista Hospital Clínico Universidad De Chile, 25(2), pp. 104–10. https://doi.org/10.5354/2735-7996.2014.72877
