- more common in women than men (2:1)
- 2 types: ostium secundum (75%) and ostium primum
- complications rarely occur in childhood, but prolonged shunting leads to pulmonary hypertension, atrial fibrillation, Eisenmenger syndrome, but not risk of endocarditis
- sign: pulmonary flow murmur, splitting of second heart sound
- ECG: RBBB & RAD (secundum) ; RBBB & LAD (primum)
- association: Holt Oram syndrome (ASD with triphalangeal thumb and radial abnormalities); Lutembacher syndrome (ASD and MS)
- treatment: ASD closure before age of 10 years old
- Uncorrected, 70% develop symptoms by age of 40
I was diagnosed as HEPATITIS B carrier in 2013 with fibrosis of the
ReplyDeleteliver already present. I started on antiviral medications which
reduced the viral load initially. After a couple of years the virus
became resistant. I started on HEPATITIS B Herbal treatment from
ULTIMATE LIFE CLINIC (www.ultimatelifeclinic.com) in March, 2020. Their
treatment totally reversed the virus. I did another blood test after
the 6 months long treatment and tested negative to the virus. Amazing
treatment! This treatment is a breakthrough for all HBV carriers.