clinical features of primum defect
Last reviewed 01/2018
The clinical features include:
- heart failure: this in infancy or childhood
- pulmonary hypertension: especially in Downs syndrome - pulmonary ejection systolic murmur and mid-diastolic tricuspid murmur reflecting increased flow
- cardiac enlargement
- breathlessness at rest
- Harrison's sulci
- pink with normal pulses
- apical pansystolic murmur: if mitral valve is incompetent
clinical features common to primum and secundum defect