PAINE #PANCE Pearl – Cardiovascular



Question

 

What is the most common congenital heart defect seen in adults?

  • Ventricular Septal Defect (VSD)
  • Atrial Septal Defect (ASD)
  • Coarctation of the Aorta
  • Tetralogy of Fallot

 


Answer

 

Atrial septal defect (ASD) is the most common congenital heart defect that will be first diagnosed in adulthood with an incidence around 13% of all congenital heart defects.  Most are asymptomatic and are found during routine physical exams, by a presence of a murmur, or incidentally due to increased use of echocardiography in the clinical setting.


References

  1. Facts about Atrial Septal Defect.  Centers for Disease Control. 2016. https://www.cdc.gov/ncbddd/heartdefects/atrialseptaldefect.html
  2. Krasuski RA. Congenital Heart Disease in the Adult. Cleveland Clinic. 2010.  http://www.clevelandclinicmeded.com/medicalpubs/diseasemanagement/cardiology/congenital-heart-disease-in-the-adult/
  3. van der Linde D, Konings EE, Slager MA. Birth prevalence of congenital heart disease worldwide: a systematic review and meta-analysis. Journal of the American College of Cardiology. 2011; 58(21):2241-7. [pubmed]

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