Der Vortrag „Kardiologischer Fall: 18-jährige Frau mit Herzgeräusch“ von Joseph Alpert, MD ist Bestandteil des Kurses „Kardiovaskuläre Fallbeispiele“.
An 18-year-old woman presents to the office for a physical examination. She had been seen at an urgent care clinic for a minor dermatologic complaint. The nurse clinician said she had a murmur and that she should see a cardiologist. She denies any cardiovascular symptoms currently or in the past. She has a blood pressure of 85/56 mm Hg. After echocardiography, the diagnosis of ventricular septal defect is made. What would cardiac auscultation reveal in this case?
An 18-year-old woman is referred to the cardiologist because of a holosystolic murmur. Echocardiography shows a small ventricular septal defect in the muscular wall with a small left-to-right shunt. Which of the following is the best recommendation for this patient at this point in time?
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