Study note

Ventricular septal defect: investigations and monitoring

THE CONTEXT
Investigations identify small defects likely to close spontaneously and monitor larger defects for pulmonary hypertension.

Echocardiographic assessment

FeatureDetails
Small defects
Echocardiography helps identify small septal defects that are haemodynamically insignificant and likely to close spontaneously.
Larger defects
Serial echocardiography is used to check for signs of pulmonary hypertension.

Findings with larger defects

FeatureDetails
Chest X-ray
Larger defects produce pulmonary congestion.
Electrocardiogram (ECG)
Larger defects produce bilateral ventricular hypertrophy.
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