8th March 2024

A 30-year-old lady is referred to the Cardiology clinic because of intermittent palpitations and exertional shortness of breath.

A 30-year-old lady is referred to the Cardiology clinic because of intermittent palpitations and exertional shortness of breath. Her clinic observations show a heart rate of 80 beats per minute and blood pressure of 120/80 mmHg. There is no evidence of conduction abnormality on her 12-lead ECG, which confirms normal sinus rhythm at 82 beats per minute. An atrial septal defect would produce which one of the following physical signs?

Select the SINGLE most appropriate option from the list below. Select ONE option only.