Crochetage sign
Characteristic R wave notching seen in inferior leads in a large proportion of patients with ostium secundum ASD
OVERVIEW can use bubble testing to ID calculate gradients if L->R shunt reverses due to pulmonary hypertension it is Eisenmenger syndrome Echo may not detect extra-cardiac shunts ASD patent foramen ovale (30% incidence in general population) ostium secundum ostium primum…