Heart hump

Last updated on: 03.03.2024

Dieser Artikel auf Deutsch

Requires free registration (medical professionals only)

Please login to access all articles, images, and functions.

Our content is available exclusively to medical professionals. If you have already registered, please login. If you haven't, you can register for free (medical professionals only).


Requires free registration (medical professionals only)

Please complete your registration to access all articles and images.

To gain access, you must complete your registration. You either haven't confirmed your e-mail address or we still need proof that you are a member of the medical profession.

Finish your registration now

DefinitionThis section has been translated automatically.

In the case of a heart hump, there is a protrusion of the anterior thoracic wall (Holldack 2005) to the left of the sternum in the area of the 4th - 6th rib, usually as a sign of a congenital heart defect (Gruber 2019).

ClassificationThis section has been translated automatically.

The enlargement of the heart leads to a heart hump (Speer 2009).

In most cases, a sub- or left-sternal heart hump is caused by right ventricular hypertrophy (Kretz 2002). Sometimes sub- or left-thoracic pulsations are visible (Apitz 2002).

The left thoracic heart hump is caused by a strain on the right ventricle or a strain on both ventricles (Apitz 1998). Under physical stress, a cardiac spike is usually visible (Apitz 2002).

OccurrenceThis section has been translated automatically.

Since the age of pediatric cardiac surgery, it is very rare to see a heart hump (Füeßl 2005).

EtiologyThis section has been translated automatically.

A heart hump can occur in the following diseases, for example:

- Ventricular septal defect (Holldeck 2005)

- AVSD (Herold 2022)

In this case, the heart hump develops very quickly (Apitz 2002)

- Tetralogy of Fallot (Füeßl 2010)

- /en/internal-medicine/right-left-shunt-140763.amp" title="Right-left shunt

In this disease, the heart hump usually develops after the age of 1 year (Apitz 2002)

- Truncus arteriosus communis

In this case, a left-sided heart hump only develops after a longer period of time (Apitz 2002).

A heart hump often occurs in combination with the non-rachitic Harrsison's furrow (Boeckel 2022)

TherapyThis section has been translated automatically.

Treatment of the triggering disease.

LiteratureThis section has been translated automatically.

  1. Apitz J (1998) Pediatric Cardiology: Diseases of the Heart in Newborns, Infants, Children and Adolescents. Springer Verlag Berlin / Heidelberg 38
  2. Apitz J (2002) Pediatric cardiology: diseases of the heart in newborns, infants, children and adolescents. Springer Verlag Berlin / Heidelberg 42, 358, 368, 438
  3. Boeckel T (2022) Heart hump. Pschyrembel online
  4. Füeßl H S, Middeke M (2010) Anamnesis and clinical examination. Dual series. Georg Thieme Verlag Stuttgart 189
  5. Füeßl H S, Middeke M, Bob A, Bob K (2005) Duale Reihe: Anamnese und klinische Untersuchung. Georg Thieme Publishers Stuttgart 207
  6. Gruber G, Hansch A (2019) Blickdiagnosen Innere Medizin: Vom visuellen Leitsymptom zur Diagnose. Elsevier Urban and Fischer Publishers 198
  7. Herold G et al. (2022) Internal medicine. Herold Publishing House 191
  8. Holldack K et al. (2005) Auscultation and percussion, inspection and palpation. Georg Thieme Publishers 57
  9. Kasper D L, Fauci A S, Hauser S L, Longo D L, Jameson J L, Loscalzo J et al. (2015) Harrison's Principles of Internal Medicine. Mc Graw Hill Education
  10. Kretz F J, Beushausen T (2002) Das Kinder Notfall Intensivbuch: Lebensrettendes Know- How. Elsevier Urban und Fischer Verlag 13
  11. Speer C P, Gahr M (2009) Pediatrics. Springer Medizin- Verlag Heidelberg 517

Last updated on: 03.03.2024