To identify the condition associated with atrial myxoma, it's important to understand the clinical manifestations of this condition. Atrial myxoma is a type of primary heart tumor, often found in the atria, and has certain characteristic symptoms and signs due to its mechanical effect within the heart and systemic effects from cytokine production.
Conclusion: Considering the information above, the feature not typically associated with atrial myxoma is "Systolic murmur at apex." This option is generally more indicative of valvular heart disease rather than a myxoma.