Document Detail

Echocardiographic measures of diastolic function in pediatric heart disease.
MedLine Citation:
PMID:  16601456     Owner:  NLM     Status:  MEDLINE    
PURPOSE OF REVIEW: The past year has seen a continued evolution in the echocardiographic assessment of diastolic function in children. This paper reviews published studies from the past year that have helped characterize diastolic function using echocardiography in children. RECENT FINDINGS: Characterization of diastolic function using Doppler and Doppler tissue imaging in the normal infant and child was a primary focus of pediatric echocardiographic investigation. These technologies appear to hold significant promise as tools to improve understanding of diastolic function in the normal child as the heart matures. Diastolic function in children with congenital heart disease has also been better characterized using these tools, specifically in patients with atrial septal defects, tetralogy of Fallot, single ventricle physiology, and following cardiac transplantation. Finally, diastolic function in acquired heart disease or with systemic disease in the child has been evaluated using echocardiography, with recent reports describing findings in children with dilated cardiomyopathy, chronic renal disease, obesity, type I diabetes, juvenile rheumatoid arthritis, obstructive sleep apnea, and after anthracycline exposure for childhood cancer. SUMMARY: Pediatric echocardiography has clearly become the primary tool for describing and characterizing diastolic function in infants and children both with and without heart disease. It is becoming an important noninvasive diastolic monitoring tool that allows serial assessment of pathologic diastolic disease in both primary myocardial and systemic disease states.
Peter C Frommelt
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Current opinion in cardiology     Volume:  21     ISSN:  0268-4705     ISO Abbreviation:  Curr. Opin. Cardiol.     Publication Date:  2006 May 
Date Detail:
Created Date:  2006-04-07     Completed Date:  2006-11-07     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8608087     Medline TA:  Curr Opin Cardiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  194-9     Citation Subset:  IM    
Division of Pediatric Cardiology, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.
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MeSH Terms
Anthracyclines / adverse effects
Arthritis, Juvenile Rheumatoid / physiopathology
Blood Flow Velocity
Cardiomyopathies / physiopathology*,  ultrasonography
Diastole / physiology
Echocardiography, Doppler, Color
Heart Defects, Congenital / physiopathology*,  ultrasonography
Kidney Diseases / physiopathology
Obesity / physiopathology
Sleep Apnea, Obstructive / physiopathology
Reg. No./Substance:

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