Document Detail

Influence of colour Doppler echocardiography on the ultrasonic assessment of congenital heart disease: a prospective study.
MedLine Citation:
PMID:  1931352     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To evaluate the additional information provided by colour Doppler in the ultrasonic assessment of congenital heart disease. PATIENTS AND METHODS: A prospective study of 215 children (age range 1 day-16 years) presenting with clinical signs of congenital heart disease. RESULTS: Colour Doppler was essential for the diagnosis of an anomalous left coronary artery and altered the management of a patient initially diagnosed as having cardiomyopathy. Colour Doppler provided extra information, but without major impact on management, in the following: the diagnosis of ventricular septal defects associated with other defects, of multiple ventricular septal defects, of anomalous pulmonary venous drainage, and of mild mitral regurgitation; the demonstration of site of coarctation, of stenotic or hypoplastic pulmonary artery branches, of unobstructed flow through a right atrial membrane, and of left ventricle to right atrium regurgitation; the assessment of the width of the duct and of flow through the patent foramen ovale in transposition and tricuspid atresia; the differentiation of pulmonary atresia from critical pulmonary stenosis and the measurement of maximum velocity of tricuspid regurgitation. CONCLUSIONS: Ideally all patients should undergo colour Doppler studies before cardiac surgery to ensure a more accurate diagnosis. However, since the additional information provided does not affect the management in most patients, machines without colour Doppler can provide a satisfactory service in paediatric cardiology centres in countries where resources are limited.
J P Gnanapragasam; A B Houston; W B Doig; R Fraser; S Lilley; E Murtagh; G Olafsson
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  British heart journal     Volume:  66     ISSN:  0007-0769     ISO Abbreviation:  Br Heart J     Publication Date:  1991 Sep 
Date Detail:
Created Date:  1991-12-10     Completed Date:  1991-12-10     Revised Date:  2010-03-24    
Medline Journal Info:
Nlm Unique ID:  0370634     Medline TA:  Br Heart J     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  238-43     Citation Subset:  AIM; IM    
Department of Cardiology, Royal Hospital for Sick Children, Glasgow.
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MeSH Terms
Abnormalities, Multiple / ultrasonography
Child, Preschool
Echocardiography, Doppler*
Heart Defects, Congenital / ultrasonography*
Heart Septal Defects, Atrial / ultrasonography
Heart Septal Defects, Ventricular / ultrasonography
Infant, Newborn
Prospective Studies
Pulmonary Artery / abnormalities
Pulmonary Valve Stenosis / ultrasonography
Tetralogy of Fallot / ultrasonography

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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