| Reappraisal of the approach to the child with heart murmurs: is echocardiography mandatory? | |
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MedLine Citation:
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PMID: 3372064 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The performance of cross-sectional echocardiography on every child with a heart murmur poses a heavy load and economic burden on pediatric cardiology services. We prospectively studied 100 consecutive patients newly referred to our clinic for evaluation of a heart murmur. After a thorough clinical assessment and review of the electrocardiogram and chest radiograms, 50 patients were diagnosed as having "innocent murmurs". Cross-sectional echocardiography confirmed the initial diagnosis in 48 patients (96%). Two patients had bicuspid aortic valve. Among the patients with echocardiographically proved innocent murmur, left ventricular anomalous bands were demonstrated in 15 patients (31%), right ventricular anomalous bands in 5 patients (10%) and increased left ventricular shortening fractions (greater than or equal to 0.5) in 10 patients (21%). Among the remaining 50 patients, the initial diagnosis was "suspected heart disease" in 10 patients, and "pathological murmurs" in 40 patients. Cross-sectional echocardiography was most useful in these patients providing the diagnosis in 80% (eight) of the former group and 95% (38) of the later group. Echocardiography need not be routinely performed in children initially diagnosed, by a pediatric cardiologist, as having an "innocent murmur". |
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Authors:
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T Geva; J Hegesh; M Frand |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: International journal of cardiology Volume: 19 ISSN: 0167-5273 ISO Abbreviation: Int. J. Cardiol. Publication Date: 1988 Apr |
Date Detail:
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Created Date: 1988-07-14 Completed Date: 1988-07-14 Revised Date: 2006-07-12 |
Medline Journal Info:
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Nlm Unique ID: 8200291 Medline TA: Int J Cardiol Country: NETHERLANDS |
Other Details:
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Languages: eng Pagination: 107-13 Citation Subset: IM |
Affiliation:
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Department of Pediatrics C, Chaim Sheba Medical Center, Tel-Hashomer, Israel. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Aortic Valve Stenosis / diagnosis Child Child, Preschool Ductus Arteriosus, Patent / diagnosis Echocardiography* Female Heart Auscultation / classification* Heart Murmurs / classification* Heart Septal Defects, Atrial / diagnosis Heart Septal Defects, Ventricular / diagnosis Humans Infant Male Predictive Value of Tests Prospective Studies Pulmonary Valve Stenosis / diagnosis Tetralogy of Fallot / diagnosis |
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