Document Detail

Utility of store-and-forward pediatric telecardiology evaluation in distinguishing normal from pathologic pediatric heart sounds.
MedLine Citation:
PMID:  18626106     Owner:  NLM     Status:  MEDLINE    
Because pediatric cardiologists can accurately diagnose innocent murmurs by physical exam alone, the authors developed a system for remote cardiac auscultation. They hypothesized that their system could accurately classify auscultatory findings as normal/innocent or pathologic. Patients undergoing evaluation underwent examination, echocardiography, and heart sound recording. Pediatric cardiologists evaluated the heart sounds and classified the case as either normal/innocent or pathologic. They reviewed103 heart sound data sets; 85% of the cases were accurately classified as either normal/innocent or pathologic, with a sensitivity of 82% and specificity of 86%. However, when accounting for clinical diagnosis, reviewer uncertainty, and ECG abnormalities, the sensitivity and specificity improved to 91% and 88% (accuracy 89%), respectively. Degree of certainty with the telecardiology diagnosis correlated with correct interpretation (P < .005). Digital heart sound recordings evaluated via telemedicine can distinguish normal/innocent murmurs from pathologic ones. Such a system could improve the use of pediatric cardiology services.
C Becket Mahnke; Michael P Mulreany; Jill Inafuku; Mazen Abbas; Brian Feingold; Joseph A Paolillo
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Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, Non-P.H.S.     Date:  2008-07-14
Journal Detail:
Title:  Clinical pediatrics     Volume:  47     ISSN:  0009-9228     ISO Abbreviation:  Clin Pediatr (Phila)     Publication Date:  2008 Nov 
Date Detail:
Created Date:  2008-11-06     Completed Date:  2008-12-16     Revised Date:  2009-08-19    
Medline Journal Info:
Nlm Unique ID:  0372606     Medline TA:  Clin Pediatr (Phila)     Country:  United States    
Other Details:
Languages:  eng     Pagination:  919-25     Citation Subset:  AIM; IM    
Pediatric Department (Cardiology), Tripler Army Medical Center, Honolulu, Hawaii 96859-5000, USA.
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MeSH Terms
Child, Preschool
Diagnosis, Differential
Heart Auscultation
Heart Diseases / diagnosis*
Heart Murmurs / diagnosis*
Heart Sounds*
Sensitivity and Specificity
User-Computer Interface
Comment In:
Clin Pediatr (Phila). 2009 Sep;48(7):789   [PMID:  19423877 ]

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

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