| Utility of store-and-forward pediatric telecardiology evaluation in distinguishing normal from pathologic pediatric heart sounds. | |
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MedLine Citation:
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PMID: 18626106 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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C Becket Mahnke; Michael P Mulreany; Jill Inafuku; Mazen Abbas; Brian Feingold; Joseph A Paolillo |
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Publication Detail:
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Type: Journal Article; Research Support, U.S. Gov't, Non-P.H.S. Date: 2008-07-14 |
Journal Detail:
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Title: Clinical pediatrics Volume: 47 ISSN: 0009-9228 ISO Abbreviation: Clin Pediatr (Phila) Publication Date: 2008 Nov |
Date Detail:
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Created Date: 2008-11-06 Completed Date: 2008-12-16 Revised Date: 2009-08-19 |
Medline Journal Info:
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Nlm Unique ID: 0372606 Medline TA: Clin Pediatr (Phila) Country: United States |
Other Details:
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Languages: eng Pagination: 919-25 Citation Subset: AIM; IM |
Affiliation:
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Pediatric Department (Cardiology), Tripler Army Medical Center, Honolulu, Hawaii 96859-5000, USA. Christopher.Mahnke@us.army.mil |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Child Child, Preschool Diagnosis, Differential Female Heart Auscultation Heart Diseases / diagnosis* Heart Murmurs / diagnosis* Heart Sounds* Humans Infant Male Sensitivity and Specificity Telemedicine* User-Computer Interface |
| Comments/Corrections | |
Comment In:
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Clin Pediatr (Phila). 2009 Sep;48(7):789
[PMID:
19423877
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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