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| Predicate | Object |
|---|---|
| rdf:type | |
| lifeskim:mentions | |
| pubmed:issue |
1
|
| pubmed:dateCreated |
1988-7-14
|
| pubmed:abstractText |
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".
|
| pubmed:language |
eng
|
| pubmed:journal | |
| pubmed:citationSubset |
IM
|
| pubmed:status |
MEDLINE
|
| pubmed:month |
Apr
|
| pubmed:issn |
0167-5273
|
| pubmed:author | |
| pubmed:issnType |
Print
|
| pubmed:volume |
19
|
| pubmed:owner |
NLM
|
| pubmed:authorsComplete |
Y
|
| pubmed:pagination |
107-13
|
| pubmed:dateRevised |
2006-7-12
|
| pubmed:meshHeading |
pubmed-meshheading:3372064-Adolescent,
pubmed-meshheading:3372064-Aortic Valve Stenosis,
pubmed-meshheading:3372064-Child,
pubmed-meshheading:3372064-Child, Preschool,
pubmed-meshheading:3372064-Ductus Arteriosus, Patent,
pubmed-meshheading:3372064-Echocardiography,
pubmed-meshheading:3372064-Female,
pubmed-meshheading:3372064-Heart Auscultation,
pubmed-meshheading:3372064-Heart Murmurs,
pubmed-meshheading:3372064-Heart Septal Defects, Atrial,
pubmed-meshheading:3372064-Heart Septal Defects, Ventricular,
pubmed-meshheading:3372064-Humans,
pubmed-meshheading:3372064-Infant,
pubmed-meshheading:3372064-Male,
pubmed-meshheading:3372064-Predictive Value of Tests,
pubmed-meshheading:3372064-Prospective Studies,
pubmed-meshheading:3372064-Pulmonary Valve Stenosis,
pubmed-meshheading:3372064-Tetralogy of Fallot
|
| pubmed:year |
1988
|
| pubmed:articleTitle |
Reappraisal of the approach to the child with heart murmurs: is echocardiography mandatory?
|
| pubmed:affiliation |
Department of Pediatrics C, Chaim Sheba Medical Center, Tel-Hashomer, Israel.
|
| pubmed:publicationType |
Journal Article
|