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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
10
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pubmed:dateCreated |
1984-1-7
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pubmed:abstractText |
The records of 264 pediatric patients with uncomplicated ostium secundum atrial septal defect (ASD) were reviewed. Eighty-seven patients were younger than age 4 years at the time of cardiac catheterization. Subnormal weight gain, frequent pneumonia, cyanosis or tachypnea were present in 26 patients (30%). Of the 36 infants at catheterization, 17 (48%) had the previously described symptoms, including 12 (33%) who had congestive heart failure. Eight of the 36 infants were found to have closed their defect at a subsequent catheterization. Six of 18 patients who underwent cardiac catheterization between 1 and 2 years of age also had spontaneously closed their ASD at subsequent study. Statistical analysis of hemodynamic data revealed no difference (except a smaller shunt size) between ASDs that closed and those that did not in patients who were less than 4 years at initial catheterization. Analysis of hemodynamic data revealed no statistical differences between groups of patients with an ASD who were younger than and those older than 4 years at time of diagnostic study. Patients with ASDs that closed were significantly different from patients with atrial level shunting thought to be secondary to a valve-incompetent foramen ovale with respect to age at initial study (11 versus 2 months, p less than 0.001), mean left atrial pressure (7.7 versus 12.3 mm Hg, p less than 0.02) and difference between mean right and left atrial pressures (1.0 versus 4.2 mm Hg, p less than 0.01).(ABSTRACT TRUNCATED AT 250 WORDS)
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:status |
MEDLINE
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pubmed:month |
Dec
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pubmed:issn |
0002-9149
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:day |
1
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pubmed:volume |
52
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
1267-71
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pubmed:dateRevised |
2007-11-15
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pubmed:meshHeading |
pubmed-meshheading:6650415-Angiocardiography,
pubmed-meshheading:6650415-Child, Preschool,
pubmed-meshheading:6650415-Diagnosis, Differential,
pubmed-meshheading:6650415-Female,
pubmed-meshheading:6650415-Heart Catheterization,
pubmed-meshheading:6650415-Heart Septal Defects, Atrial,
pubmed-meshheading:6650415-Hemodynamics,
pubmed-meshheading:6650415-Humans,
pubmed-meshheading:6650415-Infant,
pubmed-meshheading:6650415-Infant, Newborn,
pubmed-meshheading:6650415-Male,
pubmed-meshheading:6650415-Remission, Spontaneous
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pubmed:year |
1983
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pubmed:articleTitle |
Spontaneous closure of secundum atrial septal defect in infants and young children.
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pubmed:publicationType |
Journal Article,
Research Support, Non-U.S. Gov't
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