The utility of outpatient echocardiography for evaluation of asymptomatic murmurs in children

Congenital Heart Disease
David KwiatkowskiJames Cnota

Abstract

The purpose of this study is to review sedated outpatient echocardiograms performed to evaluate asymptomatic murmurs in children between the ages of 1 month and 4 years and describe outcomes of tests done to determine if utility varies among age of study and referral type (primary care physician vs. pediatric cardiologist.) We aim to describe the yield in a contemporary cohort which has increased availability and quality of diagnostic aids such as fetal ultrasound, newborn pulse oximetry, and neonatal echocardiography. Retrospective cohort study. Cincinnati Children's Hospital Medical Center: Outpatient Echocardiography Laboratory. Children between 1 month and 4 years of age with asymptomatic murmurs who are referred for outpatient echocardiogram for evaluation of murmur. Primary diagnosis of echocardiography studies, classified into severity score. Results.  Four hundred sixty-two sedated echocardiograms were studied. Six (1%) echocardiograms showed severe pathology, and no severe pathology was shown in the echocardiograms ordered at the age of over 6 months old. The yield of studies decreased as age increased. The incidence of abnormal pathology was higher among tests ordered by cardiologists, across all severity levels (P < ...Continue Reading

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Citations

Nov 11, 2015·Archives de pédiatrie : organe officiel de la Sociéte française de pédiatrie·A ChantepieB Lefort
Jun 14, 2015·Archives of Disease in Childhood·Guanyang KangJiuhao Chen
Apr 20, 2016·Pediatric Cardiology·Kenan W D SternLeo Lopez
Jun 11, 2016·Congenital Heart Disease·Kirsten Rose-FelkerRitu Sachdeva
Nov 9, 2016·Pediatric Cardiology·Sean M LangR Thomas Collins
Nov 20, 2016·Internal Medicine Journal·Shaw-Hua KuehJames Pemberton
Jul 1, 2016·Clinical Pediatrics·Lisa J Gupta, Joseph W May
Oct 29, 2017·Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography·Soultana KourtidouAmy H Schultz
Nov 16, 2021·Cardiology in the Young·Elizabeth GoldmuntzJudy A Shea

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