Echocardiographic yield in children when innocent murmur seems likely but doubts linger

Pediatric Cardiology

Volumn 23, Issue 4, 2002, Pages 410-414

  Danford, D A ^a   Martin, A B ^a   Fletcher, S E ^a   Gumbiner, C H ^a  

^a UNIVERSITY OF NEBRASKA MEDICAL CENTER   (United States)

Author keywords

Congenital heart disease; Diagnostic accuracy; Echocardiography; Heart murmur; Pediatric cardiology; Physical diagnosis

Indexed keywords

ADOLESCENT; AGE; ANXIETY; AORTA COARCTATION; AORTA VALVE DISEASE; ARTICLE; CHILD; CLINICAL FEATURE; CLINICAL TRIAL; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; CORRELATION ANALYSIS; DIAGNOSTIC ACCURACY; DIAGNOSTIC PROCEDURE; ECHOCARDIOGRAPHY; EVALUATION; EXPERT SYSTEM; FEMALE; HEART ATRIUM SEPTUM DEFECT; HEART CATHETERIZATION; HEART MURMUR; HEART SURGERY; HEART VENTRICLE SEPTUM DEFECT; HUMAN; INCIDENCE; INFANT; INTERMETHOD COMPARISON; LABORATORY TEST; MAJOR CLINICAL STUDY; MALE; NEWBORN; OUTCOMES RESEARCH; OUTPATIENT DEPARTMENT; PATENT DUCTUS ARTERIOSUS; PULMONARY VALVE STENOSIS; SINGLE BLIND PROCEDURE; TREATMENT INDICATION; TREATMENT OUTCOME; CHILD WELFARE; COMPARATIVE STUDY; DIFFERENTIAL DIAGNOSIS; ECHOGRAPHY; HEART DISEASE; INFANT WELFARE; PRESCHOOL CHILD; PROSPECTIVE STUDY; UNITED STATES;

AGE FACTORS; CHILD; CHILD WELFARE; CHILD, PRESCHOOL; DIAGNOSIS, DIFFERENTIAL; ECHOCARDIOGRAPHY; FEMALE; HEART DISEASES; HEART MURMURS; HUMANS; INCIDENCE; INFANT; INFANT WELFARE; INFANT, NEWBORN; MALE; NEBRASKA; PROSPECTIVE STUDIES;

EID: 0036655201     PISSN: 01720643     EISSN: None     Source Type: Journal    
DOI: 10.1007/s00246-002-1390-y     Document Type: Article

References (12)

1. Danford DA, Martin AB, Fletcher SE, et al (1997) Children with heart murmurs can ventricular septal defect be diagnosed reliably without an echocardiogram? J Am Coll Cardiol 30:243-246
2. Danford DA, Nasir A, Gumbiner CH (1993) Cost assessment of the evaluation of heart murmurs in children. Pediatrics 91:365-368
3. Danford DA, Salaymeh KJ, Martin AB, Fletcher SE, Gumbiner CH (1999) Pulmonary stenosis: defect-specific diagnostic accuracy of heart murmurs in children. J Pediatr 34:76-81
4. Geva T, Hegesh J, Frand M (1988) Reappraisal of the approach to the child with heart murmurs: are laboratory tests mandatory? Int J Cardiol 19:107-113
5. Mangione S, Nieman LZ (1997) Cardiac auscultatory skills of internal medicine and family practice trainees. A comparison of diagnostic proficiency. J Am Med Assoc 278:717-722
6. McCrindle BW, Shaffer KM, Kan JS, et al (1995) An evaluation of parental concerns and misperceptions about heart murmurs. Clin Pediatr 34:25-31
7. McLaren MJ, Lachman AS, Pocock WA, Barlow JB (1980) Innocent murmurs and third heart sounds in black school children. Br Heart J 43:67-73
8. Newberger JW, Rosenthal A, Williams RG, Fellows K, Miettinen OS (1983) Noninvasive tests in the initial evaluation of heart murmurs in children. N Engl J Med 308:61-64
9. Smythe JF, Texeira OHP, Vlad P, Demers PP, Feldman W (1990) Initial evaluation of heart murmurs: are laboratory tests necessary? Pediatrics 86:497-500
10. Tubman TR, Shields MD, Craig BG, Mulholland HC, Nevin NC (1991) Congenital heart disease in Down's syndrome: two year prospective early screening study. Br Med J 302:1425-1427
11. Tulloh RMR, Tansey SP, Parashar K, et al (1994) Echocardiographic screening in neonates undergoing surgery for selected gastrointestinal malformations. Arch Dis Child 70: F206-208
12. Van Oort A, Le Blanc-Botden M, De Boo T, et al (1994) The vibratory innocent murmur in schoolchildren: difference in auscultatory findings between school medical officers and a pediatric cardiologist. Pediatr Cardiol 5:282-287