Accuracy of the initial evaluation of heart murmurs in neonates: Do we need an echocardiogram?

Pediatric Cardiology

Volumn 27, Issue 2, 2006, Pages 234-237

  Azhar, A S ^a   Habib, H S ^b  

^a International Medical Center   (Saudi Arabia)

^b KING ABDULAZIZ UNIVERSITY   (Saudi Arabia)

Author keywords

Congenital heart disease; Echocardiogram; Initial evaluation; Neonatal murmur

Indexed keywords

ARTICLE; CARDIOLOGIST; CLINICAL EXAMINATION; CONSULTATION; CONTROLLED STUDY; DIAGNOSTIC ACCURACY; ECHOCARDIOGRAPHY; EVALUATION; GENERAL HOSPITAL; HEART MURMUR; HUMAN; MAJOR CLINICAL STUDY; MEDICAL RECORD; MEDICAL SPECIALIST; NEWBORN; NEWBORN INTENSIVE CARE; SENSITIVITY ANALYSIS; STATISTICAL SIGNIFICANCE;

CARDIOLOGY; CLINICAL COMPETENCE; ECHOCARDIOGRAPHY; HEART MURMURS; HUMANS; INFANT, NEWBORN; INTENSIVE CARE UNITS, NEONATAL; NEONATOLOGY; ONTARIO; PREDICTIVE VALUE OF TESTS; PROSPECTIVE STUDIES; REFERRAL AND CONSULTATION; SENSITIVITY AND SPECIFICITY;

EID: 33645131370     PISSN: 01720643     EISSN: None     Source Type: Journal    
DOI: 10.1007/s00246-005-1122-1     Document Type: Article

References (14)

1. Ainsworth SB, Wyllie JP, Wren C (1999) Prevalence and clinical significance of cardiac murmurs in neonates. Arch Dis Child Fetal Neonatal Ed 80:F43-F45
2. American Heart Association (1994) Guidelines for evaluation and management of common congenital cardiac problems in infants, children and adolescents. Circulation 90:2180-2188
3. Castello-Herbreteau B, Vaillant MC, Magontier N, et al. (2000) Diagnostic value of physical examination and electrocardiogram in the initial evaluation of heart murmurs in children. Arch Pediatr 7:1041-1049
4. Danford DA, Martin AB, Fletcher SE, Gumbiner CH (2002) Echocardiographic yield in children when innocent murmur seems likely but doubts linger. Pediatr Cardiol 23:410-414
5. Farrer KFM, Rennie JM (2003) Neonatal murmurs: are senior house officers good enough? Arch Dis Child Fetal Neonatal Ed 88:F147
6. Gaskin PRA, Owens SE, Talner NS, et al. (2000) Clinical auscultation skills in pediatric residents. Pediatrics 105:1184-1187
7. Geggel RL (2004) Conditions leading to pediatric cardiology consultation in a tertiary academic hospital. Pediatrics 114: e409-e417
8. Hansen LK, Birkebaek NH, Oxhoj H (1995) Initial evaluation of children with heart murmurs by the non-specialised paediatrician. Eur J Pediatr 154:15-17
9. McCrindle BW, Shaffer KM, Kan JS, et al. (1996) Cardinal clinical signs in the differentiation of heart murmurs in children. Arch Pediatr Adolesc Med 150:169-174
10. Meberg A, Otterstad JE, Froland G, et al. (1999) Early clinical screening of neonates for congenital heart defects; the cases we miss. Cardiol Young 9:169-174
11. Rice MJ, McDonald RW, Reller MD, Salin DL (1996) Pediatric echocardiography: current role and a review of technical advances. J Pediatr 128:1-14
12. Silove ED (1994) Assessment and management of congenital heart in the newborn by the district paediatrician. Arch Dis Child 70:F71-F74
13. Smythe JF, Teixeira OHP, Vlad P, et al. (1990) Initial evaluation of heart murmurs: are laboratory tests necessary? Pediateics 86:497-500
14. Wren C, Richmond S, Donaldson L (1999) Presentation of congenital heart disease in infancy: implications for routine examination. Arch Dis Child Fetal Neonatal Ed 80:F49-F53