2019 ◽  
Vol 71 (3) ◽  
Author(s):  
Renata Grgic-Mustafic ◽  
Nariae Baik-Schneditz ◽  
Bernhard Schwaberger ◽  
Lukas Mileder ◽  
Corinna Binder-Heschl ◽  
...  

2015 ◽  
Vol 26 (3) ◽  
pp. 446-450 ◽  
Author(s):  
Adziri H. Sackey

AbstractThis study was performed to determine the prevalence of CHD among children referred with asymptomatic murmurs and to determine the diagnostic accuracy of the assessment of asymptomatic heart murmurs by general paediatricians. We reviewed the records of children who had been referred by general paediatricians to a cardiology clinic for further evaluation of a heart murmur. The referring paediatricians’ clinical assessment of the murmur was compared with the cardiologist’s echocardiographic diagnosis. A total of 150 children were referred by paediatricians to a paediatric cardiologist for further assessment of a heart murmur. Out of 150 children, 72 had a paediatrician’s diagnosis of innocent murmur; of these 72 patients, two (3%) had heart disease on echocardiography. In all, after echocardiography, a range of congenital heart lesions was found in 28 (19%) of the 150 children. CHD is not rare among children with asymptomatic heart murmurs. In this series of children with asymptomatic murmurs, 19% had heart lesions on echocardiography. Most, but not all, of the children with heart lesions were identified on clinical examination by general paediatricians.


PEDIATRICS ◽  
1991 ◽  
Vol 87 (6) ◽  
pp. 952-953
Author(s):  
JOHN F. SMYTHE ◽  
OTTO H. P. TEIXEIRA ◽  
PETER VLAD ◽  
PIERRE PAUL DEMERS ◽  
WILLIAM FELDMAN

In Reply.— We find that when the patient has not been diagnosed as having organic heart disease, the authority of the cardiologist is challenged rarely, because most people accept the concept that those who dedicate full time to a specific activity (the cardiologist) have a higher level of confidence than those who do not (family physician). Obviously, the problem is more complicated when there is need to delabel a child previously diagnosed incorrectly. We find then that laboratory studies are helpful to alleviate unnecessary but persistent parental concerns.


2017 ◽  
Vol 14 (4) ◽  
pp. 470-474
Author(s):  
James M. Friedman ◽  
Ricardo Couso ◽  
Michael Kitchens ◽  
Venus Vakhshori ◽  
Cody D. Hillin ◽  
...  

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