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PubMed · 11221587

[Functional heart murmur and echocardiography: a solved problem?].

M T Manes·C Pintaudi·M Balsano·M Giglio·F Plastina·F Russo
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Abstract

BACKGROUND: Is it really vanished the need for echocardiography in the differential diagnosis of functional pediatric murmurs? METHODS: To this aim 260 children (132 males, 128 females; age range 1-84 months) were examined with auscultatory cardiac murmur. All children underwent a clinical and instrumental evaluation (ECG and echocardiography) from two pediatric cardiologists with independent assessment. RESULTS: Two hundred and ten patients (Group A) were evaluated clinically with functional murmur, 45 patients (Group B) with pathological murmur, 5 patients (Group C) with uncertain pathology. ECG showed changes in 1 Group B patient. Echocardiography showed pathology in 15 Group A patients (6 patients with patent foramen ovale, 5 patients with interatrial defect, 2 patients with bicuspid aortic valve, 1 patient with mitral insufficiency, 1 patient with restrictive cardiomyopathy). Pathology was excluded in 3 Group B patients, and in 2 Group C patients. In our clinical analysis echocardiography showed sensitivity 75%, specificity 97%, positive predictive value 90%, and negative predictive value 92%. CONCLUSIONS: In our experience we suggest to perform echocardiographic examination in children with functional murmur for complete assessment.

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ChildChild, PreschoolFemaleHeart MurmursHumansInfantMalePredictive Value of TestsSensitivity and SpecificityUltrasonographyJournal Article

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BibTeXRIS

M T Manes, C Pintaudi, M Balsano, M Giglio, F Plastina, F Russo. 2000. [Functional heart murmur and echocardiography: a solved problem?].. https://pubmed.ncbi.nlm.nih.gov/11221587/

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