Are Chest Radiographs and Electrocardiograms Still Valuable in Evaluating New Pediatric Patients With Heart Murmurs or Chest Pain?

Author:

Swenson Jeanine M.1,Fischer Donald R.1,Miller Susan A.1,Boyle Gerard J.1,Ettedgui José A.1,Beerman Lee B.1

Affiliation:

1. 1From the Department of Pediatric Cardiology, Children's Hospital of Pittsburgh, University of Pittsburgh, Pittsburgh, Pennsylvania.

Abstract

Objectives. To determine the usefulness of electrocardiography (ECG) and chest radiography (CXR) in evaluation of patients referred to the pediatric cardiologist for the evaluation of heart murmur or chest pain. Design. In this prospective study, 106 consecutive outpatients were categorized with no heart disease, possible heart disease, or definite heart disease based on history and physical examination; they then underwent ECG and CXR. Studies were reviewed and the examining cardiologist could change the diagnosis and order an echocardiogram. Setting. Academic pediatric cardiology practice. Results. In patients thought to have no heart disease, the diagnosis was changed to definite heart disease in four solely on the basis of abnormal CXR or ECG. In 25 patients thought to have possible heart disease, the diagnosis was changed to no heart disease (7) or definite heart disease (5) after review of the CXR and ECG. All 25 patients diagnosed with definite heart disease had this confirmed by abnormal CXR (2), ECG (3), both abnormal CXR and ECG, or echocardiogram (18). Conclusions. ECG and CXR helped diagnose heart disease in four patients thought to have no heart disease, helped to rule out lesions in seven patients with possible heart disease, helped diagnose heart disease in five patients thought to have possible heart disease, and helped confirm heart disease in nine patients. In these days of cost containment, routine ECG and CXR continue to be valuable tools for the pediatric cardiologist in evaluation of patients with heart murmurs or chest pain.

Publisher

American Academy of Pediatrics (AAP)

Subject

Pediatrics, Perinatology and Child Health

Reference9 articles.

1. Initial evaluation of heart murmurs: is echocardiography mandatory?;Smythe;Pediatrics.,1990

2. Some thoughts about functional or innocent murmurs.;Friedman;Clin. Pediatr.,1973

3. Noninvasive tests in the initial evaluation of heart murmurs in children.;Newburger;N Engl J Med.,1983

4. Chest pain in children.;Selbst;Pediatrics.,1985

5. Innocent murmur: the most important diagnosis in cardiology.;Bloomfield;Heart Bull.,1965

Cited by 71 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

1. Role of chest radiographs and electrocardiograms in predicting the hemodynamics of congenital heart disease;Exploration of Medicine;2024-02-29

2. Chest Pain;Nelson Pediatric Symptom-Based Diagnosis: Common Diseases and their Mimics;2023

3. Evaluation of Neonates With Suspected Congenital Heart Disease: A New Cost-Effective Algorithm;Clinical Pediatrics;2018-08-10

4. Chest Pain;Nelson Pediatric Symptom-Based Diagnosis;2018

5. Managing a “New” Murmur in Healthy Children and Teens;Clinical Pediatrics;2016-07-19

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3