Article: Cardiovascular symptoms and signs in evaluating cardiac murmurs in children

File Download Links for fulltext
(May Require Subscription)
Supplementary

  • Basic View
  • Metadata View
  • XML View
TitleCardiovascular symptoms and signs in evaluating cardiac murmurs in children
AuthorsKoo, S1
Yung, TC1
Lun, KS1
Chau, AKT1
Cheung, YF1
Issue Date2008
PublisherWiley-Blackwell Publishing Asia. The Journal's web site is located at http://www.blackwellpublishing.com/journals/PED
CitationPediatrics International, 2008, v. 50 n. 2, p. 145-149 [How to Cite?]
DOI: http://dx.doi.org/10.1111/j.1442-200X.2008.02560.x
AbstractBackground: The aim of the present study was to determine the usefulness of cardiovascular symptoms and signs in the recognition of significant congenital heart lesions that required surgical or catheter interventions in different pediatric age groups. Methods: A retrospective chart review was carried out of 110 patients with significant heart anomalies that required surgical or catheter interventions (group I) and 113 children, presenting with cardiac murmurs, with congenital heart conditions not requiring any interventions. (group II) Results: Clinical symptoms or signs were significantly more common in group I than in group II subjects (85% vs 32%, P < 0.0001). The odds of having significant lesions requiring interventions in the presence of either cardiovascular symptoms or signs were 37.5 (95% confidence interval [CI]: 6.5-218.1) for neonates, 14.5 (95%CI: 4.7-51.7) for infants, and 8.0 (95%CI: 3.3-19.2) for children and adolescents. In neonates, the negative predictive values of the absence of symptoms or signs in isolation were relatively low at 64% and 65%, respectively. In children beyond infancy, the positive predictive values of the presence of symptoms or signs in isolation were also low at 62% and 68%, respectively. Conclusions: Clinical assessment of cardiovascular symptoms and signs remains useful in the evaluation of the significance of pathological cardiac murmurs in children in the present era of technology. Nonetheless, the predictive values vary with different pediatric age groups. © 2008 Japan Pediatric Society.
ISSN1328-8067
2011 Impact Factor: 0.626
2011 SCImago Journal Rankings: 0.065
DOIhttp://dx.doi.org/10.1111/j.1442-200X.2008.02560.x
ReferencesReferences in Scopus
DC Field
Value
dc.contributor.authorKoo, S
dc.contributor.authorYung, TC
dc.contributor.authorLun, KS
dc.contributor.authorChau, AKT
dc.contributor.authorCheung, YF
dc.date.accessioned2012-10-30T06:07:59Z
dc.date.available2012-10-30T06:07:59Z
dc.date.issued2008
dc.description.abstractBackground: The aim of the present study was to determine the usefulness of cardiovascular symptoms and signs in the recognition of significant congenital heart lesions that required surgical or catheter interventions in different pediatric age groups. Methods: A retrospective chart review was carried out of 110 patients with significant heart anomalies that required surgical or catheter interventions (group I) and 113 children, presenting with cardiac murmurs, with congenital heart conditions not requiring any interventions. (group II) Results: Clinical symptoms or signs were significantly more common in group I than in group II subjects (85% vs 32%, P < 0.0001). The odds of having significant lesions requiring interventions in the presence of either cardiovascular symptoms or signs were 37.5 (95% confidence interval [CI]: 6.5-218.1) for neonates, 14.5 (95%CI: 4.7-51.7) for infants, and 8.0 (95%CI: 3.3-19.2) for children and adolescents. In neonates, the negative predictive values of the absence of symptoms or signs in isolation were relatively low at 64% and 65%, respectively. In children beyond infancy, the positive predictive values of the presence of symptoms or signs in isolation were also low at 62% and 68%, respectively. Conclusions: Clinical assessment of cardiovascular symptoms and signs remains useful in the evaluation of the significance of pathological cardiac murmurs in children in the present era of technology. Nonetheless, the predictive values vary with different pediatric age groups. © 2008 Japan Pediatric Society.
dc.description.natureLink_to_subscribed_fulltext
dc.identifier.citationPediatrics International, 2008, v. 50 n. 2, p. 145-149 [How to Cite?]
DOI: http://dx.doi.org/10.1111/j.1442-200X.2008.02560.x
dc.identifier.doihttp://dx.doi.org/10.1111/j.1442-200X.2008.02560.x
dc.identifier.epage149
dc.identifier.issn1328-8067
2011 Impact Factor: 0.626
2011 SCImago Journal Rankings: 0.065
dc.identifier.issue2
dc.identifier.pmid18353047
dc.identifier.scopuseid_2-s2.0-40949121106
dc.identifier.spage145
dc.identifier.urihttp://hdl.handle.net/10722/170393
dc.identifier.volume50
dc.languageeng
dc.publisherWiley-Blackwell Publishing Asia. The Journal's web site is located at http://www.blackwellpublishing.com/journals/PED
dc.publisher.placeAustralia
dc.relation.ispartofPediatrics International
dc.relation.referencesReferences in Scopus
dc.subject.meshAdolescent
dc.subject.meshCardiovascular Diseases - Complications
dc.subject.meshChild
dc.subject.meshChild, Preschool
dc.subject.meshCohort Studies
dc.subject.meshFemale
dc.subject.meshHeart Defects, Congenital - Complications - Diagnosis - Surgery
dc.subject.meshHeart Murmurs - Etiology
dc.subject.meshHumans
dc.subject.meshInfant
dc.subject.meshMale
dc.subject.meshPredictive Value Of Tests
dc.subject.meshRetrospective Studies
dc.titleCardiovascular symptoms and signs in evaluating cardiac murmurs in children
dc.typeArticle
Author Affiliations
  1. The University of Hong Kong