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Document Details
Document Type
:
Article In Journal
Document Title
:
ACCURACY OF INITIAL EVALUATION OF HEART MURMURS IN NEONATE DO NEED AN ECHOCARDIOGRAM
دقة تقييم أولي للغط القلب في الوليد في حاجة الى مخطط صدى القلب
Subject
:
ACCURACY OF INITIAL EVALUATION OF HEART MURMURS IN NEONATE DO NEED AN ECHOCARDIOGRAM
Document Language
:
English
Abstract
:
The objective of this study was to determine the differences between neonatologists and pediatric cardiologists with regards to the initial assessment of neonatal heart murmur and to evaluate the role of echocardiography in this group of patients. During a period of 1 year, all neonates with heart murmur seen in pediatric cardiology consultation from neonatal intensive care units at the Children Hospital of Eastern Ontario and Ottawa General Hospital were included in this study. Neonates with heart murmur were initially evaluated clinically by a neonatologist and the most likely clinical diagnosis was recorded. This was followed by similar evaluation and assessment by the pediatric cardiologist, who did not know the result of the previous assessment. Echocardiography diagnosis was considered the gold standard for the accurate diagnosis in the two groups, and it was done for all patients. For the neonatologists, the sensitivity to detect a pathological murmur was 78% and the specificity was 33%; the positive predictive value was 77% and the negative predictive value was 37%. For the pediatric cardiologists, the accuracy of the clinical examination showed a sensitivity of 83% in detecting a pathological murmur and a specificity of 25%; the positive predictive value was 80% and the negative predictive value was 29%. There was no significant difference between the two groups. Certified neonatologists are able to assess the significance of neonatal heart murmurs well as pediatric cardiologists, although echocardiogram is still needed to reach the accurate diagnosis of congenital heart disease in neonates even if a pediatric cardiologist is consulted.
ISSN
:
7921-0948
Journal Name
:
springer link
Volume
:
6
Issue Number
:
1
Publishing Year
:
1426 AH
2005 AD
Article Type
:
Article
Added Date
:
Sunday, March 10, 2013
Researchers
Researcher Name (Arabic)
Researcher Name (English)
Researcher Type
Dr Grade
Email
حامد سعيد حبيب
hapip, hamed saeed
Researcher
Doctorate
Files
File Name
Type
Description
35175.pdf
pdf
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