Examination for cardiac malformations at six weeks of age

被引：14

作者：

Gregory, J

Emslie, A

Wyllie, J

Wren, C ^{[1
]}

机构：

[1] Freeman Rd Hosp, Dept Paediat Cardiol, Newcastle Upon Tyne NE7 7DN, Tyne & Wear, England

[2] Newcastle City Hlth NHS Trust, Dept Community Paediat, Middlesbrough, Cleveland, England

[3] S Cleveland Hosp, Dept Clin Audit, Middlesbrough, Cleveland, England

[4] S Cleveland Hosp, Dept Paediat, Middlesbrough, Cleveland, England

来源：

ARCHIVES OF DISEASE IN CHILDHOOD | 1999年 / 80卷 / 01期

关键词：

congenital heart disease; screening; cardiac murmur;

D O I：

10.1136/fn.80.1.F46

中图分类号：

R72 [儿科学];

学科分类号：

100202 ;

摘要：

Aim-To attempt to define the prevalence and significance of murmurs detected on routine clinical examination at six to eight weeks. Methods-A retrospective review of the results of routine clinical examination of a cohort of 6 to 8 week old babies resident in Newcastle upon Tyne, was carried out in two 12 month periods. All cardiac defects diagnosed in infancy in the same cohort were ascertained. Results-7132 babies were eligible for routine examination; 83% of these were examined. Murmurs were heard in 47 of 5395 babies and in 11 of 25 referred for evaluation congenital heart disease was found. The six to eight week examination led to diagnosis of 11 of 35 cases (31%) of congenital heart disease in the study population. Conclusions-Nearly one baby in 100 had a murmur on routine examination at six to eight weeks. Nearly half of those with murmurs who were referred had a structural cardiovascular malformation.

引用

页码：F46 / F48

页数：3

共 12 条

[1]

Hall D.M.B., Health for all Children, Report of the Third Joint Working Party on Child Health Surveillance, (1996)

[2]

Fetal abnormality, an audit of its recognition and management, Arch Dis Child, 67, (1992)

[3]

Perinatal mortality: A continuing collaborative regional group, BMJ, 288, pp. 1717-1720, (1984)

[4]

Mitchell S.C., Korones S.B., Berendes H.W., Congenital heart disease in 56,109 births, Circulation, 43, pp. 323-332, (1971)

[5]

Hall D.M.B., Michel J.M., Screening in infancy, Arch Dis Child, 72, pp. 93-96, (1995)

[6]

Wren C., Richmond S., Donaldson L., Presentation of congenital heart disease in infancy: Implications for routine examination, Arch Dis Child, 80, (1999)

[7]

Samanek M., Zdenek S., Bozena Z., Hrobonova V., Voriskova M., Skovranec J., Prevalence, treatment and outcome of heart disease in live-born children: A prospective analysis of 91,823 live-born children, Pediatr Cardiol, 10, pp. 205-211, (1989)

[8]

Hoffman J.I.E., Incidence of congenital heart disease: I. Postnatal incidence, Pediatr Cardiol, 16, pp. 103-113, (1995)

[9]

Silove E.D., Assessment and management of congenital heart disease in the newborn by the district paediatrician, Arch Dis Child, 70, (1994)

[10]

Ferencz C., Rubin J.D., McCarter R.J., Et al., Congenital heart disease: Prevalence at live birth, Am J Epidemiol, 121, pp. 31-36, (1985)

← 1 2 →