Two dimensional echocardiography as an evidence for clinically significant murmur
DOI:
https://doi.org/10.18203/2349-3291.ijcp20220087Keywords:
2D echocardiography, Cardiac murmur, Clinically significant murmurAbstract
Background: Heart murmurs are extra and abnormal sounds made by turbulent flow of blood through heart. The most common cardiac abnormality found on auscultation is murmur. Edler is regarded as father of echocardiography. This is based on reflection of sound waves by heart structures similar to the radio detection and ranging (RADAR) and sound navigation and ranging (SONAR).
Methods: Our study was done in PICU of Kempegowda Institute of Medical Sciences hospital, Bangalore. Duration of study was 6 years that is from January 2015 to January 2020. During this period total 2304 pediatric cases with various diseases were admitted. Of these 150 (6.5%) children were having clinically significant murmur. All children who fulfilled inclusion criteria were subjected to 2d echo by GE VIVID portable 2 dimensional and colour Doppler echocardiography trans-thoracically.
Results: 96 (64%) children had abnormal 2d echo. Of these 37 (38.5%) children were found to have organic heart disease and 59 (61.5%) had functional heart disease. Of these 37 children 10 (27%) had pulmonary arterial hypertension (PAH), 8 (21%) children had atrial septal defect, 7 (18%) had perforated foramen ovale (PFO), 2 (5%) had mitral valve prolapse, 2 (5%) had ventricular septal defect (VSD), 1(2%) had tetralogy of fallot (TOF), 1 (2%) had septal aneurysm, and 1 (2%) had pericardial effusion.
Conclusions: There is 64% chances of detecting a heart disease, if 2D echo is done in children with clinically significant cardiac murmur. Hence 2D echo is a vital investigation in evaluating heart murmurs.
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References
Lateef MA. Cardiac murmurs in children. 2015. Available at: https://www.slideshare.net/Lateef Siddiqui1/cardiac-murmur-by. Accessed on 08 July 2021.
AHA Innocent heart murmurs. 2019. Available at: https://educatesimplify.com/news/aha-pals-2019-innocent-heart-murmurs/. Accessed on 08 July 2021.
Perlauff textbook Cardiac murmurs in children , textbook of pediatric cardiology
Attenhofer Jost CH, Turina J, Mayer K, Seifert B, Amann FW, Buechi M, Facchini M, Brunner-La Rocca HP, Jenni R. Echocardiography in the evaluation of systolic murmurs of unknown cause. Am J Med. 2000;108(8):614-20.
Singh S, Goyal A. The origin of echocardiography: a tribute to Inge Edler. Tex Heart Inst J. 2007;34(4):431-8.
Mohamed AA, Arifi AA, Omran A. The basics of echocardiography. J Saudi Heart Assoc. 2010;22(2):71-6.
Smythe JF, Teixeira OH, Vlad P, Demers PP, Feldman W. Initial evaluation of heart murmurs: are laboratory tests necessary? Pediatrics. 1990;86(4):497-500.
Niedermeyer J, Daniel WG. Value of transesophageal echocardiography in diagnosis of diseases of native heart valves. Herz. 1993;18(6):329-40.
Ahmadipour S, Mohsenzadeh A, Soleimaninejad M. Echocardiographic Evaluation in Neonates with Heart Murmurs. J Pediatr Intensive Care. 2018;7(2):81-5.
Ainsworth S, Wyllie JP, Wren C. Prevalence and clinical significance of cardiac murmurs in neonates. Arch Dis Child Fetal Neonatal Ed. 1999;80(1):43-5.
Cheitlin MD, Alpert JS, Armstrong WF, Aurigemma GP, Beller GA, Bierman FZ, et al. ACC/AHA Guidelines for the Clinical Application of Echocardiography. A report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee on Clinical Application of Echocardiography). Developed in collaboration with the American Society of Echocardiography. Circulation. 1997 Mar 18;95(6):1686-744.
Nale SR, Garud B, Chavan SC. A study of profile of heart murmurs in correlation with clinical examination and 2D echo. 2020.
Attenhofer Jost CH, Turina J, Mayer K, Seifert B, Amann FW, Buechi M, Facchini M, Brunner-La Rocca HP, Jenni R. Echocardiography in the evaluation of systolic murmurs of unknown cause. Am J Med. 2000;108(8):614-20.
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