Erratum to: Accuracy of Cardiac Auscultation in Asymptomatic Neonates with Heart Murmurs: Comparison Between Pediatric Trainees and Neonatologists

Heart murmurs and echocardiography findings in the normal newborn nursery

“…Previous research has found a high prevalence of CHD in neonates with murmurs; with positive predictive values (PPV) ranging from 22% to 86% but this literature is clouded by inconsistencies in the definition of CHD. We found a PPV of 54% for newborns with murmurs having any form of CHD, excluding PDAs, which is in line with the previously reported figures, however only 8.8% of newborns with murmurs in our study required an alteration in their care.…”

“…Singh et al found that 74% of newborns with a heart murmur had CHD, and they recommended all newborns with murmur have echocardiograms before discharge from the hospital. Several other studies found CHD in 22%–86% of neonates with murmurs . The variation in these studies can be attributed to the populations studied and variable definition of CHD, but most authors recommended early echocardiograms in infants with murmurs.…”

“…Several other studies found CHD in 22%-86% of neonates with murmurs. [3][4][5][6][7][8][9][10][11][12] The variation in these studies can be attributed to the populations studied and variable definition of CHD, but most authors recommended early echocardiograms in infants with murmurs. However, O'Reilly et al 13 proposed an algorithm for management of murmurs and concluded that some asymptomatic infants could be safely discharged home without an echocardiogram based on an audit of 89 newborns with murmurs.…”

The Pattern of Congenital Heart Disease among Neonates Referred for Echocardiography

“…Normal examination does not exclude CHD and some studies showed that routine neonatal examination fails to detect more than half of the babies with CHD 3 . The accuracy of skilled physical examination to distinguish between pathological and innocent heart murmur is limited even for certified neonatologists and cardiologists; the prevalence of heart murmur in newborn infants is 0.6%-4.2% [3][4][5][6] . Heart murmur is not always accompanying CHD; about half of the neonates with heart murmur have CHD 7 .…”

When to Call the Cardiologist: Treatment Approaches to Neonatal Heart Murmur

“…Studies have shown that neonatologists and pediatric cardiologists are better than pediatricians and pediatric trainees in diagnosing pathological murmurs with confidence. 16,17 Interestingly, one study found that pediatric cardiologists could identify neonates with CHD with a sensitivity of 80.5% and a specificity of 90.9%. 18…”