Heart murmurs and echocardiography findings in the normal newborn nursery

Abstract

The use of echocardiography in the normal newborn nursery has increased with time despite improved prenatal detection of heart disease and the use of pulse oximetry screening, and identifies significant heart disease in a small but important number of infants.

Congenital heart disease diagnosed with echocardiogram in newborns with asymptomatic cardiac murmurs: a systematic review

“…After reviewing the full texts of the remaining 20 studies, eight studies were further excluded for the following reasons: participants included symptomatic newborns (n = 4) or preterm infants (n = 4) (Additional file 2). Thus, a total of 12 studies were included in the analysis [24][25][26][28][29][30][31][32][33][34][35][36].…”

“…Characteristics of the studies and the subjects are summarized in Table 1. Of the included studies, six were cohort studies [25,26,28,29,32,33], four were crosssectional studies [24,30,31,34], and two were case reports [35,36]. A total of 1928 subjects were included in the 12 studies.…”

“…In most of the studies, the first cardiac evaluations were performed within five days of birth by pediatricians. Since 2012, screening newborns using a pulse oximeter has become standard practice [26,32,34,35]. Except in one study [32], additional assessments using Echo were performed by a pediatric cardiologist during the neonatal period before discharge (an additional assessment using Echo performed in an outpatient setting was excluded [30]).…”

Shedding light on pediatric diseases: multispectral optoacoustic tomography at the doorway to clinical applications

“…Up to now, ultrasound has played a central role in pediatric diagnostics. Due to its neglectable risk profile and easy availability, it is the diagnostic tool of choice for a variety of different indications [1][2][3][4]. As current state of the art ultrasound technologies, such as contrast-enhanced ultrasound (CEUS) do, on the one hand, allow functional flow-based tissue analysis [5,6], but they essentially require the application of "acoustic" labels on the other.…”

Use of Electronic Cardiac Auscultation in the Newborns (Practical Aspects)

“…В порівнянні з ехокардіографічним обстеженням, як золотим стандартом, комп'ютерний алгоритм оцінки даних електронної аускультації у відношенні патологічних шумів має чутливість 87 %, специфічність 100 %, позитивну прогностичну цінність 100 %, негативну прогностичну цінність 90 % і точність 94 % [1,3].…”