Gøtzsche C O, Rasmussen K
Aalborg Sygehus, kardiologisk afdeling.
Ugeskr Laeger. 1990 Oct 29;152(44):3252-4.
In a one-year period, 33 infants with a systolic cardiac murmur were examined by Doppler-echocardiography. The clinical diagnosis based on ECG, X-ray and physical examination by a pediatrician or cardiologist was changed or established by Doppler-echocardiographic examination in 63% of the cases. In almost all cases, this meant changing of the strategy concerning further diagnostic evaluation and therapy. In eight (24%) of the infants no malformation was detected by Doppler-echocardiography, and no further cardiological examinations were carried out. In eight (24%) infants a complex heart malformation was detected. Three of these infants had no clinical signs of heart disease except for the murmur. Because an early and accurate diagnosis is important in the management of infants with heart disease, we recommend that infants suspected of having congenital heart disease are examined by Doppler-echocardiography in a department with experience in this technique.
在一年时间里，对33例有心脏收缩期杂音的婴儿进行了多普勒超声心动图检查。由儿科医生或心脏病专家根据心电图、X线及体格检查做出的临床诊断，在63%的病例中通过多普勒超声心动图检查得到了改变或确立。几乎在所有病例中，这意味着进一步诊断评估和治疗策略的改变。在8例（24%）婴儿中，多普勒超声心动图未检测到畸形，未进行进一步的心脏检查。在8例（24%）婴儿中检测到复杂的心脏畸形。其中3例婴儿除杂音外无心脏病的临床体征。由于早期准确诊断对心脏病婴儿的治疗很重要，我们建议怀疑患有先天性心脏病的婴儿在有该技术经验的科室接受多普勒超声心动图检查。
