Volume : IV, Issue : X, October - 2014

INCIDENCE AND SIGNIFICANCE OF CARDIAC MURMURS IN ASYMPTOMATIC FULL TERM NEONATES

Dr. Nivedita Patil, Dr. Rohit Kalani, Dr. Shankar Rai

Abstract :

Aim & Objectives: To determine the incidence of cardiac murmurs in asymptomatic full term neonates, assess the accuracy of Chest X–ray (CXR), Electrocardiography (ECG) and Echocardiography (ECHO) in diagnosing presence of SHL. Methods: Each neonate was subjected for CXR, ECG & ECHO. Result: Incidence of SHL 22.1 per 1000 live births. Out of 62 neonates who had audible murmur, 44 cases (70.1%) had SHL confirmed on ECHO. CXR and ECG aided diagnosis in 14(31.8%) and 5(11.36%) cases, with sensitivity and specificity of 31.82% and 44.4%, 11.36% and 66.6% respectively. ECHO revealed Ventricular septal defect (VSD) being most common SHL in 19 cases (30.6%), Patent Ductus Arteriosus (PDA) in 9 (14.5%) and Atrial Septal Defect (ASD) in 6 (9.67%). Conclusion: The possibility of finding a SHL in asymptomatic term neonates with a murmur is statistically significant; CXR and ECG examinations are of limited value.

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Article: Download PDF   DOI : 10.36106/ijar  

Cite This Article:

Dr. Nivedita Patil,Dr. Rohit Kalani,Dr. Shankar Rai INCIDENCE AND SIGNIFICANCE OF CARDIAC MURMURS IN ASYMPTOMATIC FULL TERM NEONATES Indian Journal of Applied Research, Vol.4, Issue : 10 October 2014

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