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[Echocardiographic abnormalities in infants with heart murmur]
Bozena Kociszewska-Najman1, Ewa Zacharska-Kokot, Justyna Kulikowska-Matłosz
1Oddzial Neonatologii I Katedry i Klinik Połoznictwa i Ginekologii AM w Warszawie.
Ginekologia Polska
|November 5, 2004
Summary
Persistent foramen ovale was the most common heart abnormality found in newborns with murmurs. Infants with congenital heart disease and birth weight under 1500g had the highest abnormality rates.
Area of Science:
- Neonatal cardiology
- Perinatology
- Pediatric echocardiography
Background:
- Congenital heart diseases (CHDs) pose a significant challenge in perinatology.
- Early detection and treatment of CHDs have improved neonatal survival rates.
Purpose of the Study:
- To identify the causes of heart murmurs in newborns using postnatal echocardiography.
- To analyze the prevalence of specific cardiac abnormalities in neonates presenting with murmurs.
Main Methods:
- A study involving 107 neonates with heart murmurs born between October 2001 and September 2002.
- Postnatal echocardiography was performed to diagnose cardiac abnormalities.
- Data collected from The Obstetrics and Gynaecology Clinic of Medical University in Warsaw.
Main Results:
- Heart murmurs were detected in 107 out of 1291 neonates.
- Echocardiography revealed normal findings in 14 infants.
- Common abnormalities included persistent foramen ovale (FO), persistent ductus arteriosus (PDA), ventricular septum defect (VSD), and tricuspid valve insufficiency (IT) in 93 patients.
Conclusions:
- Persistent foramen ovale was the most frequent echocardiographic finding in neonates with heart murmurs.
- Infants with a birth weight below 1500 grams exhibited the highest incidence of cardiac abnormalities.