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[Arterial fontanel pulsation]

E Müller, E W Keck

    Monatsschrift Fur Kinderheilkunde
    |January 1, 1977
    PubMed
    Summary

    A fontanel pulse is a common sign in infants, particularly those with congenital heart disease (CHD). This easily observable sign may aid in the early detection of heart conditions in newborns.

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    Area of Science:

    • Pediatrics
    • Cardiology
    • Neonatology

    Background:

    • Bounding arterial pulses in infants can manifest as a palpable arterial pulsation of the fontanel.
    • This clinical sign is not widely recognized or documented in medical literature, especially concerning congenital heart diseases (CHD).

    Purpose of the Study:

    • To investigate the clinical significance of fontanel pulse in infants.
    • To determine the association between fontanel pulse and congenital heart diseases.

    Main Methods:

    • A study of 501 infants was conducted to assess the presence of fontanel pulse.
    • Infants underwent physical examinations, and those with suspected or confirmed CHD had electrocardiograms (ECG), chest X-rays, and in some cases, cardiac catheterization or surgery.

    Main Results:

    • 178 out of 501 infants (35.5%) exhibited a fontanel pulse.
    • A significantly higher percentage of infants with CHD (83.8%) showed a fontanel pulse compared to those without CHD (26.4%).
    • Specific conditions like patent ductus arteriosus (PDA) and ventricular septal defect (VSD) were frequently associated with a fontanel pulse.

    Conclusions:

    • The presence of a fontanel pulse is a notable clinical sign in infants.
    • Fontanel pulse is strongly associated with congenital heart disease, suggesting its utility in early detection.
    • High systemic pressure is identified as a potential contributing factor to the presence of a fontanel pulse.

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