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October 1, 1980CirculationOpen Access

Prospective identification of ventricular septal defects in infancy using subxiphoid two-dimensional echocardiography.

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Why the study?

Does subxiphoid two-dimensional echocardiography accurately identify ventricular septal defects in infants compared to selective angled cineangiocardiography?

Population

81 infants, aged 1 day to 12 months (median 43 days), weighing 1.6-8.6 kg (median 3.4 kg)

Comparison

Subxiphoid two-dimensional echocardiography… vs Selective angled cineangiocardiography

Design

Cohort

Authors

FBF Z BiermanAmerican Heart AssociationKFKenneth FellowsBrooke Army Medical CenterRWRoberta G. WilliamsPediatric / Congenital Cardiology

Discussion

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Implication

Subxiphoid 2D echocardiography may aid noninvasive detection of select VSDs in infants; leaves open reliability for muscular and subpulmonic types versus angiography.

Structured PICO

Does subxiphoid two-dimensional echocardiography accurately identify ventricular septal defects in infants compared to selective angled cineangiocardiography?

P
Population
81 infants, aged 1 day to 12 months (median 43 days), weighing 1.6-8.6 kg (median 3.4 kg)
I
Intervention
Subxiphoid two-dimensional echocardiography using a short-focus, 5-MHz crystal with a 13-mm active element diameter
C
Comparator
Selective angled cineangiocardiography
O
Outcome
Identification of ventricular septal defects (membranous, atrioventricular canal, conoventricular, and muscular segments)surrogate

Subxiphoid 2D echocardiography is highly accurate for identifying membranous, AV canal, and malalignment conoventricular septal defects in infants, but less reliable for muscular and subpulmonic defects.

Limitations

  • Limitations in imaging defects in the muscular septum reflected the varied morphology of these interventricular communications and the tangential orientation of the echo beam to the extreme apical and anterior segments of the muscular septum.

Cite This Study

Bierman et al. (1980) studied this question.

synapsesocial.com/papers/6a72df76d8e6791e25543cffhttps://doi.org/10.1161/01.cir.62.4.807
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Echocardiographic visualization of ventricular septal defect in infants and assessment of hemodynamic status using a contrast technique. Comparison of M-mode and two-dimensional imaging.1981 · 15 citations
  2. 2Cross sectional subcostal echocardiography: atrioventricular septal defects and the short axis cut.1987 · 9 citations
  3. 3Sub-xiphoid echocardiography—a new approach to the diagnosis and differentiation of atrioventricular defects1980 · 8 citations
  4. 4Subxiphoid cross-sectional echocardiography in infants and children with congenital heart disease.1979 · 91 citations
  5. 5Echocardiographic detection of ventricular septal defects in large animals1985 · 49 citations