Santamaría-Díaz H, Danglot-Banck C, Gómez-Gómez M

Language: Spanish
References: 4
Page: 96-98
PDF size: 51.58 Kb.

ABSTRACT

Objective. To identify the clinical particularities of the pathological murmurs in children referred for cardiological study.
Material and methods. Among 200 children studied by the cardiologist in 78 children were identified pathological murmurs. An integral study of the children was done; besides the clinical history and the physical exam of the children, electrocardiography and echocardiography. When the cardiologist believe it necessary a heart catheter study was done.
Results. The systolic murmurs were identified in 48 (62%), most of them were grade III (51%) and IV (18%). The x-ray showed an increased of vascular lung flow in 52 cases and it was diminished in four. Heart catheter study was practiced in two. The main anomalies were septal defects: ventricular in 34 (44%), auricular in 6 (7.7%) and the persistence ductus arteriosus in 24 (31%).
Comments. Emphasis is done about the importance for the diagnosis of a good clinical history and the careful exam of the patients.

REFERENCES

1. Santamaría-Díaz H, Danglot-Back C, Gómez-Gómez M. El niño con soplo cardiaco I. Soplos inocentes. Rev Mex Pediatr 2002; 69:

2. Santamaría-Díaz H, Danglot-Back C, Gómez-Gómez M. Los ruidos cardiacos. México: Paidos 1995: 15-9.

3. Cohn HE. Heart murmurs. In: Dersherwitz RA Editor. Ambulatory pediatric care, 2ª. Ed. Filadelfia: JB Lippincott Co. 1993: 215-8.

4. Santamaría-Díaz H, Gómez-Gómez M. Ecocardiografía neonatal. México: Hospital Infantil Privado. 2002: 274.