Lack of Association of ST-T Wave Abnormalities to Congenital Heart Disease in Neonates

Gorla, Sudheer R.; Hsu, Daphne T.; Kulkarni, Aparna

doi:10.1111/chd.12329

Cited by 4 publications

(3 citation statements)

References 21 publications

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“…14 In another recent study, it was noted that there is lack of correlation between ECG abnormality, specifically ST-T changes, and CHD in the newborns. 15 Our study showed that ECG had a low sensitivity of 37.5% and a specificity of 46.5% for detecting major and critical CHD. All 3 patients in our cohort who had critical CHD had abnormal ECGs.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of Neonates With Suspected Congenital Heart Disease: A New Cost-Effective Algorithm

Minocha

Agarwal

Jivani

et al. 2018

Clin Pediatr (Phila)

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We assessed the value of existing guidelines for the evaluation of suspected congenital heart disease (CHD) in term neonates and propose a revised algorithm. Retrospective chart review of newborns referred for cardiac evaluation at a tertiary care center was performed. A total of 777 newborns qualified for the study. Among these, 3 critical and 8 major CHD were identified. The sensitivity of the combination of abnormal physical examination and pulse oximetry screening for major and critical CHD was 100%. The cost to detect a case of critical CHD, based on echocardiograms done for all abnormal electrocardiograms, was 3.4 times more than that incurred for performing this test on the basis of abnormal pulse oximetry and physical examination. Adding electrocardiogram to CHD screening increases cost without adding diagnostic yield. Based on our findings, we propose a revised algorithm for a systematic cost-effective approach to cardiac evaluation of term newborns with suspected CHD.

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Section: Discussionmentioning

confidence: 99%

Evaluation of Neonates With Suspected Congenital Heart Disease: A New Cost-Effective Algorithm

Minocha

Agarwal

Jivani

et al. 2018

Clin Pediatr (Phila)

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“…Since then it has become an integral part in the early diagnosis and management of CHD. Owing to lack of accurate screening tests for complex CHD in the first few hours to days of life, prenatal diagnosis plays a major role in the management of these patients 6 . Prenatal diagnosis helps us to better coordinate the care of the pregnant mother and the fetus and the newborn baby after birth 7 …”

mentioning

confidence: 99%

Emerging trends in the prenatal diagnosis of complex CHD and its influence on infant mortality in this cohort

et al. 2018

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BackgroundFetal echocardiography is the main modality of prenatal diagnosis of CHD. This study was done to describe the trends and benefits associated with prenatal diagnosis of complex CHD at a tertiary care centre.MethodsRetrospective chart review of patients with complex CHD over an 18-year period was performed. Rates of prenatal detection along with early and late infant mortality outcomes were studied.ResultsOf 381 complex CHD patients born during the study period, 68.8% were diagnosed prenatally. Prenatal detection rate increased during the study period from low-50s in the first quarter to mid-80s in the last quarter (p=0.001). Rate of detection of conotruncal anomalies increased over the study period. No infant mortality benefit was noted with prenatal detection.ConclusionsImproved obstetrical screening indications and techniques have contributed to higher proportions of prenatal diagnosis of complex CHD. However, prenatal diagnosis did not confer survival benefits in infancy in our study.

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“…He concluded that such findings are commonly observed in normal and stressed neonates and do not predict critical congenital heart disease. In comparison, similar changes found in older children and adults would be highly suspicious for myocardial ischemia and inflammation [ 4 ].…”

Section: Discussionmentioning

confidence: 99%

Aortopexy Complicated by ST Segment Elevations in a Four-Month-Old Infant

Saynhalath

Battles

Mehta

et al. 2020

Cureus

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Lack of Association of ST-T Wave Abnormalities to Congenital Heart Disease in Neonates

Abstract: STTW abnormalities on ECG are commonly found in 35.5% of normal neonates and do not predict noncritical CHD.

Cited by 4 publications

References 21 publications

Evaluation of Neonates With Suspected Congenital Heart Disease: A New Cost-Effective Algorithm

Evaluation of Neonates With Suspected Congenital Heart Disease: A New Cost-Effective Algorithm

Emerging trends in the prenatal diagnosis of complex CHD and its influence on infant mortality in this cohort

Aortopexy Complicated by ST Segment Elevations in a Four-Month-Old Infant

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