Echocardiography Reveals Heart Abnormalities in Pediatric Pectus Carinatum
| Autor: | Marleta Reynolds, Christie Buonpane, Laurie Sands, Suzanne Kujawa, Catherine J. Hunter, Jonathan Vacek, Elissa Port |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Heart Defects
Congenital Male medicine.medical_specialty Chest Pain Adolescent Heart malformation Population Chest pain 03 medical and health sciences 0302 clinical medicine Pectus excavatum Pectus Carinatum medicine Palpitations Mitral valve prolapse Humans education Child Retrospective Studies education.field_of_study business.industry Incidence Echo (computing) Heart medicine.disease Echocardiography 030220 oncology & carcinogenesis Asymptomatic Diseases Pectus carinatum 030211 gastroenterology & hepatology Surgery Female Radiology medicine.symptom business |
| Zdroj: | The Journal of surgical research. 256 |
| ISSN: | 1095-8673 |
| Popis: | Background Symptoms including chest pain and palpitations are commonly described by pediatric patients with pectus deformity. Cardiac anomalies are thought to be less common in patients with pectus carinatum (PC) than those in patients with pectus excavatum; however, no literature supports this presumption. Echocardiogram (echo) assesses heart structure and function. We hypothesized that a screening echo would 1) determine the relationship between symptoms and echo findings and 2) define the incidence of cardiac defects in patients with PC. Materials and methods This is an institutional review board–approved retrospective review of all patients with PC who received an echo from 2015 to 2019 at a tertiary care children's hospital. Echo findings and patient-reported symptoms were collected from electronic health records. Descriptive statistics were used to assess correlation between findings. Results We identified 155 patients with PC who received an echo with complete data available for analysis. Of these, 44 (28.4%) reported chest pain and 13 (8.4%) reported palpitations. Echo results showed that five patients (3.2%) had mitral valve prolapse and 11 (7.1%) had aortic root dilation. Patient-reported symptoms were not significantly associated with abnormal echo findings. Conclusions Chest pain and palpitations frequently occur in the PC population but may not be related to abnormal echo findings. We recommend screening echo in patients with PC regardless of symptoms. |
| Databáze: | OpenAIRE |
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