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  • Title: Initial evaluation of children with heart murmurs by the non-specialized paediatrician.
    Author: Hansen LK, Birkebaek NH, Oxhøj H.
    Journal: Eur J Pediatr; 1995 Jan; 154(1):15-7. PubMed ID: 7895749.
    Abstract:
    UNLABELLED: To analyse the ability of the non-specialized paediatrician to evaluate children with a heart murmur and the consequences of this evaluation for the need of further investigations, we undertook a prospective and consecutive study of 100 children, referred for initial evaluation of a heart murmur. Except for 1 child with a slight peripheral pulmonary artery stenosis, 53% of the children were correctly diagnosed as having no heart disease. In a project design where 47% of the children were referred for an echocardiographic study, no clinically significant heart disease was missed. CONCLUSION: Clinical evaluation without laboratory tests performed by paediatricians without any special training in cardiology could correctly acquit 50% of the children of heart disease, with no need for further investigation.
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