Pediatric cardiology
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Pediatric cardiology · Sep 2008
Multicenter StudyThe reliability of a single pulse oximetry reading as a screening test for congenital heart disease in otherwise asymptomatic newborn infants.
Routine pulse oximetry has been studied to detect children with otherwise undiagnosed congenital heart disease prior to nursery discharge. The reported sensitivities in asymptomatic patients have been less than expected and vary widely, bringing into question the reliability of the test. The purpose of this study was to assess whether routine pulse oximetry contributes to identifying patients with critical congenital heart disease and to determine the reliability of a single pulse oximeter reading in screening asymptomatic newborn infants. ⋯ With routine surveillance and quality improvement, the reliability of this test can be increased. Future studies to determine the effectiveness of pulse oximetry screening for the diagnosis of congenital heart disease in the asymptomatic newborn population must address these factors. Until such a study demonstrates acceptable sensitivity and clinical value, universal screening should not be instituted.
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Pediatric cardiology · Sep 2008
Case ReportsCardiac arrest secondary to long QT(C )in a child with propionic acidemia.
In 2006 a case report was published in this journal of a child with known propionic acidemia being diagnosed with the long QT(C) syndrome. This following case documents the first reported case of a child with this condition suffering a life-threatening event from the associated long QT(C) syndrome.