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AAP Grand Rounds 3:57-58 (2000)
© 2000 American Academy of Pediatrics

CARDIOLOGY

Inaccuracy of Pediatric Echocardiograms Performed in Adult Laboratories

Source: Stanger P, Silverman NH, Foster E. Diagnostic accuracy of pediatric echocardiograms performed in adult laboratories. Am J Cardiol. 1999;83:908–914.

The first 20% of the full text of this article appears below.

Managed care has resulted in increasing numbers of children being sent to adult laboratories for echocardiographic evaluation.1 Stanger and colleagues at the University of California, San Francisco, studied the accuracy of echocardiograms performed on children in adult laboratories. The authors examined data from 66 patients less than 18 years of age (median age 19 months, range 1 day to 18 years) who underwent echocardiograms in adult laboratories before evaluation by a pediatric cardiologist. Diagnoses from these adult-lab studies were compared with: 1) diagnoses found at catheterization or surgery, or 2) echo diagnoses verified by blinded review by both an experienced pediatric echocardiographer and an adult echocardiographer experienced with congenital heart . . . [Full Text of this Article]

Lloyd Y. Tani, MD, FAAP
Pediatric Cardiology, University of Utah, Salt Lake City, UT