Paediatric follow-up of haemodynamically insignificant congenital cardiac lesions
Version of Record online: 23 MAY 2012
© 2012 The Authors. Journal of Paediatrics and Child Health © 2012 Paediatrics and Child Health Division (Royal Australasian College of Physicians)
Journal of Paediatrics and Child Health
Volume 48, Issue 12, pages 1082–1085, December 2012
How to Cite
Smith, B. G. and Qureshi, S. A. (2012), Paediatric follow-up of haemodynamically insignificant congenital cardiac lesions. Journal of Paediatrics and Child Health, 48: 1082–1085. doi: 10.1111/j.1440-1754.2012.02467.x
- Issue online: 10 DEC 2012
- Version of Record online: 23 MAY 2012
- Accepted for publication 18 September 2011.
- atrial septal defect;
- patent ductus arteriosus;
- patent foramen ovale;
- pulmonary valve stenosis;
- ventricular septal defect
Aim: To describe the prevailing follow-up of haemodynamically insignificant congenital cardiac lesions (HICCL) in the UK. To suggest a rationalisation of follow-up based on the known natural history of these lesions.
Methods: An internet-based survey of 170 paediatric cardiologists and general paediatricians with an interest in cardiology in the UK. Five scenarios concerning common HICCL were presented: ventricular and atrial septal defects, patent foramen ovale, mild pulmonary stenosis and persistent ductus arteriosus.
Results: There were 52 respondents. There was a broad range of beliefs and practices. However, there were tendencies to discharge children with a patent foramen ovale and follow patients with all other lesions, often on a relatively frequent basis.
Conclusions: The increasingly sensitive and advanced nature of echocardiography and the subsequent reliance upon it may be contributing to unnecessarily frequent review of HICCL and a reluctance to discharge patients. In the majority of patients with HICCL, no more than two assessments of HICCL are required after 2 years of age – once in late childhood and once near full growth.