Original Articles
An audit on the outcome of children referred to the paediatric cardiology unit with a previous echocardiographic diagnosis of mitral valve prolapse
Authors:
M P B Goonetilleke ,
Paediatric Cardiology Unit, Teaching Hospital,. Karapitiya, LK
About M P B
Consultant Paediatric Cardiologist, Paediatric Cardiology Unit, Teaching Hospital, Karapitiya
U A Jayarathna,
Paediatric Cardiology Unit, Teaching Hospital,. Karapitiya, LK
About U A
Medical Officer, Paediatric Cardiology Unit, Teaching Hospital,. Karapitiya
P M W Madanayake,
Paediatric Cardiology Unit, Teaching Hospital,. Karapitiya, LK
About P M W
Medical Officer, Paediatric Cardiology Unit, Teaching Hospital,. Karapitiya
H A M Inthisar,
Paediatric Cardiology Unit, Teaching Hospital,. Karapitiya, LK
About H A M
Medical Officer, Paediatric Cardiology Unit, Teaching Hospital,. Karapitiya
D R Palangasinghe,
Paediatric Cardiology Unit, Teaching Hospital,. Karapitiya, LK
About D R
Medical Officer, Paediatric Cardiology Unit, Teaching Hospital,. Karapitiya
P S Hettiarachchi,
Paediatric Cardiology Unit, Teaching Hospital,. Karapitiya, LK
About P S
Medical Officer, Paediatric Cardiology Unit, Teaching Hospital,. Karapitiya
U K Egodage
Paediatric Cardiology Unit, Teaching Hospital,. Karapitiya, LK
About U K
Medical Officer, Paediatric Cardiology Unit, Teaching Hospital,. Karapitiya
Abstract
Objective: To determine the outcome of children referred to the paediatric cardiology unit with a previous echocardiographic diagnosis of mitral valve prolapse (MVP).
Method: This study was carried out at the paediatric cardiology clinic of Teaching Hospital Karapitiya from 1st January 2012 to 31st December 2012. All children (18 years or less) presenting with a previous echocardiographic diagnosis of MVP were included in study. An echocardiographic diagnosis of MVP was reached based on the standard diagnostic criteria using an IE 33 Phillips echocardiography machine.
Results: There were 141 children presenting with a previous echocardiographic diagnosis of MVP of whom 50.4% were male. Seventeen percent were below 5 years, 45% 5-9 years, 36% 10-14 years and 2% above 14 years. Of the 141, 53.2% did not have a cardiac murmur, 41.8% had a grade 2 cardiac murmur and 5% had a grade 3 murmur. Only 7 (5%) were confirmed to have MVP using standard diagnostic criteria. Of these 7 cases, 3 did not have a murmur and the remaining 4 had a grade 3 murmur best heard in the mitral area. Out of 141 subjects 57.5% had undergone 2 previous echocardiographic evaluations and 40.4% had 3-6 previous echocardiographic evaluations.
Conclusion: This study shows gross over diagnosis of MVP when the standard diagnostic criteria to diagnose MVP are applied.
Sri Lanka Journal of Child Health, 2013; 42(3): 144-146
(Key words: Outcome; children; echocardiographic diagnosis of mitral valve prolapse)
DOI: http://dx.doi.org/10.4038/sljch.v42i3.6018
How to Cite:
Goonetilleke, M.P.B., Jayarathna, U.A., Madanayake, P.M.W., Inthisar, H.A.M., Palangasinghe, D.R., Hettiarachchi, P.S. and Egodage, U.K., 2013. An audit on the outcome of children referred to the paediatric cardiology unit with a previous echocardiographic diagnosis of mitral valve prolapse. Sri Lanka Journal of Child Health, 42(3), pp.144–146. DOI: http://doi.org/10.4038/sljch.v42i3.6018
Published on
06 Sep 2013.
Peer Reviewed
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