Diagnosing Congenital Heart Disease in Neonates

Combining cardiac auscultation with pulse oximetry is practical and effective in identifying CHD in asymptomatic newborns.

Approximately 1% of newborns have congenital heart disease (CHD), and 0.1% to 0.2% have critical CHD. Pulse oximetry (POX) has been shown to be useful in identifying CHD in children whose disease was not diagnosed prenatally; however, some cases are still missed.

In a prospective observational study, researchers analyzed the screening performance of POX plus cardiac auscultation for identifying CHD in over 167,000 asymptomatic neonates in 15 hospitals in Shanghai. Infants who screened positive (i.e., either test was positive) received subsequent echocardiography within 24 hours, and those who screened negative received telephone follow-up at 6 weeks. A subset of approximately 27,000 children who screened negative for CHD were surveyed for su…

Reviewing Author

F. Bruder Stapleton, MD

Disclosures

Consultant/Advisory BoardCareer Physician

Editorial BoardsUpToDate

Leadership Positions in Professional SocietiesAmerican Society of Pediatric Nephrology Foundation (Chair)

F. Bruder Stapleton, MD

Disclosures

Consultant/Advisory BoardCareer Physician

Editorial BoardsUpToDate

Leadership Positions in Professional SocietiesAmerican Society of Pediatric Nephrology Foundation (Chair)

Diagnosing Congenital Heart Disease in Neonates

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Reviewing Author