Congenital Disorders Clinical Trial
Official title:
Clinical Management of Children With Mild Valvar Pulmonary Stenosis
Mild valvar pulmonary stenosis can be detected in 1/10,000 live births. Historical data suggested that most of these patients do well. Nonetheless, the majority of these patients is followed periodically by a pediatric cardiologist and may undergo repeated echocardiographic studies to follow the gradient. Such follow-up can be costly and it is not know if there is any benefit to periodic evaluation.
Young children (less than or equal to 2 years of age) with mild valvar pulmonary stenosis
are unlikely to develop worsening stenosis with age and periodic cardiac evaluation is not
warranted.
To describe the clinical course of children with mild valvar pulmonary stenosis diagnosed in
early childhood. To examine the clinical practice patterns of cardiologists caring for these
patients.
Retrospective chart review of all children diagnosed with mild valvar pulmonary stenosis
born between 1984 and 2003 and followed by Sibley Heart Center Cardiology. Patient variables
will include: pulmonary valve gradient, need for catheterization, exercise intolerance and
endocarditis. Practice variables will include: frequency of follow-up, number of
echocardiographic studies, exercise limitations.
;
Time Perspective: Retrospective
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