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- W2066481850 abstract "Twenty-eight premature infants, mean weight 1590 grams, were examined by PDE because of concern of PDA. PDE, by supplementing M-mode echo with Doppler flow detection, allows determination of the site of turbulent blood flow. All 14/28 infants with continuous murmurs were found by PDE to have continuous turbulent pulmonary artery flow. 8/28 had only a systolic murmur, but PDE detection of continuous turbulent pulmonary artery flow confirmed PDA in all. 6/28 had no murmur, were examined by PDE because of increasing respiratory requirements, and 4/6 had PDE findings of PDA. 3/6 with no murmur, and 6/8 with only a systolic murmur had abnormally large left atrial dimensions, a significant left to right shunt, and in each the site of shunt could be localized by PDE. The results indicate that the continuous turbulent pulmonary artery flow present in premature infants with PDA can be detected by PDE, that continuous turbulent pulmonary artery flow and a significant shunt may be present with only a systolic murmur or no murmur at all, and that the site of shunt can be detected by PDE. PDE appears to have significant clinical utility in the evaluation of PDA in premature infants, in whom invasive studies carry substantial risk of mortality and morbidity, and may be especially useful when clinical findings and murmurs are not diagnostic of PDA." @default.
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- W2066481850 date "1977-04-01" @default.
- W2066481850 modified "2023-09-26" @default.
- W2066481850 title "PULSED DOPPLER ECHOCARDI OGRAPHIC (PDE) EVALUATION OF PATENT DUCTUS ARTERIOSUS(PDA) IN PREMATURE INFANTS" @default.
- W2066481850 doi "https://doi.org/10.1203/00006450-197704000-00190" @default.
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