Journal of Pediatric Perspectives

Oxygen Saturation Screening Test: A Useful Method for Predicting Complex Congenital Heart Disease in Newborns

Behzad Alizadeh; Ahmad Shah Farhat; Nazanin Hazrati

Volume 10, Issue 2 , February 2022, , Pages 15460-15465

https://doi.org/10.22038/ijp.2022.59225.4610

Abstract

Background: Critical congenital heart diseases (CCHDs) are the most common group of congenital malformations in newborns, the mortality and morbidity of which may be prevented by early ... Read More Background: Critical congenital heart diseases (CCHDs) are the most common group of congenital malformations in newborns, the mortality and morbidity of which may be prevented by early diagnosis. As a simple and noninvasive technique in detecting hypoxemia, pulse oximetry can help us in the early diagnosis of complex congenital heart diseases. This study aims to provide information for future clinical and health policy decisions for making a Uniform Screening Panel in the early detection of CCHDs in newborns.Methods: In this study, we determine the prevalence of congenital heart disease in newborns with Oxygen Saturation in the Maternity ward of Imam-Reza Hospital in Mashhad, Iran.Material and Methods: This is a prospective clinical study which was conducted in the Maternity ward of Imam-Reza hospital between March 2018 and March 2019. We recorded Spo2 of the newborns between 4 to 24 hours after delivery by a trained general practitioner using RS232C/NOVAMETRIX Pulse Oximetry device. The newborn also underwent a comprehensive clinical examination by a neonatologist, and further cardiological evaluation was performed afterward. A pediatric cardiologist performed Echocardiography for the final diagnosis if there was no evidence of other non-cardiac pathologies. Statistical analysis of data was done by SPSS version 24.Results: Out of a total of 418 newborns screened by a pulse oximetry device, four newborns were screen-positive, and had pulse oximetry tests with Spo2 results. Two of these patients were reported to have complex congenital heart diseases, subsequently. The remaining two newborns with positive screening tests had no congenital heart disease in echocardiography evaluation.Conclusion: This study revealed that a pulse oximetry screening test could be beneficial for detecting many of the newborns with CCHDs before hospital discharge. However, further research studies with larger sample sizes are necessary for a definitive result.

Doppler Phonolyser in Comparison to Conventional Statoscope in Detecting and Interpreting Abnormal heart Murmurs in Congenital and Structural Heart Defects

Behzad Alizadeh; Saeed Aminimoghadam; Mohammadreza Naghibi

Volume 9, Issue 12 , December 2021, , Pages 15109-15115

https://doi.org/10.22038/ijp.2021.60620.4684

Abstract

Background: Echocardiography currently represents a significant proportion of cardiac medical expenditure, while many researchers believe that it would be wise to limit the use of this ... Read More Background: Echocardiography currently represents a significant proportion of cardiac medical expenditure, while many researchers believe that it would be wise to limit the use of this technique, through the enhancement of diagnosis techniques contributing to clinical auscultation. Hence, this study was conducted to evaluate the efficiency of detection of the newly invented Doppler Phonolyser Machine (DPM) compared to the findings by the conventional stethoscope in detecting heart murmurs.Methods: In a cross-sectional study, a total of 112 patients referred to the pediatric cardiology clinic were enrolled between Jan. 2017 and Jan. 2018. In step one, the patients were initially examined by a pediatric cardiologist, and then in step two, they were randomly divided into two groups (A and B) and were blindly re-examined by a 2nd-year pediatric resident. In Group A (Statoscope group), heart auscultation was performed using only a conventional Statoscope whereas, in Group B (Statoscope + DPM), heart sounds were detected and analyzed using a stethoscope and DPM. In the third step, the diagnostic results made by the pediatric cardiologist and the pediatric resident in groups A and B were compared with the final diagnostic echocardiography made by a pediatric cardiologist.Results: Heart murmurs as one of the most common reasons for cardiologist referrals comprise about 65% of referrals to pediatric cardiologists. There was only a moderate correlation between a stethoscope and echocardiography to identify cardiac abnormality based on heart murmurs (56%), while there was a significant correlation between the diagnoses made by Doppler Phonolyser accompanied with the conventional statoscope when compared with the echocardiography results (٪85).Conclusion: Doppler Phonolyser is an innovative smart machine that could efficiently detect and analyze abnormal heart sounds and might play a key role in more accurate and earlier diagnosis of congenital and structural heart defects by general physicians and non-cardiologist specialists, and may potentially reduce the cost of treatment as well as anxiety of the patient's family.

A Systematic Review of the Prediction of Preterm Birth Using Cervical Elastography

Fatemeh Gholamalipour; Hanie Ebrahimi; Benyamin Hosseinzadeh Shirayeh; Fereshteh Bahrami; Vahid Soltani; Behzad Alizadeh; Neda Dehghani

Volume 9, Issue 3 , March 2021, , Pages 13117-13125

https://doi.org/10.22038/ijp.2021.54862.4327

Abstract

Background Preterm birth is one of the major problems of the health system. There are still many questions that remain unanswered for researchers and there is a need for continuous ... Read More

The Attitude of Pediatric Residents and Medical Students in the Pediatric Wards of Mashhad University of Medical Sciences Regarding the Educational Role of the Pediatric Residents

Hamid Hajian; Zari Dolatabadi; Neda Fakhr Ghasemi; Ghodsieh Hajzadeh; Zahra Alizadeh; Nahid Marvi; Zahra Divdar; Behzad Alizadeh

Volume 9, Issue 2 , February 2021, , Pages 12915-12925

https://doi.org/10.22038/ijp.2020.52916.4190

Abstract

Background: Nowadays, students' feedback regarding different aspects of training provided for them are constantly monitored and explored as an essential factor in medical universities' ... Read More

Immediate and Short-term Follow-Up of Aortic Coarctation Balloon Angioplasty and Stenting

Hasan Mottaghi Moghadam; Behzad Alizadeh; Nazanin Hazrati

Volume 5, Issue 12 , December 2017, , Pages 6771-6777

https://doi.org/10.22038/ijp.2017.19334.1724

Abstract

Background Aortic Coarcatation (CoA) is one of the congenital heart diseases with the rate of 5-8% of Coronary heart diseases(CHDs). Balloon angioplasty is now one of the effective ... Read More

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Author = Alizadeh, Behzad

Oxygen Saturation Screening Test: A Useful Method for Predicting Complex Congenital Heart Disease in Newborns

Abstract

Doppler Phonolyser in Comparison to Conventional Statoscope in Detecting and Interpreting Abnormal heart Murmurs in Congenital and Structural Heart Defects

Abstract

A Systematic Review of the Prediction of Preterm Birth Using Cervical Elastography

Abstract

The Attitude of Pediatric Residents and Medical Students in the Pediatric Wards of Mashhad University of Medical Sciences Regarding the Educational Role of the Pediatric Residents

Abstract

Immediate and Short-term Follow-Up of Aortic Coarctation Balloon Angioplasty and Stenting

Abstract