A review of sensitivity, specificity, and likelihood ratios: evaluating the utility of the electrocardiogram as a screening tool in hypertrophic cardiomyopathy.

Abstract:

:Appropriate interpretation of a screening test's validity poses a challenge to the clinician. The purpose of this review is to revisit the terms sensitivity, specificity, likelihood ratio, and pre- and posttest probability and their application to the clinical setting. For illustration, we use a recently published article in the American Journal of Cardiology that investigates the false negative rate of electrocardiograms in athletic preparticipation screening for hypertrophic cardiomyopathy.

journal_name

Congenit Heart Dis

journal_title

Congenital heart disease

authors

Bolin E,Lam W

doi

10.1111/chd.12083

subject

Has Abstract

pub_date

2013-09-01 00:00:00

pages

406-10

issue

5

eissn

1747-079X

issn

1747-0803

journal_volume

8

pub_type

杂志文章,评审
  • Cognitive Dysfunction in Children with Heart Disease: The Role of Anesthesia and Sedation.

    abstract::As physicians and caregivers of children with congenital heart disease, we are aware of the increasing need for procedures requiring anesthesia. While these procedures may be ideal for medical and cardiac surgical management, the risks and benefits must be assessed carefully. There are well known risks of cardiovascul...

    journal_title:Congenital heart disease

    pub_type: 杂志文章,评审

    doi:10.1111/chd.12352

    authors: Char D,Ramamoorthy C,Wise-Faberowski L

    更新日期:2016-05-01 00:00:00

  • Surveillance and screening practices of New England congenital cardiologists for patients after the Fontan operation.

    abstract:INTRODUCTION:Surveillance and management guidelines for Fontan patients are lacking due to the paucity of evidence in the literature of screening efficacy on outcome measures. METHODS:The Fontan Working Group within the New England Congenital Cardiology Association designed an electronic survey to assess surveillance ...

    journal_title:Congenital heart disease

    pub_type: 杂志文章

    doi:10.1111/chd.12854

    authors: Davey BT,Toro-Salazar OH,Gauthier N,Valente AM,Elder RW,Wu FM,Berman N,Pollack P,Lee JH,Rathod RH

    更新日期:2019-11-01 00:00:00

  • Update on tetralogy of Fallot for the adult cardiologist including a brief historical and surgical perspective.

    abstract::There has been a steady rise in the prevalence of severe congenital heart disease (CHD) in adults because of improved treatment and survival during childhood. This has resulted in a shift in CHD morbidity and mortality beyond 18 years of age. The healthcare community must be prepared to meet this new challenge. Adult ...

    journal_title:Congenital heart disease

    pub_type: 历史文章,杂志文章,评审

    doi:10.1111/j.1747-0803.2010.00402.x

    authors: Kalra N,Klewer SE,Raasch H,Sorrell VL

    更新日期:2010-05-01 00:00:00

  • Adverse effects of amiodarone therapy in adults with congenital heart disease.

    abstract:OBJECTIVE:Amiodarone is a highly effective antiarrhythmic therapy, however its toxicity profile often limits treatment. This is particularly relevant in adults with congenital heart disease (CHD), who are often young and in whom other antiarrhythmic agents commonly fail or are contraindicated. We sought to determine in...

    journal_title:Congenital heart disease

    pub_type: 杂志文章

    doi:10.1111/chd.12657

    authors: Moore BM,Cordina RL,McGuire MA,Celermajer DS

    更新日期:2018-11-01 00:00:00

  • Echocardiographic and Surgical Correlation of Coronary Artery Patterns in Transposition of the Great Arteries.

    abstract:OBJECTIVE:Determine the accuracy of echocardiography to diagnose coronary anatomy in transposition of the great arteries and to evaluate the effect of accuracy on surgical outcomes and changes in accuracy over time. DESIGN:Retrospective chart review of neonates admitted February 1999 to March 2013 with transposition. ...

    journal_title:Congenital heart disease

    pub_type: 杂志文章

    doi:10.1111/chd.12338

    authors: Fundora MP,Aregullin EO,Wernovsky G,Welch EM,Muniz JC,Sasaki N,Hannan RL,Burke RP,Lopez L

    更新日期:2016-12-01 00:00:00

  • Pulmonary vein stenosis with Down syndrome: a rare and frequently fatal cause of pulmonary hypertension in infants and children.

    abstract::Down syndrome (DS) patients are prone to pulmonary hypertension (PHTN) due to various cardiopulmonary causes. However, the association of DS with pulmonary vein stenosis (PVS) is not adequately described. We illustrate three cases from our center and an additional 13 cases from an extensive review of the literature of...

    journal_title:Congenital heart disease

    pub_type: 杂志文章,评审

    doi:10.1111/chd.12088

    authors: Gowda S,Bhat D,Feng Z,Chang CH,Ross RD

    更新日期:2014-05-01 00:00:00

  • Clinical, echocardiographic, and therapeutic aspects of congenital heart diseases of children at Douala General Hospital: A cross-sectional study in sub-Saharan Africa.

    abstract:INTRODUCTION:Cardiovascular diseases in pediatric pathologies have emerged in the recent years in sub-Saharan Africa (SSA), with congenital heart diseases (CHDs) being the most frequent. Unfortunately, their diagnosis is usually delayed, thereby increasing childhood morbidity and mortality. OBJECTIVES:Describe the cli...

    journal_title:Congenital heart disease

    pub_type: 杂志文章

    doi:10.1111/chd.12529

    authors: Kamdem F,Kedy Koum D,Hamadou B,Yemdji M,Luma H,Doualla MS,Noukeu D,Barla E,Akazong C,Dzudie A,Ngote H,Monkam Y,Mouliom S,Kingue S

    更新日期:2018-01-01 00:00:00

  • Acute effects of single-site pacing from the left and right ventricle on ventricular function and ventricular-ventricular interactions in children with normal hearts.

    abstract:OBJECTIVE:We studied, as a physiological benchmark, acute effects of right ventricular (RV) apical, RV outflow, and left ventricular (LV) pacing in children with normal cardiac function on LV and RV function and ventricular-ventricular interactions. DESIGN:The design of the study was a prospective, acute intervention....

    journal_title:Congenital heart disease

    pub_type: 杂志文章

    doi:10.1111/j.1747-0803.2009.00327.x

    authors: Friedberg MK,Dubin AM,Van Hare GF,McDaniel G,Niksch A,Rosenthal DN

    更新日期:2009-09-01 00:00:00

  • Longitudinal Strain by Speckle Tracking Echocardiography in Pediatric Heart Transplant Recipients.

    abstract:INTRODUCTION:Heart transplant recipients are at risk for developing left ventricular (LV) dysfunction. While traditional echocardiographic parameters have limitations, speckle tracking echocardiography (STE) is a novel technique shown to be more sensitive and accurate in adult studies for evaluating ventricular systoli...

    journal_title:Congenital heart disease

    pub_type: 杂志文章

    doi:10.1111/chd.12263

    authors: Buddhe S,Richmond ME,Gilbreth J,Lai WW

    更新日期:2015-07-01 00:00:00

  • Chromosomal Imbalances in Patients with Congenital Cardiac Defects: A Meta-analysis Reveals Novel Potential Critical Regions Involved in Heart Development.

    abstract:OBJECTIVE:Congenital cardiac defects represent the most common group of birth defects, affecting an estimated six per 1000 births. Genetic characterization of patients and families with cardiac defects has identified a number of genes required for heart development. Yet, despite the rapid pace of these advances, mutati...

    journal_title:Congenital heart disease

    pub_type: 杂志文章,meta分析

    doi:10.1111/chd.12179

    authors: Thorsson T,Russell WW,El-Kashlan N,Soemedi R,Levine J,Geisler SB,Ackley T,Tomita-Mitchell A,Rosenfeld JA,Töpf A,Tayeh M,Goodship J,Innis JW,Keavney B,Russell MW

    更新日期:2015-05-01 00:00:00

  • Increased Body Mass Index Is Associated with Congestive Heart Failure and Mortality in Adult Fontan Patients.

    abstract:OBJECTIVE:Obesity affects adults with congenital heart disease (CHD). The effect of an increased body mass index (BMI) with respect to morbidity and mortality has not been evaluated in adults with complex CHD. Our objective was to evaluate the effects of increased BMI on heart failure and mortality in univentricular pa...

    journal_title:Congenital heart disease

    pub_type: 杂志文章

    doi:10.1111/chd.12296

    authors: Martinez SC,Byku M,Novak EL,Cedars AM,Eghtesady P,Ludbrook PA,Billadello JJ

    更新日期:2016-01-01 00:00:00

  • Caregiver anxiety due to interstage feeding concerns.

    abstract:INTRODUCTION:Improved weight gain during the interstage (IS) period has been shown to improve overall outcomes in patients with single ventricle physiology (SVP). This emphasis on nutrition may have untoward effects, such as increasing anxiety/stress levels in caregivers, who are already known to be at risk for increas...

    journal_title:Congenital heart disease

    pub_type: 杂志文章

    doi:10.1111/chd.12257

    authors: Stewart J,Dempster R,Allen R,Miller-Tate H,Dickson G,Fichtner S,Principe AJ,Fonseca R,Nicholson L,Cua CL

    更新日期:2015-03-01 00:00:00

  • Dysphagia in infants with single ventricle anatomy following stage 1 palliation: Physiologic correlates and response to treatment.

    abstract:BACKGROUND:Deficits in swallowing physiology are a leading morbidity for infants with functional single ventricles and systemic outflow tract obstruction following stage 1 palliation. Despite the high prevalence of this condition, the underlying deficits that cause this post-operative impairment remain poorly understoo...

    journal_title:Congenital heart disease

    pub_type: 杂志文章,多中心研究

    doi:10.1111/chd.12456

    authors: McGrattan KE,McGhee H,DeToma A,Hill EG,Zyblewski SC,Lefton-Greif M,Halstead L,Bradley SM,Martin-Harris B

    更新日期:2017-05-01 00:00:00

  • Isolated left ventricular apical hypoplasia.

    abstract::Isolated left ventricular (LV) apical hypoplasia is a recently described congenital abnormality characterized by: (1) a truncated and spherical LV configuration with rightward bulging of the interventricular septum, (2) deficiency of the myocardium within the LV apex with adipose tissue infiltrating the apex, (3) orig...

    journal_title:Congenital heart disease

    pub_type: 杂志文章

    doi:10.1111/j.1747-0803.2011.00489.x

    authors: Vanhecke TE,Decker J,Leonowicz N,Chinnaiyan KM

    更新日期:2011-11-01 00:00:00

  • Fontan operation and the single ventricle.

    abstract::The Fontan operation has gone through multiple incarnations since Fontan and Baudet's initial description in 1971. Through the medical dossier of a patient with a single ventricle, we plot the history of medical, surgical, and percutaneous interventions over the past 40 years, specifically focusing on the Fontan proce...

    journal_title:Congenital heart disease

    pub_type: 历史文章,杂志文章,评审

    doi:10.1111/j.1747-0803.2007.00065.x

    authors: AboulHosn JA,Shavelle DM,Castellon Y,Criley JM,Plunkett M,Pelikan P,Dinh H,Child JS

    更新日期:2007-01-01 00:00:00

  • Congenital left ventricular splint in an adult patient with unrepaired anomalous left coronary artery from the pulmonary artery.

    abstract::A 24-year-old woman presented with a recent increase in dyspnea on exertion and development of presyncope. The patient stated that she has reproducible episodes of dizziness and near fainting when she climbs a flight of stairs and activity is limited to a slow gait. ...

    journal_title:Congenital heart disease

    pub_type: 杂志文章

    doi:10.1111/j.1747-0803.2007.00110.x

    authors: Sabbath AM,Trivedi K,Klewer SE,Sorrell VL

    更新日期:2007-07-01 00:00:00

  • Racial disparities in clinic follow-up early in life among survivors of congenital heart disease.

    abstract:OBJECTIVE:The current study aims to identify the rates of lapses in care and loss to follow-up before age one through age five for white and nonwhite congenital heart disease (CHD) survivors. Nonwhite CHD survivors were hypothesized to experience an earlier lapse in care and be lost to follow-up than whites. DESIGN:Pa...

    journal_title:Congenital heart disease

    pub_type: 杂志文章

    doi:10.1111/chd.12732

    authors: Jackson JL,Morack J,Harris M,DeSalvo J,Daniels CJ,Chisolm DJ

    更新日期:2019-03-01 00:00:00

  • Determinants of intensive care unit length of stay for infants undergoing cardiac surgery.

    abstract:OBJECTIVE:The purpose of this study was to identify factors that influence postoperative intensive care unit length of stay (ICULOS) in infants less than 6 months of age undergoing congenital heart surgery. METHODS:Records from a single institution, from January 2000 to December 2000, were reviewed. For analysis, surg...

    journal_title:Congenital heart disease

    pub_type: 杂志文章

    doi:10.1111/j.1747-0803.2006.00027.x

    authors: Gillespie M,Kuijpers M,Van Rossem M,Ravishankar C,Gaynor JW,Spray T,Clark B 3rd

    更新日期:2006-07-01 00:00:00

  • Needles in Hay II: Detecting Cardiac Pathology by the Pediatric Chest Pain Standardized Clinical Assessment and Management Plan.

    abstract:OBJECTIVES:To determine if patients evaluated using the pediatric chest pain standardized clinical assessment and management plan (SCAMP) in cardiology clinic were later diagnosed with unrecognized cardiac pathology, and to determine if other patients with cardiac pathology not enrolled in the SCAMP would have been ide...

    journal_title:Congenital heart disease

    pub_type: 杂志文章

    doi:10.1111/chd.12335

    authors: Kane DA,Friedman KG,Fulton DR,Geggel RL,Saleeb SF

    更新日期:2016-09-01 00:00:00

  • Repair of tetralogy of Fallot in or beyond the fourth decade of life.

    abstract:OBJECTIVE:Patients with tetralogy of Fallot (TOF) undergoing surgery in adulthood represent a challenge. We report our experience with such patients in or beyond the fourth decade of life. DESIGN:Retrospective cohort. SETTING:Multispeciality tertiary level referral center PATIENTS:Forty-one (age 30-52 years) with TO...

    journal_title:Congenital heart disease

    pub_type: 杂志文章

    doi:10.1111/chd.12162

    authors: Talwar S,Meena A,Choudhary SK,Saxena A,Kothari SS,Juneja R,Airan B

    更新日期:2014-09-01 00:00:00

  • "Frontiers in Fontan failure: A summary of conference proceedings".

    abstract::"Frontiers in Fontan Failure" was the title of a 2015 conference sponsored by Children's Healthcare of Atlanta and Emory University School of Medicine. In what is hoped to be the first of many such gatherings, speakers and attendees gathered to discuss the problem of long-term clinical deterioration in these patients....

    journal_title:Congenital heart disease

    pub_type:

    doi:10.1111/chd.12407

    authors: Hebson C,Book W,Elder RW,Ford R,Jokhadar M,Kanter K,Kogon B,Kovacs AH,Levit RD,Lloyd M,Maher K,Reshamwala P,Rodriguez F,Romero R,Tejada T,Marie Valente A,Veldtman G,McConnell M

    更新日期:2017-01-01 00:00:00

  • Diagnostic role of magnetic resonance imaging in identifying aortic arch anomalies.

    abstract:PURPOSE:The aim of this article was to assess the role of MRI in the diagnosis and management of a variety of complex aortic arch anomalies. MATERIALS AND METHODS:Imaging was performed on a 1.5T Philips Gyroscan Intera. We retrospectively reviewed all cardiac MR scans performed from November 2003 to February 2007 at o...

    journal_title:Congenital heart disease

    pub_type: 杂志文章

    doi:10.1111/j.1747-0803.2008.00174.x

    authors: Cantinotti M,Hegde S,Bell A,Razavi R

    更新日期:2008-03-01 00:00:00

  • Comprehensive evaluation of a patient with Kawasaki disease and giant coronary aneurysms with cardiac magnetic resonance.

    abstract::In patients with Kawasaki disease (KD) and coronary artery aneurysms (CAAs), serial evaluation with multiple imaging modalities is recommended to guide risk stratification and management. We present the case of a 7-year-old boy with a history of KD and multiple giant CAAs who developed thrombosis in one of the aneurys...

    journal_title:Congenital heart disease

    pub_type: 杂志文章

    doi:10.1111/chd.12131

    authors: Prsa M,Hussain T,McCrindle BW,Grosse-Wortmann L

    更新日期:2014-11-01 00:00:00

  • Expansion Characteristics of Stents Used in Congenital Heart Disease: Serial Dilation Offers Improved Expansion Potential Compared to Direct Dilation: Results from a Pediatric Interventional Cardiology Early Career Society (PICES) Investigation.

    abstract:OBJECTIVE:Intravascular stents are now routinely used to treat young patients with vascular stenoses. Future stent redilations are often necessary to account for somatic growth. The purpose of this study was to compile a database of characteristics for stents commonly used in the treatment of congenital heart disease p...

    journal_title:Congenital heart disease

    pub_type: 杂志文章

    doi:10.1111/chd.12399

    authors: Danon S,Gray RG,Crystal MA,Morgan G,Gruenstein DH,Goldstein BH,Gordon BM

    更新日期:2016-12-01 00:00:00

  • Insights from Cardiac Mechanics after Three Decades from Successfully Repaired Aortic Coarctation.

    abstract:BACKGROUND AND AIMS:Patients who underwent a successful repair of the aortic coarctation show chronic hyperdynamic state and normal left ventricular (LV) geometry; however, there are few data regarding the LV systolic function in the long term. Accordingly, we assessed LV systolic mechanics and factors associated with ...

    journal_title:Congenital heart disease

    pub_type: 杂志文章,多中心研究

    doi:10.1111/chd.12310

    authors: Faganello G,Fisicaro M,Russo G,Iorio A,Mazzone C,Grande E,Humar F,Cherubini A,Pandullo C,Barbati G,Tarantini L,Benettoni A,Pozzi M,Di Lenarda A,Cioffi G

    更新日期:2016-05-01 00:00:00

  • Congenital heart disease patients' and parents' perception of disease-specific knowledge: Health and impairments in everyday life.

    abstract:BACKGROUND:Children and adolescents with congenital heart disease (CHD) and their families require qualified combined medical and psychosocial information, care, and counseling. This study aimed to analyze CHD patients' and parents' perception of disease-specific knowledge, state of health, and impairments experienced ...

    journal_title:Congenital heart disease

    pub_type: 杂志文章,多中心研究

    doi:10.1111/chd.12581

    authors: Helm PC,Kempert S,Körten MA,Lesch W,Specht K,Bauer UMM

    更新日期:2018-05-01 00:00:00

  • Chronic Arrhythmias in the Setting of Heterotaxy: Differences between Right and Left Isomerism.

    abstract::So-called heterotaxy affects lateralization of the thoracic and abdominal organs. Congenital malformations may be present in one of several organ systems. Cardiac involvement includes both structural and conduction abnormalities. Data regarding arrhythmias in heterotaxy come from case reports and small case series. We...

    journal_title:Congenital heart disease

    pub_type: 杂志文章,评审

    doi:10.1111/chd.12288

    authors: Loomba RS,Willes RJ,Kovach JR,Anderson RH

    更新日期:2016-01-01 00:00:00

  • Hemodynamic effects of ketamine in children with congenital heart disease and/or pulmonary hypertension.

    abstract:INTRODUCTION:Ketamine is a drug often used for procedural sedation or as adjunct agent for general sedation in children with congenital heart disease. In the clinical realm, there is often confusion regarding the effects of ketamine on hemodynamics, particularly pulmonary vascular resistance and systemic vascular resis...

    journal_title:Congenital heart disease

    pub_type: 杂志文章

    doi:10.1111/chd.12662

    authors: Loomba RS,Gray SB,Flores S

    更新日期:2018-09-01 00:00:00

  • Determinants of right ventricular outflow tract conduit longevity: a multinational analysis.

    abstract:OBJECTIVE:The need for conduit replacement in the growing child remains a major problem after right ventricular outflow tract reconstruction. We compared two diverse surgical centers with considerable practice variation in Europe and the United States to identify modifiable risk factors that can increase conduit longev...

    journal_title:Congenital heart disease

    pub_type: 杂志文章

    doi:10.1111/j.1747-0803.2008.00190.x

    authors: Niemantsverdriet MB,Ottenkamp J,Gauvreau K,Del Nido PJ,Hazenkamp MG,Jenkins KJ

    更新日期:2008-05-01 00:00:00

  • Window-type patent ductus arteriosus with acquired rheumatic mitral stenosis.

    abstract::An 18-year-old patient with a window type of patent ductus arteriosus and acquired rheumatic mitral stenosis is reported for its rarity. The pitfalls in the diagnosis and surgical management of this condition are discussed. ...

    journal_title:Congenital heart disease

    pub_type: 杂志文章

    doi:10.1111/j.1747-0803.2011.00558.x

    authors: Talwar S,Upadhyay M,Ramakrishnan S,Gharade P,Choudhary SK,Airan B

    更新日期:2013-01-01 00:00:00