Year : 2018  |  Volume : 11  |  Issue : 3  |  Page : 250--254

Validation of the accuracy of handheld echocardiography for diagnosis of congenital heart disease


Sulafa Ali1, Tajudeen Bushari2 
1 Sudan Heart Center; Department of Pediatrics and Child Health, Faculty of Medicine, University of Khartoum, Khartoum, Sudan
2 Pediatric Cardiology Fellow, Sudan Heart Center, Sudan Medical Specialization Board Sudan Medical Specialization Board, Khartoum, Sudan

Correspondence Address:
Prof. Sulafa Ali
Department of Pediatrics and Child Health, Faculty of Medicine, University of Khartoum, Khartoum
Sudan

Background: Handheld echocardiography (HHE) has been increasingly used for rheumatic heart disease screening and in adult emergency room settings. Aims: This study aimed to validate the accuracy of HHE in the diagnosis of congenital heart disease (CHD). Settings and Design Methodology: This is a prospective study carried out at three pediatric cardiology outpatient clinics in Khartoum, Sudan. All patients with suspected CHD were evaluated by clinical examination followed by HHE, performed using a modified segmental approach. Then, a complete study was performed using a standard echocardiography machine. The results were then compared using appropriate statistical tools. Results: A total of eighty cases were included with the following diagnoses either in isolation or combination: ventricular septal defect (n = 23), atrial septal defect (n = 10), pulmonary stenosis (n = 7), tetralogy of Fallot (n = 7), patent ductus arteriosus (n = 6), atrioventricular septal defect (n = 6), transposition of the great arteries (n = 6), and other diagnoses (n = 15). Agreement between HHE and SE was excellent both for visualizing heart segments (κ =77%–100% with a mean of 92.9%) and for diagnosis of CHD (κ =66%–100% with a mean of 91.7%). The sensitivity of HHE was 69.2%–100% (mean = 90.2%) and specificity was 98.5%–100% (mean = 99.3%). Conclusion: This study supports extending the utility of HHE in children for screening of CHD in addition to its current role in rheumatic heart disease screening.


How to cite this article:
Ali S, Bushari T. Validation of the accuracy of handheld echocardiography for diagnosis of congenital heart disease.Ann Pediatr Card 2018;11:250-254


How to cite this URL:
Ali S, Bushari T. Validation of the accuracy of handheld echocardiography for diagnosis of congenital heart disease. Ann Pediatr Card [serial online] 2018 [cited 2018 Dec 10 ];11:250-254
Available from: http://www.annalspc.com/article.asp?issn=0974-2069;year=2018;volume=11;issue=3;spage=250;epage=254;aulast=Ali;type=0