Measurement of left ventricular ejection fraction in pediatric patients using the nuclear stethoscope

Robert L. Spicer, Mark Rabinovitch, Amnon Rosenthal, Bertram Pitt

Research output: Contribution to journalArticle

Abstract

Left ventricular (LV) ejection fraction (EF) was measured in 25 patients, aged 2 weeks to 20 years (mean 8.6 years), using a portable nonimaging scintillation stethoscope. Technically satisfactory studies were obtained in 23 patients. LVEF was validated by cineangiography in 19 patients and by standard gated blood pool scintigraphy in 4. EF measured by the nuclear stethoscope correlated well with values obtained by cineangiography or scintigraphy (r = 0.869, p < 0.001) over a wide range of EF values (18 to 79%). In children younger than 5 years (n = 11), the correlation (r = 0.728, p < 0.02) was less satisfactory than in those older than 5 years (r = 0.926; p < 0.001). Although modifications in the instrument and further clinical trials with the stethoscope are needed before the device becomes clinically useful to pediatric cardiologists, our data indicate that the nuclear stethoscope can provide reliable assessment of LVEF in pediatric patients.

Original languageEnglish (US)
Pages (from-to)211-214
Number of pages4
JournalThe American Journal of Cardiology
Volume53
Issue number1
DOIs
StatePublished - Jan 1 1984

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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