Incidence and Clinical Features of Asymptomatic Atrial Septal Defect in School Children Diagnosed by Heart Disease Screening.

  • Muta Hiromi
    Department of Pediatrics, Kurume University School of Medicine
  • Akagi Teiji
    Department of Pediatrics, Kurume University School of Medicine
  • Egami Kimiyasu
    Department of Pediatrics, Kurume University School of Medicine
  • Furui Jun
    Department of Pediatrics, Kurume University School of Medicine
  • Sugahara Yoko
    Department of Pediatrics, Kurume University School of Medicine
  • Ishii Masahiro
    Department of Pediatrics, Kurume University School of Medicine
  • Matsuishi Toyojiro
    Department of Pediatrics, Kurume University School of Medicine

書誌事項

公開日
2003
資源種別
journal article
DOI
  • 10.1253/circj.67.112
公開者
一般社団法人 日本循環器学会

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説明

The purpose of this study was to investigate the incidence and clinical features of atrial septal defect (ASD) in school children in Japan who were diagnosed by heart disease screening. From 1989 to 1998, a questionnaire, electrocardiography (ECG) and phonocardiogram were obtained from school children when they entered their first year of elementary school (n=86,142) or junior high school (n=80,632). In this program, 33 asymptomatic ASD patients were newly diagnosed (0.020%). The ECG findings showed incomplete right bundle-branch block (79%), right axis deviation (55%), and right ventricular hypertrophy (9%). An ejection systolic murmur was audible in 30 patients (94%) and mid-diastolic murmur in 10 patients (30%). Thirty patients (90%) showed fixed split of second heart sound. Using echocardiography or catheter observation, 31 patients (94%) were judged to require closure of the ASD. Although the medical care is widely available in Japan, undetected ASD patients were not rare and importantly, most of them required closure of the defect even if they were asymptomatic. (Circ J 2003; 67: 112 - 115)<br>

収録刊行物

  • Circulation Journal

    Circulation Journal 67 (2), 112-115, 2003

    一般社団法人 日本循環器学会

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