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Progression of congenital aortic stenosis in children beyond infancy: assessment using Doppler echocardiography

Published online by Cambridge University Press:  19 August 2008

Punit Goel ,
Krishan Kumar ,
S.S. Kothari ,
Anita Saxena  and
Harbans S. Wasir
Punit Goel
Affiliation:
Department of Cardiology, All India Institute of Medical Sciences, New Delhi, India
Krishan Kumar
Affiliation:
Department of Cardiology, All India Institute of Medical Sciences, New Delhi, India
S.S. Kothari
Affiliation:
Department of Cardiology, All India Institute of Medical Sciences, New Delhi, India
Anita Saxena*
Affiliation:
Department of Cardiology, All India Institute of Medical Sciences, New Delhi, India
Harbans S. Wasir
Affiliation:
Department of Cardiology, All India Institute of Medical Sciences, New Delhi, India
*
Dr Anita Saxena, Associate Professor, Department of Cardiology, All India Institute of Medical SciencesNew Delhi 110029. India. Tel 91-11-6864851, 661123, Fax 91-11-6862663
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Abstract

Case records of 67 children who presented beyond infancy (57 male, 10 female) with congenital valvar aortic stenosis were reviewed to assess progression utilizing the Doppler derived peak gradient as the index of severity. Age at presentation ranged from 1–13 years, and mean follow-up was 67 ± 29 months (range 12–142 months). The patients were divided into three groups depending on the rate of progression. Those with the most rapid rate of progression were significantly older when aortic stenosis was detected and at the time of presentation compared to the other two groups, who progressed minimally or not at all (p < 0.002 and p < 0.01 respectively). There was no significant correlation between the progression of stenosis and other clinical or Doppler echocardiographic variables.

Keywords

Congenital aortic stenosisDoppler echocardiographynatural history
Type
Original Articles
Information
Cardiology in the Young , Volume 7 , Issue 4 , October 1997 , pp. 378 - 382
Copyright
Copyright © Cambridge University Press 1997

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