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Cardiac Care for Children With Down's Syndrome

Cardiac Care for Children With Down's Syndrome Abstract Sir.—We read with great interest the article by Sondheimer and colleagues1 concerning unequal cardiac care for children with Down's syndrome. The authors discussed a variety of reasons for late referrals, but their comment that "all children with Down's syndrome, even those without an audible heart murmur, should have a pediatric cardiology evaluation some time in the first nine months of life" needs to be stressed and, in our opinion, amended. Several years ago, we examined 71 patients with Down's syndrome, aged 5 months to 15 years, who did not have any clinical manifestations of cardiac disease. No heart murmurs were heard by their pediatricians or pediatric cardiologists. An electrocardiogram and chest x-ray film examination were routinely performed on all of these patients. Seven (10%) of the patients who did not have any manifestations of cardiac disease had an abnormal electrocardiogram and/or chest x-ray film associated with significant congenital References 1. Sondheimer HM, Byrum CJ, Blackman MS: Unequal cardiac care for children with Down's syndrome . AJDC 1985;139:68-70. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png American Journal of Diseases of Children American Medical Association

Cardiac Care for Children With Down's Syndrome

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Cardiac Care for Children With Down's Syndrome

Abstract

Abstract Sir.—We read with great interest the article by Sondheimer and colleagues1 concerning unequal cardiac care for children with Down's syndrome. The authors discussed a variety of reasons for late referrals, but their comment that "all children with Down's syndrome, even those without an audible heart murmur, should have a pediatric cardiology evaluation some time in the first nine months of life" needs to be stressed and, in our opinion, amended. Several years...
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References (1)

Publisher
American Medical Association
Copyright
Copyright © 1985 American Medical Association. All Rights Reserved.
ISSN
0002-922X
DOI
10.1001/archpedi.1985.02140120011010
Publisher site
See Article on Publisher Site

Abstract

Abstract Sir.—We read with great interest the article by Sondheimer and colleagues1 concerning unequal cardiac care for children with Down's syndrome. The authors discussed a variety of reasons for late referrals, but their comment that "all children with Down's syndrome, even those without an audible heart murmur, should have a pediatric cardiology evaluation some time in the first nine months of life" needs to be stressed and, in our opinion, amended. Several years ago, we examined 71 patients with Down's syndrome, aged 5 months to 15 years, who did not have any clinical manifestations of cardiac disease. No heart murmurs were heard by their pediatricians or pediatric cardiologists. An electrocardiogram and chest x-ray film examination were routinely performed on all of these patients. Seven (10%) of the patients who did not have any manifestations of cardiac disease had an abnormal electrocardiogram and/or chest x-ray film associated with significant congenital References 1. Sondheimer HM, Byrum CJ, Blackman MS: Unequal cardiac care for children with Down's syndrome . AJDC 1985;139:68-70.

Journal

American Journal of Diseases of Children – American Medical Association

Published: Oct 1, 1985

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