{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T06:41:34Z","timestamp":1791873694737,"version":"4.3.4"},"reference-count":11,"publisher":"Cambridge University Press (CUP)","issue":"1","license":[{"start":{"date-parts":[[2020,10,7]],"date-time":"2020-10-07T00:00:00Z","timestamp":1602028800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Cardiol Young"],"published-print":{"date-parts":[[2021,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S104795112000325X_as1\"><jats:title>Objectives:<\/jats:title><jats:p>Identify diagnostic yield and frequency of echocardiograms for palpitation-related indications at outpatient paediatric cardiology clinics in relation to the 2014 ACC\/AAP\/AHA\/ASE\/HRS\/SCAI\/SCCT\/SCMR\/SOPE appropriate use criteria for Initial Transthoracic Echocardiography in Outpatient Paediatric Cardiology.<\/jats:p><\/jats:sec><jats:sec id=\"S104795112000325X_as2\"><jats:title>Study design:<\/jats:title><jats:p>A single-centre, retrospective study of children presenting for evaluation of a chief complaint of palpitations to outpatient paediatric cardiology clinics from 2015 to 2017. Palpitations were defined as an unpleasant sensation of rapid, irregular, and\/or forceful beating of the heart. Indications for echocardiogram in patients were retrospectively classified based on the appropriate use criteria as \u201cappropriate,\u201d \u201cmay be appropriate,\u201d or \u201crarely appropriate.\u201d The incidence of abnormal and incidental echocardiographic findings for each category was determined.<\/jats:p><\/jats:sec><jats:sec id=\"S104795112000325X_as3\"><jats:title>Results:<\/jats:title><jats:p>A total of 286 patients presented with palpitations, with 128 (52% female) meeting inclusion criteria. Exclusion criteria included patients with additional cardiac complaints, prior echocardiogram, or history of congenital heart disease. Echocardiograms were performed on 36 (28%) patients. The appropriate use criteria were retrospectively applied, and indications for their performance were classified as \u201cappropriate\u201d (n = 4), \u201cmay be appropriate\u201d (n = 17), or \u201crarely appropriate\u201d (n = 15). Minor echocardiographic abnormalities were present in 22% (n = 8) of echocardiograms obtained for all appropriate use criteria classifications. No moderate or severe echocardiographic abnormalities were found. Incidental findings were noted in eight echocardiograms.<\/jats:p><\/jats:sec><jats:sec id=\"S104795112000325X_as4\"><jats:title>Conclusion:<\/jats:title><jats:p>Echocardiography in the evaluation of \u201crarely appropriate\u201d and \u201cmay be appropriate\u201d palpitation-related indications is of low diagnostic yield.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s104795112000325x","type":"journal-article","created":{"date-parts":[[2020,10,7]],"date-time":"2020-10-07T07:41:32Z","timestamp":1602056492000},"page":"60-62","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":4,"title":["Appropriate use of echocardiography for palpitations in paediatric cardiology clinics"],"prefix":"10.1017","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5674-9614","authenticated-orcid":false,"given":"Saloni","family":"Sheth","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Munes","family":"Fares","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sandra","family":"Kikano","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher","family":"Snyder","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew","family":"Dodgen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carolyn M.","family":"Wilhelm","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2020,10,7]]},"reference":[{"key":"S104795112000325X_ref1","doi-asserted-by":"publisher","DOI":"10.1007\/s00246-016-1497-1"},{"key":"S104795112000325X_ref8","doi-asserted-by":"publisher","DOI":"10.1016\/j.echo.2017.03.008"},{"key":"S104795112000325X_ref10","doi-asserted-by":"crossref","first-page":"681","DOI":"10.1586\/14779072.4.5.681","article-title":"Minimally invasive approach to the child with palpitations","volume":"4","author":"Rajagopalan","year":"2006","journal-title":"Expert Rev Cardiovasc Ther"},{"key":"S104795112000325X_ref6","doi-asserted-by":"crossref","first-page":"1212","DOI":"10.1002\/clc.22810","article-title":"Appropriateness vs value: echocardiography in primary care","volume":"40","author":"Bethge","year":"2017","journal-title":"Clin Cardiol"},{"key":"S104795112000325X_ref7","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpeds.2017.07.010"},{"key":"S104795112000325X_ref2","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9343(97)89451-X"},{"key":"S104795112000325X_ref3","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2014.08.003"},{"key":"S104795112000325X_ref11","first-page":"975","article-title":"Yield of 48-hour Holter monitoring in children with unexplained palpitations and significance of associated symptoms","volume":"67","author":"Aman","year":"2017","journal-title":"J Pak Med Assoc"},{"key":"S104795112000325X_ref4","doi-asserted-by":"publisher","DOI":"10.1016\/j.echo.2016.12.008"},{"key":"S104795112000325X_ref5","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2015.06.1327"},{"key":"S104795112000325X_ref9","doi-asserted-by":"publisher","DOI":"10.1007\/s10554-019-01572-2"}],"container-title":["Cardiology in the Young"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S104795112000325X","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,3,11]],"date-time":"2021-03-11T09:11:46Z","timestamp":1615453906000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S104795112000325X\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,10,7]]},"references-count":11,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2021,1]]}},"alternative-id":["S104795112000325X"],"URL":"https:\/\/doi.org\/10.1017\/s104795112000325x","relation":{},"ISSN":["1047-9511","1467-1107"],"issn-type":[{"value":"1047-9511","type":"print"},{"value":"1467-1107","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,10,7]]},"assertion":[{"value":"\u00a9 The Author(s), 2020. Published by Cambridge University Press","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}}]}}