{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T01:00:17Z","timestamp":1786323617155,"version":"build-2736575974"},"reference-count":6,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2012,5,23]],"date-time":"2012-05-23T00:00:00Z","timestamp":1337731200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Paediatrics Child Health"],"published-print":{"date-parts":[[2012,12]]},"abstract":"<jats:p><jats:bold>Aim:\u2003<\/jats:bold> To describe the prevailing follow\u2010up of haemodynamically insignificant congenital cardiac lesions (HICCL) in the UK. To suggest a rationalisation of follow\u2010up based on the known natural history of these lesions.<\/jats:p><jats:p><jats:bold>Methods:\u2003<\/jats:bold> An internet\u2010based survey of 170 paediatric cardiologists and general paediatricians with an interest in cardiology in the UK. Five scenarios concerning common HICCL were presented: ventricular and atrial septal defects, patent foramen ovale, mild pulmonary stenosis and persistent ductus arteriosus.<\/jats:p><jats:p><jats:bold>Results:\u2003<\/jats:bold> There were 52 respondents. There was a broad range of beliefs and practices. However, there were tendencies to discharge children with a patent foramen ovale and follow patients with all other lesions, often on a relatively frequent basis.<\/jats:p><jats:p><jats:bold>Conclusions:\u2003<\/jats:bold> The increasingly sensitive and advanced nature of echocardiography and the subsequent reliance upon it may be contributing to unnecessarily frequent review of HICCL and a reluctance to discharge patients. In the majority of patients with HICCL, no more than two assessments of HICCL are required after 2\u2003years of age \u2013 once in late childhood and once near full growth.<\/jats:p>","DOI":"10.1111\/j.1440-1754.2012.02467.x","type":"journal-article","created":{"date-parts":[[2012,5,23]],"date-time":"2012-05-23T14:31:34Z","timestamp":1337783494000},"page":"1082-1085","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Paediatric follow\u2010up of haemodynamically insignificant congenital cardiac lesions"],"prefix":"10.1111","volume":"48","author":[{"given":"Benjamin G","family":"Smith","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shakeel A","family":"Qureshi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2012,5,23]]},"reference":[{"key":"e_1_2_7_2_2","doi-asserted-by":"crossref","first-page":"204","DOI":"10.1542\/peds.63.2.204","article-title":"Spontaneous closure of small muscular ventricular septal defects: ten year follow\u2010up","volume":"63","author":"Alpert BS","year":"1979","journal-title":"Pediatrics"},{"key":"e_1_2_7_3_2","doi-asserted-by":"publisher","DOI":"10.1017\/S1047951104002069"},{"key":"e_1_2_7_4_2","doi-asserted-by":"publisher","DOI":"10.1136\/adc.2006.110098"},{"key":"e_1_2_7_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9149(96)00759-X"},{"key":"e_1_2_7_6_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1747-0803.2010.00435.x"},{"key":"e_1_2_7_7_2","unstructured":"NHS Specialised Services.Safe and sustainable. Available from:http:\/\/www.specialisedservices.nhs.uk\/safe_sustainable\/childrens\u2010congenital\u2010cardiac\u2010services[accessed 10 April 2011]."}],"container-title":["Journal of Paediatrics and Child Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fj.1440-1754.2012.02467.x","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/j.1440-1754.2012.02467.x","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,15]],"date-time":"2023-10-15T10:27:01Z","timestamp":1697365621000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/j.1440-1754.2012.02467.x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,5,23]]},"references-count":6,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2012,12]]}},"alternative-id":["10.1111\/j.1440-1754.2012.02467.x"],"URL":"https:\/\/doi.org\/10.1111\/j.1440-1754.2012.02467.x","archive":["Portico"],"relation":{},"ISSN":["1034-4810","1440-1754"],"issn-type":[{"value":"1034-4810","type":"print"},{"value":"1440-1754","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012,5,23]]},"assertion":[{"value":"2012-05-23","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}