{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T16:44:20Z","timestamp":1760028260247,"version":"3.40.5"},"reference-count":9,"publisher":"American Academy of Pediatrics (AAP)","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[1997,1,1]]},"abstract":"<jats:p>Objectives.\u2003To determine the usefulness of electrocardiography (ECG) and chest radiography (CXR) in evaluation of patients referred to the pediatric cardiologist for the evaluation of heart murmur or chest pain.<\/jats:p>\n               <jats:p>Design.\u2003In this prospective study, 106 consecutive outpatients were categorized with no heart disease, possible heart disease, or definite heart disease based on history and physical examination; they then underwent ECG and CXR. Studies were reviewed and the examining cardiologist could change the diagnosis and order an echocardiogram.<\/jats:p>\n               <jats:p>Setting. Academic pediatric cardiology practice.<\/jats:p>\n               <jats:p>Results.\u2003In patients thought to have no heart disease, the diagnosis was changed to definite heart disease in four solely on the basis of abnormal CXR or ECG. In 25 patients thought to have possible heart disease, the diagnosis was changed to no heart disease (7) or definite heart disease (5) after review of the CXR and ECG. All 25 patients diagnosed with definite heart disease had this confirmed by abnormal CXR (2), ECG (3), both abnormal CXR and ECG, or echocardiogram (18).<\/jats:p>\n               <jats:p>Conclusions.\u2003ECG and CXR helped diagnose heart disease in four patients thought to have no heart disease, helped to rule out lesions in seven patients with possible heart disease, helped diagnose heart disease in five patients thought to have possible heart disease, and helped confirm heart disease in nine patients. In these days of cost containment, routine ECG and CXR continue to be valuable tools for the pediatric cardiologist in evaluation of patients with heart murmurs or chest pain.<\/jats:p>","DOI":"10.1542\/peds.99.1.1","type":"journal-article","created":{"date-parts":[[2004,8,13]],"date-time":"2004-08-13T22:12:21Z","timestamp":1092435141000},"page":"1-3","source":"Crossref","is-referenced-by-count":68,"title":["Are Chest Radiographs and Electrocardiograms Still Valuable in Evaluating New Pediatric Patients With Heart Murmurs or Chest Pain?"],"prefix":"10.1542","volume":"99","author":[{"given":"Jeanine M.","family":"Swenson","sequence":"first","affiliation":[{"name":"1From the Department of Pediatric Cardiology, Children's Hospital of Pittsburgh, University of Pittsburgh, Pittsburgh, Pennsylvania."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Donald R.","family":"Fischer","sequence":"additional","affiliation":[{"name":"1From the Department of Pediatric Cardiology, Children's Hospital of Pittsburgh, University of Pittsburgh, Pittsburgh, Pennsylvania."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Susan A.","family":"Miller","sequence":"additional","affiliation":[{"name":"1From the Department of Pediatric Cardiology, Children's Hospital of Pittsburgh, University of Pittsburgh, Pittsburgh, Pennsylvania."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gerard J.","family":"Boyle","sequence":"additional","affiliation":[{"name":"1From the Department of Pediatric Cardiology, Children's Hospital of Pittsburgh, University of Pittsburgh, Pittsburgh, Pennsylvania."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jose\u0301 A.","family":"Ettedgui","sequence":"additional","affiliation":[{"name":"1From the Department of Pediatric Cardiology, Children's Hospital of Pittsburgh, University of Pittsburgh, Pittsburgh, Pennsylvania."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lee B.","family":"Beerman","sequence":"additional","affiliation":[{"name":"1From the Department of Pediatric Cardiology, Children's Hospital of Pittsburgh, University of Pittsburgh, Pittsburgh, Pennsylvania."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"417","published-online":{"date-parts":[[1997,1,1]]},"reference":[{"key":"2022051611440944800_B1","doi-asserted-by":"crossref","first-page":"497","DOI":"10.1542\/peds.86.4.497","article-title":"Initial evaluation of heart murmurs: is echocardiography mandatory?","volume":"86","author":"Smythe","year":"1990","journal-title":"Pediatrics."},{"key":"2022051611440944800_B2","doi-asserted-by":"crossref","first-page":"678","DOI":"10.1177\/000992287301201214","article-title":"Some thoughts about functional or innocent murmurs.","volume":"12","author":"Friedman","year":"1973","journal-title":"Clin. Pediatr."},{"key":"2022051611440944800_B3","doi-asserted-by":"crossref","first-page":"61","DOI":"10.1056\/NEJM198301133080201","article-title":"Noninvasive tests in the initial evaluation of heart murmurs in children.","volume":"308","author":"Newburger","year":"1983","journal-title":"N Engl J Med."},{"key":"2022051611440944800_B4","doi-asserted-by":"crossref","first-page":"1068","DOI":"10.1542\/peds.75.6.1068","article-title":"Chest pain in children.","volume":"75","author":"Selbst","year":"1985","journal-title":"Pediatrics."},{"key":"2022051611440944800_B5","first-page":"61","article-title":"Innocent murmur: the most important diagnosis in cardiology.","volume":"14","author":"Bloomfield","year":"1965","journal-title":"Heart Bull."},{"key":"2022051611440944800_B6","doi-asserted-by":"crossref","first-page":"93","DOI":"10.1016\/S0031-3955(16)36834-1","article-title":"Value and limitations of auscultation in the management of congenital heart disease.","volume":"37","author":"McNamara","year":"1990","journal-title":"Pediatr Clin North Am."},{"key":"2022051611440944800_B7","doi-asserted-by":"crossref","first-page":"365","DOI":"10.1542\/peds.91.2.365","article-title":"Cost assessment of the evaluation of heart murmurs in children.","volume":"91","author":"Danford","year":"1993","journal-title":"Pediatrics."},{"key":"2022051611440944800_B8","doi-asserted-by":"crossref","first-page":"107","DOI":"10.1016\/0167-5273(88)90196-9","article-title":"Reappraisal of the approach to the child with heart murmurs: is echocardiography mandatory?","volume":"19","author":"Geva","year":"1988","journal-title":"Int J Cardiol."},{"key":"2022051611440944800_B9","doi-asserted-by":"crossref","first-page":"56","DOI":"10.1542\/pir.8.2.56","article-title":"Evaluation of chest pain in children.","volume":"8","author":"Selbst","year":"1986","journal-title":"Pediatr Rev."}],"container-title":["Pediatrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/publications.aap.org\/pediatrics\/article-pdf\/99\/1\/1\/985232\/pe019700001o.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/publications.aap.org\/pediatrics\/article-pdf\/99\/1\/1\/985232\/pe019700001o.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,5,16]],"date-time":"2022-05-16T11:44:18Z","timestamp":1652701458000},"score":1,"resource":{"primary":{"URL":"https:\/\/publications.aap.org\/pediatrics\/article\/99\/1\/1\/75934\/Are-Chest-Radiographs-and-Electrocardiograms-Still"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1997,1,1]]},"references-count":9,"journal-issue":{"issue":"1","published-online":{"date-parts":[[1997,1,1]]},"published-print":{"date-parts":[[1997,1,1]]}},"URL":"https:\/\/doi.org\/10.1542\/peds.99.1.1","relation":{},"ISSN":["1098-4275","0031-4005"],"issn-type":[{"type":"electronic","value":"1098-4275"},{"type":"print","value":"0031-4005"}],"subject":[],"published":{"date-parts":[[1997,1,1]]}}}