{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T13:25:04Z","timestamp":1787837104439,"version":"build-2784847793"},"reference-count":10,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2018,9]]},"abstract":"\n Background:<\/jats:title>\n Handheld echocardiography (HHE) has been increasingly used for rheumatic heart disease screening and in adult emergency room settings.<\/jats:p>\n <\/jats:sec>\n \n Aims:<\/jats:title>\n This study aimed to validate the accuracy of HHE in the diagnosis of congenital heart disease (CHD).<\/jats:p>\n <\/jats:sec>\n \n Settings and Design Methodology:<\/jats:title>\n This is a prospective study carried out at three pediatric cardiology outpatient clinics in Khartoum, Sudan.<\/jats:p>\n All patients with suspected CHD were evaluated by clinical examination followed by HHE, performed using a modified segmental approach. Then, a complete study was performed using a standard echocardiography machine. The results were then compared using appropriate statistical tools.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n \n A total of eighty cases were included with the following diagnoses either in isolation or combination: ventricular septal defect (\n n<\/jats:italic>\n = 23), atrial septal defect (\n n<\/jats:italic>\n = 10), pulmonary stenosis (\n n<\/jats:italic>\n = 7), tetralogy of Fallot (\n n<\/jats:italic>\n = 7), patent ductus arteriosus (\n n<\/jats:italic>\n = 6), atrioventricular septal defect (\n n<\/jats:italic>\n = 6), transposition of the great arteries (\n n<\/jats:italic>\n = 6), and other diagnoses (\n n<\/jats:italic>\n = 15). Agreement between HHE and SE was excellent both for visualizing heart segments (\u03ba =77%\u2013100% with a mean of 92.9%) and for diagnosis of CHD (\u03ba =66%\u2013100% with a mean of 91.7%). The sensitivity of HHE was 69.2%\u2013100% (mean = 90.2%) and specificity was 98.5%\u2013100% (mean = 99.3%).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n This study supports extending the utility of HHE in children for screening of CHD in addition to its current role in rheumatic heart disease screening.<\/jats:p>\n <\/jats:sec>","DOI":"10.4103\/apc.apc_159_17","type":"journal-article","created":{"date-parts":[[2018,9,11]],"date-time":"2018-09-11T00:47:01Z","timestamp":1536626821000},"page":"250-254","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":8,"title":["Validation of the accuracy of handheld echocardiography for diagnosis of congenital heart disease"],"prefix":"10.4103","volume":"11","author":[{"given":"Sulafa","family":"Ali","sequence":"first","affiliation":[{"name":"Sudan Heart Center, Faculty of Medicine, University of Khartoum, Khartoum, Sudan"},{"name":"Department of Pediatrics and Child Health, Faculty of Medicine, University of Khartoum, Khartoum, Sudan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tajudeen","family":"Bushari","sequence":"additional","affiliation":[{"name":"Pediatric Cardiology Fellow, Sudan Heart Center, Sudan Medical Specialization Board Sudan Medical Specialization Board, Khartoum, Sudan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-20250602","doi-asserted-by":"crossref","first-page":"602","DOI":"10.1016\/j.jcmg.2008.06.004","article-title":"Empowering physical examination: The \u201claying on\u201d of ultrasound","volume":"1","author":"Kimura","year":"2008","journal-title":"JACC Cardiovasc Imaging"},{"key":"R2-20250602","doi-asserted-by":"crossref","first-page":"117","DOI":"10.1016\/j.echo.2010.09.017","article-title":"Usefulness of a new miniaturized echocardiographic system in outpatient cardiology consultations as an extension of physical examination","volume":"24","author":"Cardim","year":"2011","journal-title":"J Am Soc Echocardiogr"},{"key":"R3-20250602","doi-asserted-by":"crossref","first-page":"63","DOI":"10.12816\/0039456","article-title":"The echocardiographic prevalence of rheumatic heart disease in North Kordofan and initiation of a control program","volume":"53","author":"Ali","year":"2017","journal-title":"Sudan Med J"},{"key":"R4-20250602","doi-asserted-by":"crossref","first-page":"e939","DOI":"10.1542\/peds.2014-2774","article-title":"Handheld echocardiography versus auscultation for detection of rheumatic heart disease","volume":"135","author":"Godown","year":"2015","journal-title":"Pediatrics"},{"key":"R5-20250602","doi-asserted-by":"crossref","first-page":"475","DOI":"10.1093\/ehjci\/jeu296","article-title":"The utility of handheld echocardiography for early rheumatic heart disease diagnosis: A field study","volume":"16","author":"Beaton","year":"2015","journal-title":"Eur Heart J Cardiovasc Imaging"},{"key":"R6-20250602","doi-asserted-by":"crossref","first-page":"463","DOI":"10.1016\/j.echo.2015.01.001","article-title":"Simplified rheumatic heart disease screening criteria for handheld echocardiography","volume":"28","author":"Lu","year":"2015","journal-title":"J Am Soc Echocardiogr"},{"key":"R7-20250602","doi-asserted-by":"crossref","first-page":"141","DOI":"10.1016\/j.jfma.2017.02.018","article-title":"Clinical utility and diagnostic accuracy of palm-held, mini-sized ultrasonocardiographic scanner in congenital heart disease","volume":"117","author":"Lo","year":"2018","journal-title":"J Formos Med Assoc"},{"key":"R8-20250602","doi-asserted-by":"crossref","first-page":"1379","DOI":"10.1007\/s00246-014-0940-4","article-title":"Utility of hand-held echocardiography in outpatient pediatric cardiology management","volume":"35","author":"Riley","year":"2014","journal-title":"Pediatr 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Cardiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/01408568-201811030-00004","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T13:16:12Z","timestamp":1787836572000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/01408568-201811030-00004"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,9]]},"references-count":10,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2018]]}},"URL":"https:\/\/doi.org\/10.4103\/apc.apc_159_17","relation":{},"ISSN":["0974-2069","0974-5149"],"issn-type":[{"value":"0974-2069","type":"print"},{"value":"0974-5149","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,9]]}}}