[Diagnosis and differential diagnosis of heart tumors in infancy and childhood].
The clinical features of 10 children, in whom the diagnosis of a cardiac tumor has been made, are reviewed. There were nonspecific systolic murmurs in 9 patients, depression of the S-T segment in the ECG of 7 children, and premature extrasystoles or supraventricular tachycardia in 4 children. X-ray always showed mild to moderate enlargement of the heart, but an abnormal contour could be detected only in 2 of the patients. While findings of cardiac catheterization were unspecific, the diagnosis could be made angiographically in 8 cases. Invasive studies, however, are now only indicated, if a proper diagnosis cannot be made by means of echocardiography. The diagnosis should be suspected in children with a nonspecific murmur, cardiomegaly and ECG-changes. Usually the diagnosis of a cardiac tumor is an indication for operation.
Laufkötter
E
E
Kinderkardiologischen Abteilung, Universitätsklinik für Kinder- und Jugendmedizin Essen.
Hentrich
F
F
Stoermer
J
J
Galal
O
O
D006328:Cardiac Catheterization; D002648:Child; D002675:Child, Preschool; D003937:Diagnosis, Differential; D004452:Echocardiography; D004562:Electrocardiography; D005260:Female; D005350:Fibroma / Q000175:diagnosis; D006322:Heart Aneurysm / Q000175:diagnosis; D006338:Heart Neoplasms / Q000151:congenital / Q000175:diagnosis*; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D011379:Prognosis; D012207:Rhabdomyoma / Q000175:diagnosis; D013724:Teratoma / Q000175:diagnosis
Diagnostik und Differentialdiagnose der Herztumoren im Säuglings- und Kindesalter.