pediatric-critical-care-world-pediatrics-2018-keynote

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Volume 4 Journal of Pediatric Care
ISSN: 2471-805X
Page 22
Notes:
JOINT EVENT
Pediatric Critical Care 2018 &
World Pediatrics 2018
October 18- 20 , 2018
October 18- 20, 2018 Warsaw, Poland
&
6th International Conference on
25th World Pediatrics Conference
Pediatric Critical Care and Emergency Medicine
Amar Mohanrao Taksande, J Pediatr Care 2018, Volume 4
DOI: 10.21767/2471-805X-C4-013
Accuracy of palpable second heart sound for diagnosing pulmonary arterial hypertension (PAH) in
children with congenital heart disease
Background & Aim: Pulmonary hypertension is a complex problem characterized by non-specific signs and symptoms
and having multiple potential causes. Delay in the diagnosis of PAH leads to postponement of treatment and thus may have
deleterious effects. To determine the accuracy of palpable second heart sound for diagnosing pulmonary hypertension in
children with congenital heart disease.
Study Design & Participants: In a hospital-based cross-sectional study, participants were clinically suspected children with
congenital heart disease at AVBRH Hospital, Wardha.
Methods: Three pediatric residents, trained by a cardiologist for detection of pulmonary hypertension in CHD cases assessed
140 clinically suspected CHD cases. They looked for palpable second heart sound (P2) and findings were correlated with 2
dimensional echocardiography findings. Data was entered into SPSS for statistical analysis.
Results: Out of 140 cases of CHDs, 41 cases (29.2%) had pulmonary hypertension. The sensitivity, specificity, positive predictive
value, negative predictive value, negative LR for palpable P2 by the first observer was 70.73%, 100%, 100 %, 89.19 % and 0.29
which was almost equal with the findings of other two observers.
Conclusion: We demonstrated that palpable second heart sounds are effective in diagnosing the presence of PAH in CHD
children.
Biography
Amar Mohanrao Taksande is working as a Professor in the Department of Pediatrics at Jawaharlal Nehru Medical College (JNMC), DMIMS, Sawangi. He has completed
his Residency at Mahatma Gandhi Institute of Medical Sciences (MGIMS) Medical College, Sevagram. He got Fellowship in Pediatric Cardiology at Innova Children Heart
Hospital, Hyderabad. He received visiting fellowship by Royal College of Pediatric and Child Health (RCPCH), United Kingdom. He has published over 135 papers in
national and international journals and is the author of several pediatrics titles. He is a Life Member of Indian Academy of Pediatrics, Pediatric Cardiology Society of India
and several other medical organizations. He is also a Peer Reviewer of international journals like Congenital Heart Disease, Journal of Pediatrics, Journal of Pediatric
Infectious disease, etc.
Amar Mohanrao Taksande
Jawaharlal Nehru Medical College, DMIMS, India