• Congenital malformations of the heart have been studied in 1,395 patients, and in 300 of these the diagnoses have been established at autopsy. In the vast majority, a clinical diagnosis can be made without angiocardiography and without cardiac catheterization. The largest group of malformations consisted of 287 cases of ventricular septal defects. A small number of bizarre cases remain undiagnosed, even with the help of additional physiological tests. All that is usually necessary in order to arrive at a clinical diagnosis is correlation of the anamnestic, physical, fluoroscopic, roentgenographic, and electrocardiographic findings. This fact is illustrated by detailed clinical consideration of the cyanotic and noncyanotic groups of cases.
Gasul BM, Fell EH. SALIENT POINTS IN THE CLINICAL DIAGNOSIS OF CONGENITAL HEART DISEASEBASED ON A NINE-YEAR STUDY OF 1,395 PATIENTS. JAMA. 1956;161(1):39–44. doi:10.1001/jama.1956.02970010041012
Customize your JAMA Network experience by selecting one or more topics from the list below.
Create a personal account or sign in to: