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    ARTICLE

    Systolic ejection click versus split first heart sound: Are our ears deceiving us?

    Natalie M. Hoeting1, Courtney E. McCracken1, Michael McConnell1,2, Denver Sallee1,2, Glen J. Iannucci1,2, Matthew E. Oster1,2

    Congenital Heart Disease, Vol.12, No.4, pp. 417-420, 2017, DOI:10.1111/chd.12460

    Abstract Objective: Bicuspid aortic valve (BAV) disease is associated with potential lifetime complications, but auscultation of a BAV click is commonly missed or mistaken for a benign split first heart sound. Our objective was to determine whether pediatric cardiologists could reliably distinguish between BAV clicks and benign split first heart sounds.
    Design: Quality evaluation project using de-identified recordings from an outpatient pediatric cardiology clinic.
    Outcome Measures: Twenty-one cardiologists listened to five de-identified recordings of pediatric heart sounds (three with BAV clicks, two with mitral components of benign split first heart sounds) and indicated whether they believed each recording was… More >

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