Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

Role of Chest Radiographs and Electrocardiograms in Predicting the Hemodynamics of Congenital Heart Disease

Version 1 : Received: 11 September 2022 / Approved: 14 September 2022 / Online: 14 September 2022 (02:55:41 CEST)

A peer-reviewed article of this Preprint also exists.

Chimoriya, R.; Kumar, G.; Rana, K.; Chimoriya, R.; Anand, R.; Dagar, K.S.; Awasthy, N. Role of Chest Radiographs and Electrocardiograms in Predicting the Hemodynamics of Congenital Heart Disease. Exploration of Medicine 2024, 112–126, doi:10.37349/emed.2024.00210. Chimoriya, R.; Kumar, G.; Rana, K.; Chimoriya, R.; Anand, R.; Dagar, K.S.; Awasthy, N. Role of Chest Radiographs and Electrocardiograms in Predicting the Hemodynamics of Congenital Heart Disease. Exploration of Medicine 2024, 112–126, doi:10.37349/emed.2024.00210.

Abstract

This study aimed to evaluate the role of chest radiographs and electrocardiograms in predicting the hemodynamics of congenital heart disease (CHD). This retrospective study included 50 patients with a diagnosis of CHD who had undergone any form of cardiac intervention, either surgical or nonsurgical between September 2019 and September 2020. Chest radiographs and electrocardiograms were evaluated and compared with the diagnostic gold standard echocardiography. Chest radiographs had the highest sensitivity, specificity, and accuracy, with all being 100%, in detecting situs and cardiac position. There was a very good agreement between chest radiographs and echocardiography in the detection of both situs and cardiac position (κ = 1.00, p < 0.001), while moderate agreement was observed for the detection of cardiomegaly, position of aortic knuckle, main pulmonary artery dilation, and right pulmonary artery dilation. Electrocardiograms had a high sensitivity (100.00%), but modest specificity and accuracy for the detection of left ventricle pressure overload. For the detection of left atrial enlargement and left ventricle volume overload, electrocardiograms had high specificity (94.12% and 94.29%, respectively) but low sensitivity and modest accuracy. There was a moderate agreement between electrocardiograms and echocardiography in the detection of right ventricle pressure overload (κ = 0.43, p = 0.002) and left ventricle volume overload (κ = 0.46, p < 0.001). The study findings indicate that chest radiographs and electrocardiograms alone are not adequate for the assessment of hemodynamics of CHD and reinstates the recommendation that in addition to routine chest radiographs and electrocardiograms, echocardiography should be performed.

Keywords

congenital heart disease; chest radiograph; electrocardiogram; echocardiography

Subject

Medicine and Pharmacology, Pediatrics, Perinatology and Child Health

Comments (0)

We encourage comments and feedback from a broad range of readers. See criteria for comments and our Diversity statement.

Leave a public comment
Send a private comment to the author(s)
* All users must log in before leaving a comment
Views 0
Downloads 0
Comments 0
Metrics 0


×
Alerts
Notify me about updates to this article or when a peer-reviewed version is published.
We use cookies on our website to ensure you get the best experience.
Read more about our cookies here.