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Cited by 24Congenital Heart Disease StudiesGenetic and Clinical Aspects of Sex Determination and Chromosomal AbnormalitiesCardiac Valve Diseases and Treatments

Clinical and echocardiographic prevalence and detection of congenital and acquired cardiac abnormalities in girls and women with the Turner syndrome

Yetman, Anji T., Starr, Lois, Sanmann, Jennifer, Wilde, Megan, Murray, Mary, Cramer, Jonathan W.·2018·The American Journal of Cardiology
DOI 10.1016/j.amjcard.2018.03.357
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Abstract

The prevalence of congenital and acquired heart disease in patients with the Turner syndrome (TS) is based on historic cohorts who underwent imaging before the advent of modern day echocardiography. Recent small studies suggest a higher prevalence of cardiac defects. We reviewed clinical and echocardiographic data on 564 girls and women with TS to assess the prevalence of cardiac defects. Echocardiographic review on a subset of this population was performed to assess for diagnostic limitations of echocardiography in assessing for congenital and acquired defects in this patient cohort. Bicuspid aortic valve was present in 39%, aortic coarctation in 21%, and some forms of structural cardiac anomaly in 56%. Failure to perform a complete congenital echocardiogram with suprasternal and high right or left parasternal windows was associated with failure to identify congenital and acquired cardiac defects. In conclusion, major cardiac defects are present in the majority of patients with TS. Echocardiographic technique can be optimized to avoid missing cardiac lesions of potential hemodynamic significance.

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  • TTE is valuable for the diagnosis and surveillance of CHD and aortic dilation, but may be limited by poor acoustic windows, especially in older children and adults.

    “TTE is valuable for the diagnosis and surveillance of CHD and aortic dilation,426-428 but may be limited by poor acoustic windows, especially in older children and adults.”

    From Clinical practice guidelines for the care of girls and women with Turner syndrome. (2024) · cites this paper as [426]

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Authors
Yetman, A. T., Starr, L., Sanmann, J., Wilde, M., Murray, M., & Cramer, J. W.
Affiliations
  • Nebraska Medical Center (US)
  • University of Michigan (US)
  • University of Utah (US)
Corresponding author
Yetman, Anji T.
ORCID
Venue
The American Journal of Cardiology
Publisher
Elsevier BV
Published
2018-07
Volume
122
Issue
2
Pages
327-330
ISSN
0002-9149 (ISSN-L)
DOI
10.1016/j.amjcard.2018.03.357
OpenAlex
W2799849175
Cited by
24
References
13
Citations by year
2024: 4 · 2023: 1 · 2022: 7 · 2021: 1 · 2020: 7 · 2019: 4
FWCI
2.35
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • The American Journal of Cardiology (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Epidemiology › Congenital Heart Disease Studies
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Genetic and Clinical Aspects of Sex Determination and Chromosomal Abnormalities
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Valve Diseases and Treatments
Keywords
Turner syndrome, congenital heart disease, acquired heart disease, bicuspid aortic valve, coarctation of the aorta, women and girls
MeSH terms
Abnormalities, Multiple, Adolescent, Adult, Age Factors, Child, Child, Preschool, Echocardiography, Female, Follow-Up Studies, Heart Defects, Congenital, Humans, Infant, Infant, Newborn, Middle Aged, Retrospective Studies, Turner Syndrome, United States, Prevalence, Young Adult

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