Patent foramen ovale screening: Difference between revisions
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==Screening== | ==Screening== | ||
*There is insufficient evidence to recommend routine screening for [[patent foramen ovale]] but screening is common in younger patients (less than 55) with a history of cryptogenic stroke. | *There is insufficient evidence to recommend routine screening for [[patent foramen ovale]] but screening is common in younger patients (less than 55) with a history of cryptogenic stroke.<ref name="pmid15772190">{{cite journal| author=Pinto FJ| title=When and how to diagnose patent foramen ovale. | journal=Heart | year= 2005 | volume= 91 | issue= 4 | pages= 438-40 | pmid=15772190 | doi=10.1136/hrt.2004.052233 | pmc=1768819 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15772190 }} </ref> | ||
*Screening for a patent foramen ovale may be considered in the following individuals:<ref name="pmid26165538">{{cite journal| author=Smart D, Mitchell S, Wilmshurst P, Turner M, Banham N| title=Joint position statement on persistent foramen ovale (PFO) and diving. South Pacific Underwater Medicine Society (SPUMS) and the United Kingdom Sports Diving Medical Committee (UKSDMC). | journal=Diving Hyperb Med | year= 2015 | volume= 45 | issue= 2 | pages= 129-31 | pmid=26165538 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=26165538 }} </ref> | *Screening for a patent foramen ovale may be considered in the following individuals:<ref name="pmid26165538">{{cite journal| author=Smart D, Mitchell S, Wilmshurst P, Turner M, Banham N| title=Joint position statement on persistent foramen ovale (PFO) and diving. South Pacific Underwater Medicine Society (SPUMS) and the United Kingdom Sports Diving Medical Committee (UKSDMC). | journal=Diving Hyperb Med | year= 2015 | volume= 45 | issue= 2 | pages= 129-31 | pmid=26165538 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=26165538 }} </ref> | ||
:*Divers with a history of cerebral, inner ear, spinal or cutaneous decompression sickness | :*Divers with a history of cerebral, inner ear, spinal or cutaneous decompression sickness | ||
Revision as of 16:52, 13 February 2020
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Ifeoma Odukwe, M.D. [2]
Overview
There is insufficient evidence to recommend routine screening for patent foramen ovale.
Screening
- There is insufficient evidence to recommend routine screening for patent foramen ovale but screening is common in younger patients (less than 55) with a history of cryptogenic stroke.[1]
- Screening for a patent foramen ovale may be considered in the following individuals:[2]
- Divers with a history of cerebral, inner ear, spinal or cutaneous decompression sickness
- Migraine with aura
- Family history of patent foramen ovale or atrial septal defect
- Patients with other forms of congenital heart disease
- Screening should be performed with contrast transthoracic echocardiography alongside the patient performing the valsalva maneuver.[2]
References
- ↑ Pinto FJ (2005). "When and how to diagnose patent foramen ovale". Heart. 91 (4): 438–40. doi:10.1136/hrt.2004.052233. PMC 1768819. PMID 15772190.
- ↑ 2.0 2.1 Smart D, Mitchell S, Wilmshurst P, Turner M, Banham N (2015). "Joint position statement on persistent foramen ovale (PFO) and diving. South Pacific Underwater Medicine Society (SPUMS) and the United Kingdom Sports Diving Medical Committee (UKSDMC)". Diving Hyperb Med. 45 (2): 129–31. PMID 26165538.