Patent foramen ovale screening
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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.
- Screening for a patent foramen ovale may be considered in the following individuals:[1]
- 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.
References
- ↑ 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.