Patent foramen ovale screening: Difference between revisions
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==Overview== | ==Overview== | ||
Routing screening for patent foramen is not justifiable but in certain cases, screening may be considered in young | Routing [[Screening (medicine)|screening]] for [[patent foramen ovale]] is not justifiable but in certain cases, screening may be considered in young people with [[cryptogenic stroke]], divers with a history of [[decompression sickness]], people with [[migraine with aura]]. | ||
==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.<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> | *There is insufficient evidence to recommend routine [[Screening (medicine)|screening]] for [[patent foramen ovale]] but [[Screening (medicine)|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 (medicine)|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 | |||
:*Migraine with aura | :*Divers with a history of [[cerebral]], [[inner ear]], spinal or [[cutaneous]] [[decompression sickness]] | ||
:*Family history of patent foramen ovale or atrial septal defect | :*[[Migraine with aura]] | ||
:*Patients with other forms of congenital heart disease | :*Family history of [[patent foramen ovale]] or [[atrial septal defect]] | ||
*Screening should be performed with contrast transthoracic echocardiography alongside the patient performing the valsalva maneuver.<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> | :*Patients with other forms of [[congenital heart disease]] | ||
*[[Screening (medicine)|Screening]] should be performed with [[Contrast medium|contrast]] [[transthoracic echocardiography]] alongside the patient performing the [[valsalva maneuver]].<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> | |||
==References== | ==References== | ||
Latest revision as of 17:01, 13 February 2020
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Patent Foramen Ovale Microchapters |
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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
Routing screening for patent foramen ovale is not justifiable but in certain cases, screening may be considered in young people with cryptogenic stroke, divers with a history of decompression sickness, people with migraine with aura.
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.