Abstract
OBJECTIVE--To assess echocardiography as an investigation for the detection of occult gene carriers in tuberous sclerosis. PATIENTS--Sixty parents of children with tuberous sclerosis who had been extensively investigated for signs of the disease and 60 age and sex matched controls. PROCEDURE--Blind study by two experienced echocardiographers and blind interpretation of video recordings by an adult cardiologist. SETTING--Cardiology department of a district general hospital. RESULTS--Two parents and three controls had bright echodense areas interpreted as possible rhabdomyomas. CONCLUSIONS--In our hands echocardiography of adults is not an investigation with a high specificity for gene detection in tuberous sclerosis.
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- Alkalay A. L., Ferry D. A., Lin B., Fink B. W., Pomerance J. J. Spontaneous regression of cardiac rhabdomyoma in tuberous sclerosis. Clin Pediatr (Phila) 1987 Oct;26(10):532–535. doi: 10.1177/000992288702601008. [DOI] [PubMed] [Google Scholar]
- Allan L. D., Joseph M. C., Tynan M. Clinical value of echocardiographic colour image processing in two cases of primary cardiac tumour. Br Heart J. 1983 Feb;49(2):154–156. doi: 10.1136/hrt.49.2.154. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Belkin R. N., Kisslo J. Atrial septal aneurysm: recognition and clinical relevance. Am Heart J. 1990 Oct;120(4):948–957. doi: 10.1016/0002-8703(90)90214-i. [DOI] [PubMed] [Google Scholar]
- Brezinka C., Huter O., Haid C., Hammerer I., Dietze O. Prenatal diagnosis of a heart tumor. Am Heart J. 1988 Aug;116(2 Pt 1):563–566. doi: 10.1016/0002-8703(88)90637-0. [DOI] [PubMed] [Google Scholar]
- Crawford D. C., Garrett C., Tynan M., Neville B. G., Allan L. D. Cardiac rhabdomyomata as a marker for the antenatal detection of tuberous sclerosis. J Med Genet. 1983 Aug;20(4):303–304. doi: 10.1136/jmg.20.4.303. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Erbel R., Rohmann S., Drexler M., Mohr-Kahaly S., Gerharz C. D., Iversen S., Oelert H., Meyer J. Improved diagnostic value of echocardiography in patients with infective endocarditis by transoesophageal approach. A prospective study. Eur Heart J. 1988 Jan;9(1):43–53. [PubMed] [Google Scholar]
- Fenoglio J. J., Jr, MCAllister H. A., Jr, Ferrans V. J. Cardiac rhabdomyoma: a clinicopathologic and electron microscopic study. Am J Cardiol. 1976 Aug;38(2):241–251. doi: 10.1016/0002-9149(76)90157-0. [DOI] [PubMed] [Google Scholar]
- Fryer A. E., Chalmers A. H., Osborne J. P. The value of investigation for genetic counselling in tuberous sclerosis. J Med Genet. 1990 Apr;27(4):217–223. doi: 10.1136/jmg.27.4.217. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Gibbs J. L. The heart and tuberous sclerosis. An echocardiographic and electrocardiographic study. Br Heart J. 1985 Dec;54(6):596–599. doi: 10.1136/hrt.54.6.596. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Harding C. O., Pagon R. A. Incidence of tuberous sclerosis in patients with cardiac rhabdomyoma. Am J Med Genet. 1990 Dec;37(4):443–446. doi: 10.1002/ajmg.1320370402. [DOI] [PubMed] [Google Scholar]
- Lababidi Z., Wu J. R., Walls J., Curtis J. Neonatal cyanosis caused by cardiac rhabdomyomas. Am Heart J. 1984 Sep;108(3 Pt 1):624–627. doi: 10.1016/0002-8703(84)90441-1. [DOI] [PubMed] [Google Scholar]
- Osborne J. P. Diagnosis of tuberous sclerosis. Arch Dis Child. 1988 Dec;63(12):1423–1425. doi: 10.1136/adc.63.12.1423. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Smith H. C., Watson G. H., Patel R. G., Super M. Cardiac rhabdomyomata in tuberous sclerosis: their course and diagnostic value. Arch Dis Child. 1989 Feb;64(2):196–200. doi: 10.1136/adc.64.2.196. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Smythe J. F., Dyck J. D., Smallhorn J. F., Freedom R. M. Natural history of cardiac rhabdomyoma in infancy and childhood. Am J Cardiol. 1990 Nov 15;66(17):1247–1249. doi: 10.1016/0002-9149(90)91109-j. [DOI] [PubMed] [Google Scholar]
- al-Gazali L. I., Arthur R. J., Lamb J. T., Hammer H. M., Coker T. P., Hirschmann P. N., Gibbs J., Mueller R. F. Diagnostic and counselling difficulties using a fully comprehensive screening protocol for families at risk for tuberous sclerosis. J Med Genet. 1989 Nov;26(11):694–703. doi: 10.1136/jmg.26.11.694. [DOI] [PMC free article] [PubMed] [Google Scholar]