Talk:Ventricular septal defect

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[edit] We

We need clarification in the Diagnosis section. First, under auscultation, someone wrote that this method was sufficient for ruling out a VSD if (a) done by a pediatric cardiologist and (b) assuming that the pressures in the RV were normal. Pediatric cardiologists generally see patients who have been referred to them by pediatricians who have reason to be suspicious (murmur or cyanosis or shortness of breath). Also, how would someone determine what the RV pressures are by auscultation? Or do they look for symptoms of pulmonary hypertension and from there deduce that maybe the RV pressures could be elevated? We should be explicit.

In particular, have other cardiac imaging modalities come into common use for initial identification of congenital heart defects e.g cardiac MRI less invasive than a cath.

Hi, I am a doctor and that is all right. The diagnosis place is all correct.

According to p16 of Cardiology by R. H Swanton, Blackwell Publishing's Pocket Consultant series (ISBN 1-405-10197-0) VSDs occur in 2 in 1,000 births. This article gives the figure of 2-3 in 10,000 and appears to have no source for that figure. Conveniently the book is available on google books if anyone wants confirmation. —Preceding unsigned comment added by Raburton (talk • contribs) 21:02, 13 December 2007 (UTC)

[edit] alger?

"in adults and alger children." From what I have been able to determine, "alger" is an English word. Could it be then that "older" would be correct? Alger refers to "older/other" children. You need not change the sentence, because older/other is the definition of alger. You must have a very old dictionary because when I looked it up, it was right there!