PEDIATRICS Vol. 107 No. 5 May 2001, pp. 1237
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To the Editor.
Steinberger and colleagues' article, "Echocardiographic Diagnosis of Heart Disease in Apparently Healthy Adolescents," raises several questions.1
One of the questions is why none of the children had abnormal findings
on an examination by a board-certified pediatrician when 6 of the
children had murmurs. The 2 children with atrial septal defects had
systolic and diastolic murmurs and split second sounds. The child with
a bicuspid aortic valve had an ejection click and a murmur in the
aortic area. It could be