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Assessment of Parental Anxiety Before and After Pediatric Cardiology Consultations with Echocardiography in Asymptomatic Children Presenting with Heart Murmurs: A Prospective Investigation

  • By

  • Hikmet Kıztanır

  • Beyza Elmalı

  • July 9, 2026

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Clinical Report: Assessment of Parental Anxiety in Pediatric Cardiology Consultations

Overview

This study evaluates parental anxiety levels before and after pediatric cardiology consultations for asymptomatic children with heart murmurs. Results indicate a significant reduction in anxiety following expert assessment and echocardiography.

Background

Cardiac murmurs are frequently detected in children, often leading to referrals for further evaluation. Such referrals can induce significant anxiety in parents, who may associate murmurs with serious health concerns. Understanding and addressing this anxiety is crucial for improving parental well-being and ensuring appropriate care for children.

Data Highlights

MeasurePre-ConsultationPost-Consultationp-value
STAI-S Score51.17 ± 6.3445.89 ± 7.84< 0.001

Key Findings

  • The mean pre-consultation STAI-S score was 51.17 ± 6.34.
  • Post-evaluation, the STAI-S score decreased to 45.89 ± 7.84.
  • Anxiety levels dropped significantly across all ECHO groups (p < 0.001).
  • No statistical difference in anxiety reduction was found between ECHO groups (p = 0.108).
  • A family history of heart disease was a significant predictor of pre-examination anxiety (β = 2.129; p = 0.031).
  • Consultation primarily reduced negative emotions rather than increasing positive emotional states.

Clinical Implications

Clinicians should recognize the psychological impact of heart murmur referrals on parents.

Conclusion

The findings demonstrate that specialized pediatric cardiology consultations and echocardiographic evaluations significantly reduce parental anxiety.

Related Resources & Content

  1. Pediatric Cardiology, 2021 -- Prognostic Value of Myocardial Ischemia Identified by Single-Photon Emission Computed Tomography in Pediatric Patients with Hypertrophic Cardiomyopathy
  2. Pediatric Cardiology, 2024 -- Assessing the Risk of Cardiorespiratory Complications in Pediatric Patients with Idiopathic Pulmonary Arterial Hypertension During Cardiac Catheterization: An Echocardiographic Cohort Analysis
  3. Clinical Research in Cardiology, 2010 -- Evaluation of Left Ventricular Diastolic Function in Pediatric Patients Following Successful Aortic Coarctation Repair
  4. Pediatric Cardiology, 2023 -- Parental Views on the Effectiveness of Prenatal Counseling for Single Ventricle Congenital Heart Defects
  5. Heart Murmurs | Pediatric Care Online, American Academy of Pediatrics -- Heart Murmurs
  6. Parental Anxiety Levels Before and After Pediatric Cardiology Evaluation in Asymptomatic Children with Heart Murmurs: A Prospective Study
  7. Heart Murmurs | Pediatric Care Online | American Academy of Pediatrics
  8. Parental Anxiety Levels Before and After Pediatric Cardiology Evaluation in Asymptomatic Children with Heart Murmurs: A Prospective Study

Original Source(s)

Parental anxiety levels before and after pediatric cardiology evaluation with echocardiography in asymptomatic children with heart murmurs: a prospective study

  • by Hikmet Kıztanır, Beyza Elmalı

  • July 9, 2026

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