Pediatric Cardiology

, Volume 34, Issue 7, pp 1736–1738 | Cite as

False-Negative Pulse Oximetry Screening for Critical Congenital Heart Disease: The Case for Parent Education

  • Brandon W. Harden
  • Gerard R. Martin
  • Elizabeth A. Bradshaw
Case Report


The American Academy of Pediatrics recently published evidence-based guidelines for a standardized approach to pulse oximetry as a screening tool for critical congenital heart disease (CCHD). The addition of CCHD screening to the standard newborn examination may lead to earlier detection of CCHD and subsequently decreased morbidity and mortality. We report a case of CCHD with excessive pulmonary blood flow that went undetected during routine newborn screening. Healthcare practitioners and families need to be aware of the limitations of CCHD screening.


Critical congenital heart disease Pulse oximetry Neonatal screening 


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Copyright information

© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  • Brandon W. Harden
    • 1
  • Gerard R. Martin
    • 1
  • Elizabeth A. Bradshaw
    • 1
  1. 1.Department of CardiologyChildren’s National Medical CenterWashingtonUSA

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