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Heart murmur in children
Authors: Pavlíček Jan 1,2; Klásková Eva 3
Authors‘ workplace: Klinika dětského lékařství, Fakultní nemocnice Ostrava, a Lékařská fakulta Ostravské, univerzity, Ostrava 1; Centrum biomedicínského, výzkumu, Fakultní nemocnice, Hradec Králové 2; Dětská klinika, Fakultní, nemocnice Olomouc a Lékařská, fakulta Univerzity Palackého, v Olomouci, Olomouc 3
Published in: Čes-slov Pediat 2023; 78 (5): 261-263.
Category: Pediatric Protocols in Praxis
doi: https://doi.org/10.55095/CSPediatrie2023/044Overview
A heart murmur is a very common finding in childhood. It is necessary to differentiate between an insignificant murmur and murmur that indicates any cardiac pathology. The assessment involves an in-depth patient history, thorough physical examination and evaluation of the murmur itself. In an asymptomatic patient, the insignificant murmur is exclusively systolic and of low intensity. A heart murmur is the most common reason for child´s referral to a cardiology clinic and its significance is assessed by a pediatric cardiologist. The absence of a murmur does not exclude the presence of a significant or critical heart defect.
Keywords:
congenital heart defect – medical history – heart murmur
Sources
1. Ainsworth S, Willie JP, Wren C. Prevalence and clinical significance of cardiac murmur in neonates. Arch Dis Child Fetal Neonatal Ed 1999; 80(1): F43–F45.
2. Chaloupecký V. Vyšetření kardiovaskulárního systému. In: Bláhová K, et al. Pediatrická propedeutika. Praha: Galén 2019 : 123–132.
3. Bronzetti G, Corzani A. The Seven „S“ Murmurs: An alliteration about innocent murmurs in cardiac auscultation. Clin Pediatr 2010; 49(7): 713.
4. Frank JE, Jacobe KM. Evaluation and management of heart murmurs in children. Am Fam Physician 2011; 84(7): 793–800.
5. Pavlíček J. Kardiologie. In: Hladík M, et al. Kapitoly z pediatrické propedeutiky. Ostrava: Ostravská univerzita 2014 : 93–111.
6. Mainzer W, Pincovici R, Heymann G. Systolic murmurs in children, a survey of 240 cases. Arch Dis Child 1959; 34(174): 131–136.
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Labels
Neonatology Paediatrics General practitioner for children and adolescents
Article was published inCzech-Slovak Pediatrics
2023 Issue 5-
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