Current Paediatrics
Volume 15, Issue 7 , Pages 532-538, December 2005

Evaluation of asymptomatic heart murmurs

  • Robert Johnson

      Affiliations

    • Department of Imaging Sciences, 5th Floor Thomas Guy House, Guy's Hospital, London, SE1 9RT, UK
  • ,
  • Ralf Holzer

      Affiliations

    • Department of Paediatric Cardiology, Royal Liverpool Children's NHS Trust, Eaton Road, Liverpool, L12 2AP25 6ED, UK
    • Corresponding Author InformationCorresponding author. Tel.: +441512525710; fax: +441512525643.

Summary 

Cardiac murmurs are a common finding in asymptomatic paediatric patients. The most common causes are innocent murmurs and minor structural heart disease. Beyond the age of 6 weeks patients are unlikely to have major underlying heart disease. Presentation of asymptomatic murmurs may be variable and assessment strategies depend on the age of the patient and should include clinical examination with measurement of blood pressure, evaluation for presence of cyanosis, electrocardiogram and echocardiography in selected patients.

Keywords: Heart murmurs, Child, Infant

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PII: S0957-5839(05)00100-4

doi:10.1016/j.cupe.2005.08.002

Current Paediatrics
Volume 15, Issue 7 , Pages 532-538, December 2005