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Related Experiment Videos

Pediatric cardiac auscultation.

H B Wiles1, J P Saul

  • 1Division of Pediatric Cardiology, MUSC, Charleston 29425, USA.

Journal of the South Carolina Medical Association (1975)
|November 7, 1999
PubMed
Summary

Most pediatric murmurs detected during child exams are innocent. Recognizing innocent murmur causes aids identification, but specialist referral is advised for infants or suspected heart conditions.

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Area of Science:

  • Pediatric Cardiology
  • Clinical Auscultation

Background:

  • Heart murmurs are common findings in pediatric examinations, particularly during acute illness evaluations.
  • The majority of murmurs identified in children are benign, or innocent, in nature.

Purpose of the Study:

  • To elucidate the characteristics and causes of innocent murmurs in pediatric patients.
  • To provide guidance on differentiating innocent murmurs from pathological ones requiring further investigation.

Main Methods:

  • Review of common causes of innocent murmurs in well-child and acute illness settings.
  • Clinical criteria for identifying innocent versus pathological murmurs.

Main Results:

  • Innocent murmurs are frequent and typically benign findings in pediatric auscultation.
  • Understanding the varied etiologies of innocent murmurs is key to accurate diagnosis.

Conclusions:

  • Distinguishing innocent murmurs from those indicative of heart disease is crucial for appropriate patient management.
  • Referral to a pediatric cardiac specialist is recommended for newborns, infants, or when findings suggest underlying cardiac pathology.

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