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[Heart murmurs associated with organic murmurs]

E F Onishchenko, I B Kazakova

    Terapevticheskii Arkhiv
    |January 1, 1996
    PubMed

    Insights

    Congenital heart disease patients often show atypical heart murmur sound oscillations due to unique intracardiac structures. These findings suggest underlying morphofunctional peculiarities contribute to murmurs in congenital heart disease.

    Area of Science:

    • Cardiology
    • Pediatric Cardiology
    • Echocardiography

    Context:

    • Congenital heart disease (CHD) affects intracardiac structures.
    • Typical organic murmurs in CHD can present atypically.
    • Echocardiographic and clinical examinations are crucial for diagnosis.

    Purpose:

    • To investigate the characteristics of heart murmurs in patients with congenital heart disease.
    • To identify atypical sound oscillations in specific types of CHD.
    • To explore the association between intracardiac structural peculiarities and murmur formation.

    Summary:

    • A study of 157 congenital heart disease patients revealed atypical sound oscillations in 42.3% of cases with interventricular septal defect, interatrial septal defect, or patent ductus arteriosus.
    • These atypical murmurs are believed to originate from unique morphofunctional peculiarities of intracardiac structures.
    • Such peculiarities are hypothesized to be associated factors in the generation of cardiac murmurs and residual murmurs post-correction.

    Impact:

    • Highlights the complex nature of heart murmurs in congenital heart disease.
    • Suggests a need for advanced diagnostic approaches considering intracardiac structural variations.
    • Informs clinical understanding and management strategies for congenital heart defects.

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