Document Detail

Evaluating cardiac murmurs; are diagnostic tests helpful?
MedLine Citation:
PMID:  11474859     Owner:  NLM     Status:  MEDLINE    
The detection of an asymptomatic murmur in a child usually results in a referral to a consultant paediatrician. In most cases a chest radiograph (CXR) and electrocardiograph (ECG) are performed as an aid to diagnosis, however the evidence for this is contradictory. A retrospective chart review of children referred with asymptomatic cardiac murmurs in a one-year period was conducted. We wished to determine whether CXR and ECG are useful diagnostic aids. 81 patient charts were reviewed. Of those patients with a clinical diagnosis of pathological murmur all had normal CXR and ECG. Never the less 2 cases were referred for echocardiogram and were found to have structural heart disease. Of those with a clinical diagnosis of innocent murmur most (81%) had a CXR and ECG and in most cases (96%) these were normal. Those cases with abnormal investigations subsequently were shown to have structurally normal hearts on echocardiogram. We conclude that routine use of CXR and ECG in evaluating asymptomatic cardiac murmurs in children is not useful.
C Macleod
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Irish medical journal     Volume:  94     ISSN:  0332-3102     ISO Abbreviation:  Ir Med J     Publication Date:  2001 May 
Date Detail:
Created Date:  2001-07-27     Completed Date:  2001-09-13     Revised Date:  2009-10-26    
Medline Journal Info:
Nlm Unique ID:  0430275     Medline TA:  Ir Med J     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  154-5     Citation Subset:  IM    
Department of Paediatrics, Antrim Area Hospital, Northern Ireland.
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MeSH Terms
Electrocardiography / utilization
Heart Murmurs*
Radiography, Thoracic / utilization*
Referral and Consultation
Retrospective Studies

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