Document Detail

Evaluation of children with heart murmurs.
MedLine Citation:
PMID:  9791388     Owner:  NLM     Status:  MEDLINE    
Most of the murmurs that are detected in children between the ages of 6 months and 15 years are of the innocent type. Given the high prevalence of murmurs in this population coupled with the low occurrence of congenital heart disease, distinguishing innocent from pathologic murmur is a frequent and important task for the primary care clinician. The primary care clinician can develop the necessary skills to distinguish between the innocent heart murmurs and pathologic murmurs using history and physical examination skills. Becoming familiar with the characteristics of the five most common innocent heart murmurs, which are (1) vibratory or Still's murmur, (2) pulmonary flow murmur, (3) peripheral pulmonary artery stenosis murmur, (4) supraclavicular arterial bruit murmur, and (5) venous hum, will assist the primary care clinician in accomplishing this task in a competent and cost-effective manner.
D P Asprey
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Lippincott's primary care practice     Volume:  2     ISSN:  1088-5471     ISO Abbreviation:  Lippincotts Prim Care Pract     Publication Date:    1998 Sep-Oct
Date Detail:
Created Date:  1999-05-13     Completed Date:  1999-05-13     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  9706704     Medline TA:  Lippincotts Prim Care Pract     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  505-13     Citation Subset:  N    
Division of Pediatric Cardiology, University of Iowa Hospitals and Clinics, Iowa City 52242, USA.
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MeSH Terms
Child, Preschool
Diagnosis, Differential
Heart Murmurs / diagnosis*,  etiology
Infant, Newborn
Nursing Assessment / methods*
Primary Health Care / methods*
Referral and Consultation

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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