Heart Disease in Children: Heart Murmurs.

Q3 Medicine
FP essentials Pub Date : 2025-02-01
Craig Barstow, Ryan Flanagan
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引用次数: 0

Abstract

Heart murmurs are common in childhood. Any murmur associated with cardiac signs or symptoms should be referred to a pediatric cardiologist for further evaluation. A benign murmur typically can be differentiated from a pathologic murmur based on its characteristics. Between 1% and 5% of newborns and infants will have a murmur, and up to 50% of those will be due to a structural defect. Congenital heart disease is the most common diagnosis in newborns and infants with a murmur, but a majority of congenital heart disease lesions diagnosed in asymptomatic infants and children will be minor and resolve with time. Although up to 50% of children will have a murmur at some time in their life, less than 30% of murmurs referred to pediatric cardiologists are pathologic. In older children, undiagnosed congenital heart disease is much less common than cardiomyopathies and acquired valvular disease, which are important causes of pathologic murmurs. Echocardiography is the preferred imaging modality for evaluating murmurs.

儿童心脏病:心脏杂音。
心脏杂音在儿童时期很常见。任何与心脏体征或症状相关的杂音都应该去儿科心脏病专家那里进行进一步的评估。良性杂音通常可以根据其特征与病理性杂音区分开来。1%到5%的新生儿和婴儿会有杂音,其中高达50%是由于结构缺陷造成的。先天性心脏病是最常见的诊断在新生儿和婴儿的杂音,但大多数先天性心脏病病变诊断在无症状的婴儿和儿童将是轻微的,并随着时间的推移解决。虽然高达50%的儿童在他们一生中的某个时候会有杂音,但只有不到30%的儿童心脏病专家认为杂音是病理性的。在大龄儿童中,未确诊的先天性心脏病比心肌病和获得性瓣膜病少得多,而心肌病和获得性瓣膜病是病理性杂音的重要原因。超声心动图是评估杂音的首选成像方式。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
FP essentials
FP essentials Medicine-Medicine (all)
CiteScore
1.00
自引率
0.00%
发文量
58
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