{"title":"Navigating heart murmurs in children.","authors":"Ashani Mahawattege, Lauren Shearer, Aaron Chambers","doi":"10.31128/AJGP-06-24-7321","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Murmurs are a common finding in the paediatric population, with 99% being non-pathological. Cardiovascular examination is recommended to aid the detection of serious structural cardiac defects as a routine part of neonatal and child health checks. Incidentally noted murmurs are also a common finding, with a significant proportion of children developing an innocent murmur at some stage of childhood. It is therefore important for primary care physicians to be able to appropriately identify concerning features of both screening detected and incidentally noted murmurs in children.</p><p><strong>Objective: </strong>The aim of this article is to provide guidance around the assessment of a child with a murmur.</p><p><strong>Discussion: </strong>In the assessment of murmurs, decision making around the level of concern for a pathological murmur and urgency for referral is predominantly based on features other than the murmur itself. Red flags for serious pathology might be obtained through history, examination and preliminary investigations.</p>","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"54 6","pages":"357-361"},"PeriodicalIF":1.6000,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Australian Journal of General Practice","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.31128/AJGP-06-24-7321","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}
引用次数: 0
Abstract
Background: Murmurs are a common finding in the paediatric population, with 99% being non-pathological. Cardiovascular examination is recommended to aid the detection of serious structural cardiac defects as a routine part of neonatal and child health checks. Incidentally noted murmurs are also a common finding, with a significant proportion of children developing an innocent murmur at some stage of childhood. It is therefore important for primary care physicians to be able to appropriately identify concerning features of both screening detected and incidentally noted murmurs in children.
Objective: The aim of this article is to provide guidance around the assessment of a child with a murmur.
Discussion: In the assessment of murmurs, decision making around the level of concern for a pathological murmur and urgency for referral is predominantly based on features other than the murmur itself. Red flags for serious pathology might be obtained through history, examination and preliminary investigations.
期刊介绍：
The Australian Journal of General Practice (AJGP) aims to provide relevant, evidence-based, clearly articulated information to Australian general practitioners (GPs) to assist them in providing the highest quality patient care, applicable to the varied geographic and social contexts in which GPs work and to all GP roles as clinician, researcher, educator, practice team member and opinion leader. All articles are subject to peer review before they are accepted for publication.
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