Heart murmur natural history, complications and prognosis: Difference between revisions

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*[[heart murmur]] may present as [[Innocent murmur|innocent murmrur]] or as pathological murmur.
*[[heart murmur]] may present as [[Innocent murmur|innocent murmrur]] or as pathological murmur.
*It may be associated with [[symptoms]] such as [[chest pain]], [[breathlessness]], signs of [[cardiac]] or extra cardiac disease.
*It may present with [[symptoms]] for instance [[chest pain]], [[breathlessness]], or present with signs of [[cardiac]] or extra cardiac disease.
*Heart murmur are common in children and account the second most common reason for referral from [[PCP]] to [[pediatric]] [[cardiologist]] after [[asthma]].<ref name="KhushuKelsall2014">{{cite journal|last1=Khushu|first1=Abha|last2=Kelsall|first2=Anthony W.|last3=Usher-Smith|first3=Juliet A.|title=Outcome of children referred with heart murmurs referred from general practice to a paediatrician with expertise in cardiology|journal=Cardiology in the Young|volume=25|issue=1|year=2014|pages=123–127|issn=1047-9511|doi=10.1017/S104795111400095X}}</ref>
*Heart murmurs represent the second most common reason for referral to [[pediatric]] [[cardiologist]] after [[asthma]].<ref name="KhushuKelsall2014">{{cite journal|last1=Khushu|first1=Abha|last2=Kelsall|first2=Anthony W.|last3=Usher-Smith|first3=Juliet A.|title=Outcome of children referred with heart murmurs referred from general practice to a paediatrician with expertise in cardiology|journal=Cardiology in the Young|volume=25|issue=1|year=2014|pages=123–127|issn=1047-9511|doi=10.1017/S104795111400095X}}</ref>
*The majority of murmurs in children are innocent and found incidentally.<ref name="KhushuKelsall2014">{{cite journal|last1=Khushu|first1=Abha|last2=Kelsall|first2=Anthony W.|last3=Usher-Smith|first3=Juliet A.|title=Outcome of children referred with heart murmurs referred from general practice to a paediatrician with expertise in cardiology|journal=Cardiology in the Young|volume=25|issue=1|year=2014|pages=123–127|issn=1047-9511|doi=10.1017/S104795111400095X}}</ref>
*The majority of murmurs in children are innocent and found incidentally.<ref name="KhushuKelsall2014">{{cite journal|last1=Khushu|first1=Abha|last2=Kelsall|first2=Anthony W.|last3=Usher-Smith|first3=Juliet A.|title=Outcome of children referred with heart murmurs referred from general practice to a paediatrician with expertise in cardiology|journal=Cardiology in the Young|volume=25|issue=1|year=2014|pages=123–127|issn=1047-9511|doi=10.1017/S104795111400095X}}</ref>


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===Complications and Prognosis===
===Complications and Prognosis===


*Complication of heart murmur depend on the cause
*Complication and prognosis of heart murmur depend on the cause, the type and severity of the murmur.<ref name="urlHeart Murmur - Harvard Health">{{cite web |url=https://www.health.harvard.edu/a_to_z/heart-murmur-a-to-z |title=Heart Murmur - Harvard Health |format= |work= |accessdate=}}</ref> for example [[mitral regurgitation]] may lead to development of [[pulmonary edema]], [[pulmonary hypertension]], and [[right heart failure]],and in case of [[aortic valve stenosis]] can lead to [[angina]], [[syncope]].
*Patients presenting with [[innocent heart murmur]] generally have a good [[prognosis]]
*[[innocent heart murmur]] found incidentally and have a good [[prognosis]].
*The prognosis of heart murmur depends on the type of murmur and severity.<ref name="urlHeart Murmur - Harvard Health">{{cite web |url=https://www.health.harvard.edu/a_to_z/heart-murmur-a-to-z |title=Heart Murmur - Harvard Health |format= |work= |accessdate=}}</ref>





Latest revision as of 18:27, 28 January 2021

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Nuha Al-Howthi, MD[2]

Overview

heart murmur may present as innocent murmrur in one particular area of the precardium or as pathological murmur, the majority of murmurs in children are innocent and found incidentally. Complication of heart murmur depend on the cause of the murmur for example MR may lead to development of pulmonary edema, pulmonary hypertension, and right heart failure,and in case of aortic valve stenosis can lead to angina, syncope, congestive heart failure, atrial fibrillation, endocarditis, and sudden cardiac death.

Natural History, Complications, and Prognosis

Natural History


Complications and Prognosis


References

  1. 1.0 1.1 Khushu, Abha; Kelsall, Anthony W.; Usher-Smith, Juliet A. (2014). "Outcome of children referred with heart murmurs referred from general practice to a paediatrician with expertise in cardiology". Cardiology in the Young. 25 (1): 123–127. doi:10.1017/S104795111400095X. ISSN 1047-9511.
  2. "Heart Murmur - Harvard Health".

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