Heart murmur natural history, complications and prognosis: Difference between revisions
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===Natural History=== | ===Natural History=== | ||
*[[heart murmur]] may present as innocent murmrur | *[[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 be associated with [[symptoms]] such as [[chest pain]], [[breathlessness]], signs of [[cardiac]] or extra cardiac disease. | ||
*Heart murmur are common in children and | *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> | ||
*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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*Complication of heart murmur depend on the cause | *Complication of heart murmur depend on the cause | ||
*Patients presenting with [[innocent heart murmur]] generally have a good [[prognosis]] | *Patients presenting with [[innocent heart murmur]] generally 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> | ||
Revision as of 23:37, 21 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
- heart murmur may present as innocent murmrur or as pathological murmur.
- It may be associated with symptoms such as chest pain, breathlessness, 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.[1]
- The majority of murmurs in children are innocent and found incidentally.[1]
Complications and Prognosis
- Complication of heart murmur depend on the cause
- Patients presenting with innocent heart murmur generally have a good prognosis
- The prognosis of heart murmur depends on the type of murmur and severity.[2]
References
- ↑ 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.
- ↑ "Heart Murmur - Harvard Health".