Benign paediatric heart murmur

WikiDoc Resources for Benign paediatric heart murmur
Articles
Most recent articles on Benign paediatric heart murmur Most cited articles on Benign paediatric heart murmur Review articles on Benign paediatric heart murmur Articles on Benign paediatric heart murmur in N Eng J Med, Lancet, BMJ
Media
Powerpoint slides on Benign paediatric heart murmur Images of Benign paediatric heart murmur Photos of Benign paediatric heart murmur Podcasts & MP3s on Benign paediatric heart murmur Videos on Benign paediatric heart murmur
Evidence Based Medicine
Cochrane Collaboration on Benign paediatric heart murmur Bandolier on Benign paediatric heart murmur TRIP on Benign paediatric heart murmur
Clinical Trials
Ongoing Trials on Benign paediatric heart murmur at Clinical Trials.gov Trial results on Benign paediatric heart murmur Clinical Trials on Benign paediatric heart murmur at Google
Guidelines / Policies / Govt
US National Guidelines Clearinghouse on Benign paediatric heart murmur NICE Guidance on Benign paediatric heart murmur NHS PRODIGY Guidance FDA on Benign paediatric heart murmur CDC on Benign paediatric heart murmur
Books
Books on Benign paediatric heart murmur
News
Benign paediatric heart murmur in the news Be alerted to news on Benign paediatric heart murmur News trends on Benign paediatric heart murmur
Commentary
Blogs on Benign paediatric heart murmur
Definitions
Definitions of Benign paediatric heart murmur
Patient Resources / Community
Patient resources on Benign paediatric heart murmur Discussion groups on Benign paediatric heart murmur Patient Handouts on Benign paediatric heart murmur Directions to Hospitals Treating Benign paediatric heart murmur Risk calculators and risk factors for Benign paediatric heart murmur
Healthcare Provider Resources
Symptoms of Benign paediatric heart murmur Causes & Risk Factors for Benign paediatric heart murmur Diagnostic studies for Benign paediatric heart murmur Treatment of Benign paediatric heart murmur
Continuing Medical Education (CME)
CME Programs on Benign paediatric heart murmur
International
Benign paediatric heart murmur en Espanol Benign paediatric heart murmur en Francais
Business
Benign paediatric heart murmur in the Marketplace Patents on Benign paediatric heart murmur
Experimental / Informatics
List of terms related to Benign paediatric heart murmur

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

A benign paediatric heart murmur, also innocent heart murmur or innocent murmur, is an inconsequential sound that originate from the heart and/or cardiovascular system and is heard on cardiac auscultation. By definition, an innocent murmur is not significant in the long-term health of an individual that has it.

Murmurs - innocent versus pathological

Characteristics of innocent murmurs are:

• Less than 3/6 in intensity, soft
• Often position-dependent (supine versus upright)
• Otherwise healthy individual, no concerns about growth
• Continuous (throughout cardiac cycle) or systolic (diastolic-only sounds are always pathologic)
• Normal S2 splitting (S2 splitting with inspiration)
• No palpable thrill (vibration of the chest due to abnormal heart movement/blood flow)

Prognosis

Innocent murmurs are inconsequential and usually disappear as the child grows. ECG and Chest XRAY are normal.

Types, description and DDx

Benign Paediatric Heart Murmurs

Name	Location	DDx
Still's murmur	inferior aspect of LLSB, systolic ejection sound, vibratory/musical quality	subaortic stenosis, small VSD
Pulmonary ejection	superior aspect of LLSB, ejection sound	Pulmonary stenosis, atrial septal defect
Venous hum	Infraclavicular throughout the cardiac cycle (right side > left side), diminishes with jugular vein palpation or neck turning	PDA
Supraclavicular arterial bruit	Above clavicles	aortic stenosis, bicuspid aortic valve
Peripheral pulmonary stenosis	low-pitch with radiation to back and armpit	PDA, pulmonary stenosis

LLSB = lower left sternal border

See also

• Heart murmur
• Precordial examination
• Ventricular septal defect

External links

• Heart Murmurs in Pediatric Patients: When Do You Refer? - AAFP

Template:WikiDoc Sources CME Category::Cardiology