61. Heart Murmurs In Children - Patient UK heart murmurs in Children Patient UK. A directory of UK health, disease, illness and related medical websites that provide patient information. http://www.patient.co.uk/showdoc/40002456/

PatientPlus articles are written for doctors and so the language can be technical. However, some people find that they add depth to the articles found in the other sections of this website which are written for non-medical people. Heart Murmurs in Children Heart murmurs are due to abnormalities of flow within the heart and great vessels. Innocent murmurs are very common but it is essential to assess whether the murmur is haemodynamically significant and whether appropriate antibiotic prophylaxis to prevent endocarditis is required. Presentation The absence of symptoms does not exclude important pathology. Murmurs are described by location, intensity (grade 1-6 with grade 1 being virtually undetectable), timing in the cardiac cycle, and radiation. Innocent murmurs Still's murmur: the commonest innocent murmur in children (usually heard at age 3-6 years, although also occasionally in infants). Short, midsystolic murmur with a very characteristic low-frequency buzzing or musical quality. It is localised to the lower left mid-sternal border and radiates to the apex. short duration, low intensity and is loudest when the child is supine often varying markedly with posture. It can be made to disappear on hyperextension of the back and neck (Scott's manoeuvre). However it is not always possible to distinguish it from a small ventricular septal defect The venous hum is a superficial continuous murmur heard beneath the clavicles and in the neck. It is more often heard in the right than left side and most easily when the child is upright. It can be abolished by head movements, by compression of the jugular vein on the same side, or by lying the child supine.

62. Stanford Hospital And Clinics - Stanford University Medical Center - Heart Murmu heart murmurs may be caused by a number of factors or diseases, including systolic murmur occurs during a heart muscle contraction. http://www.stanfordhospital.com/healthLib/greystone/heartCenter/heartConditionsi

Print-friendly View Patient Education Heart Conditions in Adults Abdominal Aortic Aneurysm Aneurysm ... Varicose Veins Heart Murmurs What causes a heart murmur? Heart murmurs may be caused by a number of factors or diseases, including: defective heart valves holes in the heart walls (atrial septal defect or ventricular septal defect) pregnancy (increased blood volume) fever anemia (a decrease in the red cells in the blood) What are the different types of murmurs? All murmurs are analyzed for pitch, loudness, and duration. They are also graded according to their intensity (on a scale of one to six, with one being very faint and six being very loud). Types of murmurs include: systolic murmur occurs during a heart muscle contraction. Systolic murmurs are divided into ejection murmurs (due to blood flow through a narrowed vessel or irregular valve) and regurgitant murmurs. diastolic murmur occurs during heart muscle relaxation between beats. Diastolic murmurs are due to a narrowing (stenosis) of the mitral or tricuspid valves, or regurgitation of the aortic or pulmonary valves. continuous murmur occurs throughout the cardiac cycle.

63. FamilyFun: Health Encyclopedia: Heart Murmurs An excerpt on heart murmurs from the Disney Encyclopedia of Baby and Child Care. http://familyfun.go.com/parenting/child/health/childhealth/dony79enc_hmurm/

Browse site by Classic Themes Barnyard Pals Cars and Trucks Fairy-Tale Princesses Pirates Under the Sea Search FamilyFun Tools My Great Idea Parent Problem Solver Field Guide to Parenting ... Solutions A to Z Heart Murmurs A heart murmur is innocent murmurs , and doctors estimate that up to 70 percent of active, healthy children develop them at some time. Furthermore, long-term studies of people who had such murmurs during childhood indicate that they are not associated with an increased risk of adult heart disease or any other lasting complications. The vast majority of murmurs detected in childhood disappear by the time the child is ten to 14 years old. In about ten percent of cases, an innocent murmur persists into adulthood. Even in an adult, however, such a murmur does not indicate serious disease. WHEN SHOULD I SUSPECT THAT MY CHILD HAS A HEART MURMUR? Heart murmurs are usually detected when a doctor examines the child with a stethoscope. Pediatricians often discover them during routine school screenings or in presport or precamp examinations. Because newborns have rapid heart rates, their heart murmurs are harder to detect. To hear all the heart sounds, the pediatrician listens from several angles, including the armpit and the back.

64. BabyCentre | Heart Murmurs Most heart murmurs are completely normal or innocent and cause no symptoms. However, some heart murmurs can be a sign of a heart disorder. http://www.babycentre.co.uk/refcap/552685.html

var ACM; Become a member Login Site Index Features Baby Namer Pregnancy Calendar Baby Calendar Daily updates for your baby's first year. Interactive Tools Sound Advice Expert answers to your questions. Birth Announcements Free BabyCentre Newsletter! Up-to-date parenting news Home Baby Baby Health Healthcare: baby and toddler Heart murmurs What is a heart murmur? What do heart murmurs sound like? How are they picked up? Is it serious? ... Related Topics Key: Click a word marked like this Glossary to see its meaning. What is a heart murmur? A murmur is the medical term used to describe extra sounds that blood makes as it passes through the valves and blood vessels of the heart. It can be heard through a stethoscope between normal heartbeats. Most heart murmurs are completely normal or 'innocent' and cause no symptoms. However, some heart murmurs can be a sign of a heart disorder. What do heart murmurs sound like? The sound is different from other types of normal heart sounds. Heart murmurs can make a clicking or swishing sound, but the exact type of noise varies according to the cause of the murmur. Doctors may be able to distinguish any murmurs that are abnormal. How are they picked up?

65. What Are Heart Murmurs?: Always-Health.com A heart murmur generally is not believed to be a disorder or condition. It is a natural thing that occurs inside one s body. It occur due to the flow of http://www.always-health.com/HeartMurmurs.html

The most comprehensive health database online! Home About Us Sitemap Terms of Service Health Source Latest Article HEART DISEASE Heart Disease Alternative Therapy Heart Disease prevention Types of Heart Diseases Depression after a Heart Attack ... The Importance of Beta Blockers Diabetes A diabetic diet is as essential as the diabetic supplies Diabetic Diet and Supplies Most Read Articles: What is the controversy of the Atkins Diet? Diet Drug `Phentermine' Yes! You may freely link to Always-Health.com WHAT ARE HEART MURMURS? Heart murmurs are detected through using a stethoscope, and are rated according to a particular grading on a scale of 1 to 6. The first grade (1) is the least audible while grade (6) is the loudest. Innocent Murmurs: Congenital Heart Defect: In contrast to Innocent Murmurs, murmurs may be of the congenital heart defect type. This means that the murmur is likely to be a problem, and has to be taken seriously. It must be noted that aside from the valves in the heart causing the murmur, it is also possible for there to be other structural defects. These may be ones that heal up as a child grows. However, there are others that do not.

66. BHF Any Questions? - Heart Murmurs The British Heart Foundation (BHF) is the leading national charity fighting heart and circulatory disease the UK s biggest killer. The BHF funds research, http://www.bhf.org.uk/questions/index.asp?secondlevel=1184&thirdlevel=1429

67. Symptoms: Heart Murmur Many children have innocent heart murmurs. They occur in infants and children If you ve been told you have a heart murmur, check with your healthcare http://www.baptistonline.org/health/library/symp3213.asp

About Us Contact Us Site Map Go ... Symptoms Heart Murmur Symptoms Abdominal Cramps Breathlessness Chronic Cough As A Symptom Constipation As A Symptom ... Wheezing The heart makes sounds as it pumps blood to the lungs and body. A murmur is an extra "whooshing" sound as blood flows through the chambers and valves of the heart. The sounds are heard more easily by a stethoscope. Trained ears can detect irregular sounds such as those caused by a heart murmur. Heart murmurs are noises created by: * narrowed heart valves, * failure of the heart valves to close completely, or * backflow through an opening in the inner wall of the heart. Many children have "innocent" heart murmurs. They occur in infants and children who have had a fever or have been physically active. This type of murmur often goes away by the time the child is an adolescent. Heart murmurs may be caused by: * Congenital defects such as holes in the heart or inflammation of the membrane around the heart. * Acquired defects such as those resulting from rheumatic heart disease. * Any high blood flow state.

68. Health & Wellness: Heart Murmurs Most heart murmurs have no medical consequences, and do not require any treatment. heart murmurs are categorized according to whether they occur in the http://www.baptistonline.org/health/healthieryou/health/HeartMurmurs.asp

About Us Contact Us Site Map Go ... Baptist Online Heart Murmurs Article Categories Nutrition Exercise Women's Health Senior Health ... Healthy Recipes Daily Bread Rejoice with those who rejoice; mourn with those who mourn. Romans 12:15 What Message Is Your Heart Pounding Out? Every 24 seconds, a drop of blood circulates through the entire body and returns to the heart, ready to be pumped out again. In about 1 out of 20 people, the pumping action sometimes creates a sound called a heart murmur, which is different from the typical 'lubb-dubb' heart beat made by the heart valves slamming shut. While not loud enough to be detected by an ear on the chest, it can be picked up with the aid of a stethoscope. Murmurs are the result of turbulence in the blood flow, much like the noise of rapids in a river. Most heart murmurs have no medical consequences, and do not require any treatment. Soft murmurs are almost universal at one time or another during childhood, but are usually outgrown by the time the child reaches adolescence. Other murmurs, however, can signal disease or cardiac abnormalities. Distinguishing Harmless From Harmful Heart murmurs are categorized according to whether they occur in the pumping (systolic) or relaxation (diastolic) phase of the heart beat. Murmurs that are audible throughout both phases are termed 'continuous' murmurs. In addition to its timing, a heart murmur's location and character give your physician important clues to its causes.

69. Heart Murmurs And Other Sounds Murmurs are blowing, whooshing, or rasping sounds produced by turbulent blood flow in or near the heart. Often, they are caused by turbulent blood flow http://www.ehendrick.org/healthy/003266.htm

Injury Disease Nutrition Poison ... Treatment Heart murmurs and other sounds Definition Murmurs are blowing, whooshing, or rasping sounds produced by turbulent blood flow in or near the heart. Often, they are caused by turbulent blood flow through the heart valves. Alternative Names Chest sounds - murmurs; Heart sounds - abnormal Considerations A doctor can evaluate heart sounds by listening with a stethoscope. They can be further evaluated with an echocardiogram to see what the exact cause of the murmur is. The heart has four chambers two upper chambers (called atria) and two lower chambers (ventricles). The heart has valves that temporarily close to permit blood flow in only one direction. The valves are located between the atria and ventricles, and between the ventricles and the major arteries from the heart. Normal heart sounds are called S1 and S2. They are the "lubb-dupp" sounds that are thought of as the heartbeat. These sounds are produced when the heart valves close. Because the heart is also divided into a "right side" and a "left side," sometimes these sounds may be somewhat divided most commonly noted is a "split S2," caused when the right and left ventricles contract at very slightly different times. This is normal, but occasionally the nature of the split can indicate an abnormality such as enlargement of one of the ventricles. Murmurs are blowing, whooshing, or rasping sounds. They are the result of vibrations caused by turbulent blood flow patterns. This can happen when a valve does not close tightly (such as with mitral regurgitation), or when the blood is flowing through a narrowed opening or a stiff valve (such as with

70. Health 24 - Medical - Head 2 Toe heart murmurs are abnormal heart sounds. They are quite common and often are heart murmurs can occur in healthy children, who may outgrow them as adults http://www.health24.com/medical/Head2Toe/777-778-782,25840.asp

Fitness Challenge Have you taken up the SARIE/Health24 Fitness Challenge? Chat to other participants! Medical Schemes Are you lost in a medical scheme maze? We answer all your questions. TERMS NEWSLETTER NEWS MEDICAL SCHEMES DIET FITNESS NATURAL MAN WOMAN CHILD MIND SEX TOOLS FIND SHOP EXPERTS TALK WIN function topNav(onoff) if onoff = 1 then if window.event.srcElement.classname = "top_nav_on" then window.event.srcElement.classname = "top_nav" else window.event.srcElement.classname = "top_nav_on" end if else if window.event.srcElement.classname = "top_nav_on" then window.event.srcElement.classname = "top_nav" else window.event.srcElement.classname = "top_nav_on" end if end if end function Medical Head 2 Toe General Skin ... Symptom checker Links Find a buddy Sexuality Psychology Food as medicine ... Chest You are in: Medical Head 2 Toe Chest Heart murmurs In this article What are heart murmurs? Symptoms Causes Different types of heart murmurs ... Prevention What are heart murmurs? Heart murmurs are abnormal heart sounds. They are quite common and often are harmless, but they may be caused by irregular blood flow through defective heart valves.

71. Heart Sounds - Wikipedia, The Free Encyclopedia Murmurs are generated by turbulent flow of blood within the heart. Many cardiac conditions can cause heart murmurs. However, the murmurs produced often http://en.wikipedia.org/wiki/Heart_sounds

You did it! Over US$240,000 was donated in the 21 day fund drive. Thank you for your generosity! You are still welcome to make a donation or purchase Wikimedia merchandise Heart sounds From Wikipedia, the free encyclopedia. The heart sounds are the noises ( sound ) generated by the beating heart and the resultant flow of blood through it. In cardiac auscultation , an examiner uses a stethoscope to listen for these sounds, which include heart tones, or sounds , produced by heart valves closing, heart murmurs, and adventitious sounds , or clicks Heart sounds are usually divided into the normal heart sounds and the pathological sounds which indicate disease. The two distinct normal heart tones are often described as a lub and a dub (or dup ), and occur in sequence with each heart beat. Murmurs are generated by turbulent flow of blood within the heart. Stenosis , or impaired opening of a heart valve, causes turbulence as blood flows through it. Valve insufficiency , or regurgitation , allows backflow of blood when the valve is supposed to be closed. In these situations, murmurs will be heard in the corresponding part of each cardiac cycle Contents The normal heart sounds Heart murmurs Other abnormal sounds Cardiac conditions and related heart sounds ... edit The normal heart sounds The first heart tone, or

72. Heart Murmurs and produced by the UCLA School of Medicine, Los Angeles, it includes many live audio files of heart murmurs and breath sounds for educational use. http://omni.ac.uk/browse/mesh/D006337.html

low graphics Heart Murmurs broader: Heart Sounds Auscultation assistant This Web page was designed to help medical students learn about normal and abnormal heart sounds and to improve their diagnosis skills. Designed by a fourth year medical student at UCLA, and produced by the UCLA School of Medicine, Los Angeles, it includes many live audio files of heart murmurs and breath sounds for educational use. A computer is needed with a sound card and speakers to use this site. Teaching Materials Respiratory System Respiratory Sounds Respiration Disorders ... Audiovisual Aids Last modified: 02 Sep 2005

73. Children's Heart Institute | What Is A Heart Murmur? Learn about heart murmurs what they are, what they sound like. Click and listen to what a heart murmur sounds like. http://www.childrensheartinstitute.org/educate/murmur/murmur.htm

What is a Heart Murmur? Causes Innocent vs. Not-Innocent Physical Signs Common Questions ... Plan of Action What is a Heart Murmur A heart murmur is a swishing or a whistling sound that the doctor hears when he listens to your child's heart with a stethoscope. The heart beat normally makes two sounds: the first is Lub and the second is Dub , these two sounds follow each other ( Lub Dub ) and are not separated by any extra sounds. A heart murmur will be heard as a swishing or a whistling sound in addition to the normal Lub-Dub sound. The moving blood sounds like the running water in your garden hose. A heart murmur may indicate that there is a heart problem or may be due to normal blood flow. A heart murmur is not a diagnosis or disease, it is a sign to alert our attention to check if there is anything wrong. Most of the time heart murmurs are normal and do not indicate that there is anything wrong with the heart. However, sometimes they may result from a hole in the heart or a narrowed valve. A hole in the hose allows water to squirt out producing a whistling sound.

74. Dukehealth.org: Heart Murmurs Dukehealth.org is a comprehensive health information site showcasing Duke physicians and medical specialty services. http://www.dukehealth.org/HealthPortals/children/dr_clements/20040917115425955

var portalURL = "http://www.dukehealth.org"; Welcome to Dukehealth.org. Skip over navigation September 9, 2005 Early Detection of Melanoma Melanoma is the most serious form of skin cancer, causing 79 percent of all skin cancer deaths. More than 53,000 new melanomas will be diagnosed... Entire Site Duke Services Physicians Clinical Trials Cancer Portal Heart Portal Women's Portal Children's Portal Orthopedic Portal Health Features Health Library Newsroom view all Heart Murmurs Heart Murmurs: What’s behind the scary sounds Three-year-old Frederick has been a regular at my clinic since he was a baby, but when his mom brought him in with a 103-degree fever one day recently, something had changed: I heard a significant murmur when I listened to his chest. Where did that come from, I wondered. Parents tend to get pretty frightened when they hear any unexpected news involving their child’s heart, so I was careful to reassure Frederick’s mom that his heart murmur was probably nothing to worry about. Still, murmurs can be caused by lots of things, not all of them good—so I told her it would be best to have Frederick see a pediatric cardiologist as soon as possible. Fortunately, as is usually the case, Frederick’s heart checked out just fine. This month in “Your Child’s Health,” one of Duke’s very accomplished pediatric cardiologists, Dr. Angelo Milazzo, joins us to discuss heart murmursand what parents should know about this common childhood condition.

75. Heart Murmurs And Other Sounds Murmurs are blowing, whooshing, or rasping sounds produced by turbulent blood flow in or near the heart. Often, they are caused by turbulent blood flow http://www.lifespan.org/ADAM/English/HIE/003266.htm

Careers at Lifespan Volunteer your time Other ways to give Lifespan's A - Z Health Information Library Injury Disease Nutrition Poison ... Treatment Heart murmurs and other sounds Definition Murmurs are blowing, whooshing, or rasping sounds produced by turbulent blood flow in or near the heart. Often, they are caused by turbulent blood flow through the heart valves. Alternative Names Chest sounds - murmurs; Heart sounds - abnormal Considerations A doctor can evaluate heart sounds by listening with a stethoscope. They can be further evaluated with an echocardiogram to see what the exact cause of the murmur is. The heart has four chambers two upper chambers (called atria) and two lower chambers (ventricles). The heart has valves that temporarily close to permit blood flow in only one direction. The valves are located between the atria and ventricles, and between the ventricles and the major arteries from the heart. Normal heart sounds are called S1 and S2. They are the "lubb-dupp" sounds that are thought of as the heartbeat. These sounds are produced when the heart valves close. Because the heart is also divided into a "right side" and a "left side," sometimes these sounds may be somewhat divided most commonly noted is a "split S2," caused when the right and left ventricles contract at very slightly different times. This is normal, but occasionally the nature of the split can indicate an abnormality such as enlargement of one of the ventricles.

76. Heart Murmurs | Heart Center | Children's Hospital And Regional Medical Center Information about heart murmurs, the sounds heard when a health care provider listens to the heart using a stethoscope. The sounds are from blood as it http://heartcenter.seattlechildrens.org/conditions_treated/heart_murmurs.asp

@import "/assets/styles/main.css"; Skip Navigation Search: Heart Center Home About Us Our Services Conditions Treated ... A to Z Listing Shortcuts E-mail this Page Glossary Ways to Give Related Links Heart Center Team What does a heart murmer sound like? Aortic stenosis Pulmonary stenosis Ventricular septal defect Heart Murmurs What is it? Heart murmurs are the sounds (whooshing, rasping, blowing) heard when a health care provider listens to the heart through a stethoscope. The sounds are from blood as it moves through the heart chambers, arteries and blood vessels. The normal sounds heard are from valves closing. Valves control the blood flow between the ventricles (lower chambers where blood is pumped out) and atria (upper chambers where blood comes in). Most murmurs in children are normal or innocent. Only a small number of children with a murmur will have a problem with their heart. Murmurs in children may be caused by birth defects including patent ductus arteriosus atrial septal defect ventricular septal defect coarctation of the aorta or anomalous pulmonary venous return. Not all murmurs are signs of heart disease. Sometimes a murmur is heard in a child who has a fever or who is anemic (has blood that doesn't carry enough oxygen through the body), and the murmur goes away when the child is treated.

77. Heart Murmur - Children's Hospital Boston Systolic Murmur — A heart murmur that occurs during a heart muscle contraction. Not all heart murmurs are symptoms of heart disease. Sometimes a murmur http://www.childrenshospital.org/az/Site497/mainpageS497P0.html

or find by letter: A-F G-L M-R S-Z My Child Has... Home Heart Murmur Heart Murmur Programs that treat this condition or perform this procedure Adult Congenital Heart Service Cardiology Outpatient Services Cardiac Psychiatry Program What is a heart murmur? Murmurs are sounds made by blood circulating through the heart's chambers or valves, or through blood vessels near the heart. What causes a heart murmur? Heart murmurs may be caused by a number of factors or diseases, including the following: defective heart valves holes in the heart walls surgical repair of congenital (present at birth) heart defects fever anemia (a decrease in the red cells in the blood) What are the different types of murmurs? Your child's physician will evaluate a murmur based on several factors. Murmurs are analyzed for pitch, loudness and duration. They also are graded according to their intensity (on a scale of one to six, with one being very faint and six being very loud). Types of murmurs include the following: Murmurs related to a congenital (present at birth) heart defect or other problem involving the heart structures will be heard the loudest in the area of the chest where the problem occurs.

78. Continuity Clinic Notebook: Heart Murmurs: When To Refer heart murmurs When to Refer. Introduction It is frequently difficult to decide when to get a consultation from a pediatric cardiologist. http://www.mcg.edu/pediatrics/CCNotebook/chapter2/heartmurmurs.htm

Medical College of Georgia Department of Pediatrics A-Z Index MCG Home Continuity Clinic Notebook: Chapter II. The Evaluation of the Sick Child Chapter 2 Index A. Evaluation by system: 1. General 2. HEENT 3. Cardiopulmonary Heart Murmurs: When to Refer Introduction: It is frequently difficult to decide when to get a consultation from a pediatric cardiologist. Depending on the confidence of the physician, some practicing pediatricians refer all murmurs while others refer only a few children. In residency it is important to become proficient in evaluating murmurs so that you can be fairly confident of what to do. Clearcut Indications for Referral to the Pediatric Cardiologist: Any child with signs of heart failure, cyanosis, tachypnea, significant murmurs, questionable PEs in the nursery. All children with Down syndrome, chromosomal abnormalities, multiple anomalies. Any child in whom you diagnose an arrhythmia, Kawasaki, collagen vascular disease (r/o myocarditis or pericarditis). Any child with a persistent murmur that sounds organic.

79. Heart Murmurs heart murmurs are extra noises heard with each heartbeat. Some murmurs occur even though the heart and blood vessels are completely normal. http://www.pediheart.org/parents/tests/murmurs.htm

Home Kidzone Parents Members ... Up Innocent Heart Murmurs of Childhood What is an innocent heart murmur? Heart murmurs are extra noises heard with each heartbeat. Some murmurs occur even though the heart and blood vessels are completely normal. These murmurs are called innocent murmurs. There are several different types of innocent murmurs that occur in childhood. Some occur when the child is very young, and others are heard later in childhood. What causes innocent heart murmurs? The heartbeat has two distinct sounds that you can hear with a stethoscope. These two thumping sounds are the sounds of the heart valves closing. A heart murmur is heard in between these two normal valve sounds. The murmur sound is caused by blood flowing turbulently through the heart, like the sound of a stream flowing into a whitewater pool. A murmur can occur in several different parts of the heart and blood vessels even though the heart is completely normal. Are innocent murmurs common? Innocent murmurs occur in about half of all children at some time during childhood. How are innocent murmurs diagnosed?

80. Suggested Management Of Incidental Heart Murmurs Suggested management of incidental heart murmurs. Protocol for patients found to have a murmur prior to elective surgery http://www.ich.ucl.ac.uk/clinserv/anaesthetics/professionals/13incidental.html

Anaesthesia Homepage Information for Families Information for Kids Information for Professionals ... Children Nationwide Pain Research Centre Information for Professionals Suggested management of incidental heart murmurs Protocol for patients found to have a murmur prior to elective surgery The vast majority of children found to have a murmur pre-operatively have an innocent murmur. These innocent murmurs are characterised by being soft, early systolic murmurs with no thrill or abnormal cardiac impulses and are not associated with cardiac signs or symptoms. If a child is found to have a murmur prior to elective surgery a history and cardiac examination should be performed and an ECG done. In the presence of a murmur an echocardiogram and cardiac opinion is indicated prior to surgery if: The child is younger than a year The murmur fits pathological criteria There are cardiac signs or symptoms Evidence of LVH or RVH (see following tables) Criteria for pathological murmurs All diastolic murmurs All pansystolic Late systolic Very loud murmurs Continuous murmurs (other than a venous hum) Associated with cardiac signs or symptoms Diagnostic Tables (Davignan et al, 1979)

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