Murmurs: Do you hear what I hear? When does it matter?. Nikhil K Chanani MD. Audience Poll. You are examining a 5 day old and find either: A) a 2/6 systolic murmur in an otherwise asymptomatic child B) a saturation of 89% in an otherwise asymptomatic child with no murmurs
* Emslie et al, Examination for cardiac malformations at six weeks of age. Arch. Dis. Child Fetal Neonatal ed. 1999; 80: F46.
A cardiac murmur is the sound of turbulent blood flow. A murmur does not necessarily indicate heart disease.
apex in mitral stenosis
Sound created by turbulant
bloodflow through heart and
The following is a list of innocent murmurs and their characteristics in children and adolescents:
For any of the following pathologic murmurs, referral to a pediatric cardiologist is indicated:
(fixed vs. relative)
“Listen in all areas for heart murmurs.
First in systole and then in diastole. Concentrate on dissection.
After much practice, this should become automatic.”
From “Listening to Heart Murmurs in Infants and Children”
by Jerome Liebman, MD