Pediatric heart murmurs: evaluation and management in primary care.
نویسنده
چکیده
The ability of the NP to discern pediatric heart murmurs is critical for accurate assessment of etiology, appropriate diagnostic testing, and prudent referral when indicated. This review includes an overview of cardiac assessment, distinguishing features of innocent and pathologic murmurs, differential diagnosis of murmurs, and current referral recommendations.
منابع مشابه
Recognizing normal heart murmurs: a logic-based mnemonic.
A logic-based mnemonic for the auscultory diagnosis of nonpathologic murmurs, which I developed for teaching medical students and house staff, is presented with the hope of improving the auscultatory skills of primary care pediatric practitioners. The objective is positive identification of nonpathologic murmurs rather than diagnosis by exclusion. The auscultatory features of these murmurs are ...
متن کاملPediatric cardiology update: Office-based practice of pediatric cardiology for the primary care provider.
I n the following article, selected topics are presented to provide an update on the practice of pediatric cardiology from the perspective of the primary care provider and outpatient-based subspecialist. The approach to the evaluation of very common presenting signs and symptoms are reviewed, including heart murmurs, chest pain, and palpitations. The role of the primary care provider in screeni...
متن کاملThe physiology of cardiac auscultation.
Cardiac auscultation remains a critical component of the pediatric examination and is the primary method of diagnosis for the common innocent murmurs of childhood. This article outlines the significance of auscultation and defines the skills important for the diagnosis and recognition of common cardiac murmurs in childhood. The origin of heart sounds and murmurs is reviewed, and an approach to ...
متن کاملPrevalence and Etiology of Heart Murmurs in 2-24-Months-Old Infants Kerman, Iran
Background & aim: Congenital heart disease is one of the most common malformations at birth that require timely recognition and treatment. The aim of this study was to determine the prevalence and etiology of detected heart murmurs and association between congenital heart disease and heart murmurs. Recognition of murmurs etiology would help us to manage and treat them properly. Methods: In this...
متن کاملThe cardiac murmur. When to refer?
This review article outlines the significance and defines the skills important for the diagnosis and recognition of common innocent cardiac murmurs in childhood. The origin of heart sounds and murmurs is reviewed, and an approach to pediatric murmur evaluation is presented. The seven innocent murmurs of childhood and adolescence are reviewed in detail. Further diagnostic evaluation and referral...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- The Nurse practitioner
دوره 36 3 شماره
صفحات -
تاریخ انتشار 2011