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Heart Murmur

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2. Auscultation While Standing May Help Exclude a Pathologic Heart Murmur in Children.

Auscultation While Standing May Help Exclude a Pathologic Heart Murmur in Children. Auscultation While Standing May Help Exclude a Pathologic Heart Murmur in Children. – Less Is More Search for: Simpler & Better Medicine Menu / Summary: For children (between ages 2 and 18 years old) with a heart murmur detected on seated physical exam, complete disappearance of the murmur on standing may be more highly predictive that the murmur is benign and that additional testing is not needed than other (...) traditionally-taught clinical features used to distinguish physiologic from pathologic murmurs. Strength of Recommendation = C Advertisements Like this: Like Loading... Categories: Tags: , Post navigation Simpler, Better Medicine Indexing evidence for "less medical” approaches with better outcomes. Recent entries Search by key words Search for: Search By Strength of Recommendation (SOR) (42) (244) (27) Search by clinical category For regular updates, follow "Less-Is-More" by Email, RSS, or on Wordpress

2017 Less Is More Blog

3. Acute heart failure with new-onset continuous murmur in a 26-year-old man. (PubMed)

Acute heart failure with new-onset continuous murmur in a 26-year-old man. 29326113 2018 12 11 2018 12 11 1468-201X 104 7 2018 04 Heart (British Cardiac Society) Heart Acute heart failure with new-onset continuous murmur in a 26-year-old man. 593 10.1136/heartjnl-2017-312506 Wang Yi-Chen YC Division of Cardiovascular Surgery, Department of Surgery, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan. Huang Chen-Wei CW Division (...) diagnosis Aortic Rupture complications diagnosis Aortic Valve Insufficiency diagnosis etiology Diagnosis, Differential Echocardiography, Transesophageal methods Electrocardiography methods Heart Auscultation methods Heart Murmurs diagnosis etiology Humans Male Sinus of Valsalva abnormalities diagnostic imaging congenital heart disease echocardiography Competing interests: None declared. 2017 10 09 2017 11 23 2017 12 06 2018 1 13 6 0 2018 12 12 6 0 2018 1 13 6 0 ppublish 29326113 heartjnl-2017-312506

2018 Heart

4. A Rare Presentation of Anterior Mediastinal Teratoma Mimicking Valvular Heart Disease with A Systolic Murmur (PubMed)

A Rare Presentation of Anterior Mediastinal Teratoma Mimicking Valvular Heart Disease with A Systolic Murmur Extrinsic pulmonary artery stenosis caused by anterior mediastinum teratoma presenting with an ejection systolic murmur is a rare phenomenon. Till date, 15 cases have been reported (inclusive of this case) in the English literatures. Herein we report a 20 year old female with extrinsic pulmonary artery stenosis because of compression by an anterior mediastinal teratoma with a loud (...) ejection systolic murmur. The case report aims to highlight the awareness of such rare presentation of anterior mediastinal teratomas that may mimic congenital valvular heart diseases among clinicians.

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2018 The Eurasian journal of medicine

5. Murmur clinic: validation of a new model for detecting heart valve disease. (PubMed)

Murmur clinic: validation of a new model for detecting heart valve disease. We aimed to determine if auscultation or a point-of-care scan could reduce the need for standard echocardiography (transthoracic echocardiogram (TTE)) in community patients with asymptomatic murmurs.Requests from general practitioners were directed to a new murmur clinic. Auscultation and a point-of-care scan were performed by a cardiologist between 1 October 2013 and 31 December 2014 and by a scientist between 21 July (...) to 0.175) and the specificity was 100% for both. Accuracy was 97% for the cardiologist and 95% for the scientist. For the point-of-care scan, the sensitivity, specificity, positive and negative predictive values and accuracy were 100% for both cardiologist and scientist.Most patients in a specialist murmur clinic had normal auscultation and point-of-care scans and no additional valve disease was detected by standard echocardiography. This suggests that a murmur clinic is a valid model for reducing

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2018 Heart

6. Artificial Intelligence-Assisted Auscultation of Heart Murmurs: Validation by Virtual Clinical Trial. (PubMed)

Artificial Intelligence-Assisted Auscultation of Heart Murmurs: Validation by Virtual Clinical Trial. Artificial intelligence (AI) has potential to improve the accuracy of screening for valvular and congenital heart disease by auscultation. However, despite recent advances in signal processing and classification algorithms focused on heart sounds, clinical acceptance of this technology has been limited, in part due to lack of objective performance data. We hypothesized that a heart murmur (...) detection algorithm could be quantitatively and objectively evaluated by virtual clinical trial. All cases from the Johns Hopkins Cardiac Auscultatory Recording Database (CARD) with either a pathologic murmur, an innocent murmur or no murmur were selected. The test algorithm, developed independently of CARD, analyzed each recording using an automated batch processing protocol. 3180 heart sound recordings from 603 outpatient visits were selected from CARD. Algorithm estimation of heart rate was similar

2018 Pediatric Cardiology

7. Rytand’s murmur in heart block

Rytand’s murmur in heart block Rytand’s murmur in heart block – All About Cardiovascular System and Disorders Now Trending: | October 23, 2017 | | Rytand murmur in heart block Rytand murmur ( Representative image ) Rytand murmur in heart block David A Rytand [1] described a diastolic murmur in elderly patients with varying degrees of heart block, which was later known as Rytand’s murmur. Of the total 9 cases reported by him, 4 had calcification of mitral annulus, but without significant (...) murmurs were recorded in a diastole, in a patient with complete heart block. Similar diastolic murmur was described in congenital complete atrioventricular block by Paul MH et al [2]. References Rytand DS. An auricular diastolic murmur with heart block in elderly patients. Am. Heart J. 32: 579, 1946. Paul MH, Rudolph AM, Nadas AS. Congenital complete atrioventricular block: problems of clinical assessment. Circulation. 1958 Aug;18(2):183-90. Share this: Related Related Posts | Oct 24, 2008 | Apr 22

2017 Cardiophile MD blog

8. A simple test to rule out pathologic heart murmurs in kids

A simple test to rule out pathologic heart murmurs in kids The AFP Community Blog: A simple test to rule out pathologic heart murmurs in kids | Monday, December 4, 2017 - Kenny Lin, MD, MPH It happens all the time to family physicians at well-child visits: we listen to the heart, hear a murmur that wasn't documented as being there before, and wonder if it's necessary to obtain an echocardiogram and/or refer the child to a cardiologist. A in American Family Physician by Drs. Jennifer Frank (...) and Kathryn Jacobe listed several "red flags" that make a more likely: - Holosystolic or diastolic murmur - Grade 3 or higher murmur - Harsh quality - Abnormal S2 - Maximum murmur intensity at the upper left sternal border - A systolic click - Increased intensity when the patient stands The authors also recommended referral to a pediatric cardiologist if suggest structural heart disease, if are present, or if the family physician is unable to identify a specific . Even though innocent murmurs share , some

2017 The AFP Community Blog

9. Auscultation While Standing: A Basic and Reliable Method to Rule Out a Pathologic Heart Murmur in Children (PubMed)

Auscultation While Standing: A Basic and Reliable Method to Rule Out a Pathologic Heart Murmur in Children The distinction between physiologic (innocent) and pathologic (organic) heart murmurs is not always easy in routine practice, leading too often to unnecessary cardiology referrals and expensive investigations. We aimed to test the hypothesis that the complete disappearance of murmur on standing can exclude cardiac disease in children.From January 2014 to January 2015, we prospectively (...) included 194 consecutive children aged 2 to 18 years who were referred for heart murmur evaluation to pediatric cardiologists at 2 French medical centers. Heart murmur characteristics while supine and then while standing were recorded, and an echo-cardiogram was performed.Overall, 30 (15%) of the 194 children had a pathologic heart murmur as determined by an abnormal echocardiogram. Among the 100 children (51%) who had a murmur that was present while they were supine but completely disappeared when

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2017 Annals of family medicine

10. Benign heart murmurs as a predictor for complications following total joint arthroplasty (PubMed)

Benign heart murmurs as a predictor for complications following total joint arthroplasty There is scant literature examining the predictive role of heart murmurs in the absence of suspected structural heart disease on complications of non-cardiac surgery. We hypothesize the detection of heart murmurs in the absence of structural heart disease will help identify patients at risk for complications following total joint arthroplasty (TJA) surgery.This was a prospective cohort of patients (...) were measured in each group.345 (63%) eligible patients were included. 20 (5.8%) patients had a documented preoperative murmur and 36 (10.4%) patients had a new postoperative murmur. No patient had concern for major structural heart disease. Preoperative murmurs independently predicted development of acute kidney injury (OR 7.729, p < 0.001; RR 1.36). Preoperative murmurs also predicted likelihood to be discharged to a non-home facility (OR 2.97, p = 0.03; RR 1.87). New postoperative murmurs

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2017 Journal of orthopaedics

11. Accidental Heart Murmurs (PubMed)

Accidental Heart Murmurs Accidental murmurs occur in anatomically and physiologically normal heart. Accidental (innocent) murmurs have their own clearly defined clinical characteristics (asymptomatic, they require minimal follow-up care).To point out the significance of auscultation of the heart in the differentiation of heart murmurs and show clinical characteristics of accidental heart murmurs.Article presents review of literature which deals with the issue of accidental heart murmurs (...) in the pediatric cardiology.In the group of accidental murmurs we include classic vibratory parasternal-precordial Stills murmur, pulmonary ejection murmur, the systolic murmur of pulmonary flow in neonates, venous hum, carotid bruit, Potaine murmur, benign cephalic murmur and mammary souffle.Accidental heart murmurs are revealed by auscultation in over 50% of children and youth, with a peak occurrence between 3-6 years or 8-12 years of life. Reducing the frequency of murmurs in the later period can be related

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2017 Medical Archives

12. Mitral Regurgitation in Dachshund Dogs without Heart Murmurs (PubMed)

Mitral Regurgitation in Dachshund Dogs without Heart Murmurs Older small breed dogs are considered at risk for heart failure secondary to chronic mitral valve disease. However, few data are available on the onset of this disease in such dogs. This study was performed to determine if auscultation alone can be used to eliminate clinically relevant mitral valve regurgitation seen in echocardiography in Dachshund dogs.Clinical and echocardiographic data were obtained from 107 dogs without heart (...) murmurs.The study revealed that 63.6% of the dogs had mitral regurgitation. Numbers increased with age and a larger percentage of male Dachshunds were affected than female Dachshunds. Mitral valve prolapse and thickening were mild, and the regurgitant area inextensive in most dogs.The study shows that mitral valve regurgitation is prevalent (63.6%) in Dachshunds without heart murmurs. Typical lesions often become apparent during echocardiographic examinations in dogs under 5 years of age.

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2017 Journal of Veterinary Research

13. A 43-Year-Old Man With Daytime Sleepiness and a Heart Murmur. (PubMed)

A 43-Year-Old Man With Daytime Sleepiness and a Heart Murmur. A 43-year-old man was referred to our tertiary sleep center for the initiation of sleep apnea treatment. A prior diagnostic overnight polysomnography (Fig 1) had revealed an apnea-hypopnea index (AHI) of 22/h of sleep. The apneas were predominantly central (central AHI, 18.2/h; obstructive AHI, 3.8/h), more pronounced in the supine position (AHI supine, 36.6/h; AHI nonsupine, 11/h) and during non-rapid eye movement (non-REM) sleep (...) cardiopulmonary disease. He was not taking any medication but had noticed a slow decline in general physical performance in the last year, with dyspnea (New York Heart Association class I) after running distances of 1 to 2 km. He had never experienced syncope. His family history was unremarkable.Copyright © 2016 American College of Chest Physicians. Published by Elsevier Inc. All rights reserved.

2016 Chest

14. Chest Pain, Heart Murmur, and Changing Electrocardiograms. (PubMed)

Chest Pain, Heart Murmur, and Changing Electrocardiograms. Physical examination, electrocardiograms, and an echo-Doppler study document multiple consequences of a right coronary arterial occlusion. Copyright © 2016 Elsevier Inc. All rights reserved.

2016 American Journal of Cardiology

15. Evaluation of Diagnostic Methods in the Differentiation of Heart Murmurs in Children (PubMed)

Evaluation of Diagnostic Methods in the Differentiation of Heart Murmurs in Children The most common clinical sign in pediatric cardiology is a heart murmur (organic and inorganic). Organic are sign of heart disease, while inorganic (basically divided into accidental and functional) murmurs occur on anatomically healthy heart.To determine the justification of the application of the methods of cardiac treatment.Study included 116 children aged from 1 to 15 years, who were referred due to cardiac (...) treatment to Pediatric Clinic, of Sarajevo University Clinical Center.The first group consisted of children with innocent heart murmur, 97 (53 males). The second group consisted of patients with organic murmur, 19 (13 males). The average age of the first group was 7.69 (1.01-15.01) years old, and of the second group 3.15 (1.01- 8.06) years old, and there is a significant difference between these two groups (p <0.001). Medical history questions about potentially harmful habits of mother in pregnancy

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2016 Acta Informatica Medica

16. Heart Murmur

Heart Murmur Heart Murmur Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Heart Murmur Heart Murmur Aka: Heart Murmur , Heart Murmur (...) absent Exam (BP, pulse, auscultation) otherwise normal Normal physiologic split S2 without gallup or click Pathologic murmur findings Murmur characteristics Timing: Diastolic, mid-late systolic, holosystolic Loud murmur (Grade 3 or greater) Murmur exacerbated by Murmur radiates to or axilla Associated findings present Arrhythmia present Symptoms: , , , abnormal Arterial pulsation abnormal Wide (rapidly rising, bounding) Weak, slow rising pulse Other abnormal precordial exam Other heart sounds (e.g

2018 FP Notebook

17. Asymptomatic young man with an incidental murmur. (PubMed)

Asymptomatic young man with an incidental murmur. A 32-year old man was referred to our institution for transthoracic echocardiography (TTE) following detection of an incidental murmur on physical examination before blood donation. He was asymptomatic with no significant medical history. Physical examination revealed dual heart sounds with a grade II/VI systolic murmur heard in the left sternal border. An ECG was in normal sinus rhythm. TTE was performed (figure 1A-C, online supplementary

2018 Heart

18. Left ventricle pseudoaneurysm: Diagnosis by a new murmur (PubMed)

Left ventricle pseudoaneurysm: Diagnosis by a new murmur Incomplete rupture of the ventricle free wall can occur after myocardial infarction. This occurs when an organized thrombus and the pericardium seal the ventricular perforation. This can progress to the formation of a left ventricle pseudoaneurysm (LVPA). A 70-year-old male with an antero-septal ST-elevation myocardial infarction (STEMI) underwent an emergent left heart catheterization which revealed severe three-vessel disease (...) with occluded grafts, non-amenable to re-vascularization, and an apical thrombus. As he was high-risk for repeat coronary artery bypass graft, he was medically managed. Transthoracic echocardiogram (TTE) showed a normal left ventricle ejection fraction (LVEF), apical anterior and inferior wall akinesis, moderate sized apical thrombus, and pericardial thickening. On hospital day 7, examination revealed a new 3/6 to-and-fro murmur that was loudest at the apex. The patient was asymptomatic with normal vital

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2018 Journal of cardiology cases

19. Murmur Associated with Diastolic Paradoxical Jet Flow in a 43-Year-Old Man with Hypertrophic Cardiomyopathy (PubMed)

flow, in whom cardiac auscultation revealed a soft S4, a systolic ejection murmur, and a low-pitched early diastolic murmur immediately after S2 at the apex. On comparing his echocardiographic findings with those on phonocardiograms and apexcardiograms, we confirmed that the unusual murmur coincided with the diastolic jet flow. To our knowledge, this is the first case in which heart murmurs associated with a diastolic paradoxical jet flow have been clearly described. Because these flows can (...) Murmur Associated with Diastolic Paradoxical Jet Flow in a 43-Year-Old Man with Hypertrophic Cardiomyopathy A diastolic paradoxical jet flow, often seen in patients with hypertrophic cardiomyopathy, is a unique flow from the apex toward the base of the left ventricle during isovolumic relaxation. To date, this phenomenon appears to have been noninvasively detected only on echocardiograms. We report the case of a 43-year-old man with hypertrophic cardiomyopathy and a diastolic paradoxical jet

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2018 Texas Heart Institute Journal

20. The Disappearing Murmur: Systolic Anterior Motion of the Mitral Valve Leaflet in a Non-hypertrophic Cardiomyopathy Patient (PubMed)

echocardiogram (ECG) findings. Left heart catheterization with coronary angiography was negative for coronary artery disease. His initial examination was significant for a systolic murmur due to the underlying SAM, as demonstrated by transthoracic echocardiogram. During his hospitalization, he developed acute heart failure syndrome as a result of dynamic outflow tract obstruction. He was treated with fluid resuscitation with a resolution of his hemodynamic compromise. On a follow-up examination (...) The Disappearing Murmur: Systolic Anterior Motion of the Mitral Valve Leaflet in a Non-hypertrophic Cardiomyopathy Patient Systolic anterior motion (SAM) of the mitral valve is a well-known phenomenon associated with left ventricular outflow tract obstruction and hemodynamic compromise. This finding may occur in patients with or without hypertrophic cardiomyopathy. In this report, a patient with no prior medical history presented to the hospital with left-sided chest pain and high-risk

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2018 Cureus

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