CVS - Innocent Murmurs

Question 1

What is an Innocent Murmur?

Answer 1

Flow murmur, common in kids.

Question 2

Aetiology of Innocent Murmurs.

Answer 2

Fast blood flow through various areas of heart during systole.

Question 3

Clinical Features of Innocent Murmurs (5).

Answer 3

5Ss :

1. Soft.
2. Short.
3. Systolic.
4. Symptom-Free.
5. Situation-Dependent.
6. Can get quieter with standing or can appear only when child is unwell or feverish.

Question 4

Investigation of Innocent Murmurs.

Answer 4

Clear innocent murmurs with no concerning features may not require any investigations.

Question 5

Differential Diagnosis of Pan-Systolic Murmurs (4).

Answer 5

1. MR.
2. TR.
3. VSD.
4. TGA.

Question 6

Differential Diagnoses of Ejection-Systolic Murmurs (3).

Answer 6

1. AS.
2. PS (Fallot’s Tetralogy as well).
3. HOCM (loudest over Tricuspid Area).