Heart Murmurs

Question 1

What are indicators of serious significant murmurs?

Answer 1

Age less than 12 months
Other congenital abnormalities
Symptoms of cardiac dysfunction eg cyanosis, dyspnoea
Wide or fixed splitting of second heart sound (ASD or VSD)

Question 2

What are indicators of innocent murmurs?

Answer 2

Mid systolic
Heard between left sternal edge and apex
Soft
Quieter sitting up

Question 3

True or false: at least 50% of children and infants will be found to have a systolic murmur on routine examination, especially in the presence of a fever

Answer 3

True