Üfürümlü çocuğa yaklaşım

Eroğlu, Ayşe Güler
June 2009
Turkish Pediatrics Archive / Turk Pediatri Arsivi;jun2009, Vol. 44 Issue 2, p48
Academic Journal
Heart murmur is a common finding in children. Fortunately, most of these murmurs are innocent murmurs. Innocent murmurs can be detected in 70-85% of healthy children. In contrast, the incidence of congenital heart disease is 0.8% and acquired heart disease is rare in children. Therefore, distinguishing innocent from pathologic murmur is a frequent and an important task for the physician. Heart murmurs of children can usually be diagnosed through a careful history and physical examination. If an abnormality is detected; electrocardiogram, telecardiogram and echocardigram should be ordered to diagnose the cause of the murmur. In this report, the features of murmurs, innocent murmurs, how to evalute a murmur, use of laboratory studies in diagnosis and management of a child with a murmur were reviewed.


Related Articles

  • Heart disease and defects can affect children, too. Raines, Karen H. // Charlotte Post;3/1/2012, Vol. 37 Issue 25, p1B 

    The article discusses the basics of congenital heart defects on children. It defines congenital as present at birth, with 1 out of every 100 children has some type of defect. It differentiates between congenital heart disease and heart disease in older adults. Also discussed are how a heart...

  • Sequential heart murmurs in a 43-year-old man with congenital heart disease. Glancy, D. Luke; Wilkiow, Frank E.; Devarapalli, Sai K.; Subramaniam, Pramilla N.; Moustoukas, Nick M.; Kukuy, Eugene // Baylor University Medical Center Proceedings;Oct2007, Vol. 20 Issue 4, p406 

    The article presents the case of a 43-year-old male patient, with congenital heart disease, who was noted to have sequential heart murmurs. Electrocardiogram showed enlargement in the left ventricle of the patient's heart, which lead to the diagnosis of ventricular septal defect. Moreover,...

  • EGG CHALLENGE. Larson, Lyle W. // Clinician Reviews;Sep2012, Vol. 22 Issue 9, p4 

    The article discusses the electrocardiography (ECG) results of a 50-year-old man who has a history of the congenital heart defect tetralogy of Fallot and has underwent surgical correction at age four. It provides information on the results of his cardiac work-up, cardiac magnetic resonance...

  • The electrocardiogram as an adjunct in diagnosing congenital coronary arterial anomalies. Cohen, Mitchell; Berger, Stuart // Cardiology in the Young;Dec2010 Supplement 3, Vol. 20 Issue S3, p59 

    Congenital coronary arterial abnormalities as isolated lesions are exceedingly rare. The electrocardiogram, while a reasonable adjunct in the diagnosis of coronary arterial abnormalities, should not supplant a good history and physical examination. Careful attention must be devoted to any signs...

  • Nadel im Heuhaufen -- potentiell gefährliche Synkopen bei Kindern. Pfammatter, J.-P. // Praxis (16618157);12/7/2011, Vol. 100 Issue 24, p1487 

    Syncope is a frequently observed symptom in pediatrics with teenagers being the age group most often affected. In contrast to older age, organic cardiac causes of syncope in childhood are observed in a minority of only 2-5% of cases, in their majority pediatric syncopes thus are neurocardiogenic...

  • The Fate of Children with Microdeletion 22q11.2 Syndrome and Congenital Heart Defect: Clinical Course and Cardiac Outcome. Kyburz, A.; Bauersfeld, U.; Schinzel, A.; Riegel, M.; Hug, M.; Tomaske, M.; Büchel, E. R. Valsangiacomo // Pediatric Cardiology;Jan2008, Vol. 29 Issue 1, p76 

    This study aimed to evaluate the cardiac outcome for children with microdeletion 22q11.2 and congenital heart defect (CHD). A total of 49 consecutive children with 22q11.2 and CHD were retrospectively identified. The CHD consisted of tetralogy of Fallot and variances ( n = 22), interrupted...

  • The cardiac examination and the cardiac murmurs. Çetinkaya, Semra // Anatolian Journal of Cardiology / Anadolu Kardiyoloji Dergisi;Feb2009, Vol. 9 Issue 1, p35 

    The article presents the author's comments on the terminology used in the evaluation of cardiac murmurs. The author relates that pathology is inconsistent because the ability of cardiac examination to assess the cause of murmur is limited and it needs further tests. The author pertains that the...

  • Prevention of non-communicable disease in a population in nutrition transition: Tehran Lipid and Glucose Study phase II. Azizi, Fereidoun; Ghanbarian, Arash; Momenan, Amir Abbas; Hadaegh, Farzad; Mirmiran, Parvin; Hedayati, Mehdi; Mehrabi, Yadollah // Trials;2009, Vol. 10, p1 

    Background: The Tehran Lipid and Glucose Study (TLGS) is a long term integrated community-based program for prevention of non-communicable disorders (NCD) by development of a healthy lifestyle and reduction of NCD risk factors. The study begun in 1999, is ongoing, to be continued for at least 20...

  • Biomarkers in Acute Coronary Syndrome. Loria, Valentina; Leo, Milena; Biasillo, Gina; Dato, Ilaria; Biasucci, Luigi M. // Biomarker Insights;2008, Issue 3, p453 

    Background: Evaluation of patients who present to the hospital with acute undifferentiated chest pain or other symptoms and signs suggestive of Acute Coronary Syndrome (ACS) is often a clinical challenge. The initial assessment, requiring a focused history (including risk factors analysis), a...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics