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  • abnormal
  • However, this examination must be performed on any child who has a heart murmur or historical features that indicate the presence of heart disease or abnormal cardiac function. (aafp.org)
  • Innocent Murmurs
  • Nonetheless, 61 percent of the murmurs referred for subspecialist evaluation were found to be functional, or innocent, murmurs. (aafp.org)
  • The investigators hypothesized that increased education of health care providers and parents might be helpful in alleviating unnecessary anxiety and reducing the number of patients with innocent murmurs who are referred for further evaluation. (aafp.org)
  • Pediatric cardiology consultation was significantly less costly in that many innocent murmurs were diagnosed without echocardiography. (aafp.org)
  • The focus is on helping physicians become even more confident about their ability to diagnose innocent murmurs and to decide which patients might benefit from pediatric cardiology referral. (aafp.org)
  • pathologic
  • Characteristics of pathologic murmurs include a sound level of grade 3 or louder, a diastolic murmur or an increase in intensity when the patient is standing. (aafp.org)
  • One set of investigators 2 found that physicians were generally accurate in determining whether a murmur was benign or pathologic. (aafp.org)
  • Busy clinicians need an approach that allows them to appropriately identify and refer patients with pathologic murmurs to a pediatric cardiologist. (aafp.org)
  • findings
  • An atrial septal defect is often confused with a functional murmur, but the conditions can usually be differentiated based on specific physical findings. (aafp.org)