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- W2134112832 abstract "This article provides a framework for the general assessment and evaluation of pediatric patients recognized to have cardiac murmurs. Cardiac murmurs are a common finding in children and represent the most frequent reason for referral to a cardiology subspecialist. The majority of these patients can be adequately evaluated clinically, yet increasingly more extensive studies are being used in this assessment. The reasons for this pattern of practice are many, including reduced confidence in auscultatory skills, increased availability of diagnostic technology, the increasingly competitive nature of pediatric practice, and increased medicolegal concerns. The only definitive mechanism of diagnosing an innocent murmur is by physical examination. In the majority of patients with a cardiac murmur, a careful history and physical examination should serve to guide further referral and directed evaluation. An inappropriate echocardiographic assessment may rule out significant structural cardiac anomalies but does not provide parents an explanation for the cause of the cardiac murmur. This has resulted in unresolved patient and parental anxiety and inappropriate limitation from sports involvement or inappropriate use of antibiotic prophylaxis. Potentially problematic are adult echocardiographic laboratories unskilled in the evaluation of congenital cardiac anomalies. These laboratories may perform unsedated and inadequate evaluations that may provide a false impression of the absence of a significant cardiac anomaly." @default.
- W2134112832 created "2016-06-24" @default.
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- W2134112832 date "1999-04-01" @default.
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- W2134112832 title "EVALUATION OF THE PEDIATRIC PATIENT WITH A CARDIAC MURMUR" @default.
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- W2134112832 doi "https://doi.org/10.1016/s0031-3955(05)70111-5" @default.
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