Investigation of pediatric innocent murmur with echocardiography.

Autor: TUFAN PEKKÜÇÜKSEN, Naile, TAŞ, Tuğba, TÜRKAY, Sadi
Předmět:
Zdroj: Journal of Experimental & Clinical Medicine / Deneysel ve Klinik Tip Dergisi; Oct2022, Vol. 39 Issue 4, p1022-1026, 5p
Abstrakt: Innocent murmurs are common in childhood. Usually, they are heard without any structural and physiological abnormalities. The murmur is usually weak and short. But even if it is thought to be innocent, echocardiography (ECHO) is occasionally requested by primary doctor or families. The aim of this study is evaluation of childhood innocent murmur with ECHO and possible minor findings with normal clinical status. This is a descriptive - retrospective chart review. We reviewed the charts of children and adolescents who were referred with asymptomatic murmur to Pediatric cardiology clinic at Fatih University Hospital between 01/2010 - 12/2011. Any type of congenital/acquired cardiac diseases are excluded. We only included first to third degrees of murmurs. All participants are analyzed based on demographic, clinical, and ECHO finding data. It was reviewed 610 charts, 82% (495) of the chart were included to study. 209 (42.2%) of cases were female. Minimal Tricuspid valve regurgitation (TVR) was seen in 200 children (40.4%) and minimal TVR+ physiological Mitral valve regurgitation (MVR) was seen in 65 children (11.6%). Patent foramen ovale (PFO) was seen in 306 children (54,8%). Left ventricular (LV) muscular band (false tendon) was seen in 171 children (30,6%). Minimal TVR + physiological MVR+ LV muscular band (false tendon) was seen in 26 children (4,7%), trivial arteria valve regurgitation (AVR) was seen in 7 children (1,4%), and minimal TVR + minimal pulmonary regurgitation (PR) was seen in 11 cases (2%). ECHO evaluation is common to use to rule out pathological murmur. Included cases exhibited some cardiac findings but none of those cause any shown cardiac dysfunction in near future. We advise innocent murmur group to be followed by primary physician unless they have any cardiac symptoms. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index