Key result
A detailed medical history and thorough physical examination are crucial for distinguishing innocent from pathologic cardiac murmurs in children, without the routine need for ECG or chest X-ray.
Why the study?
Distinguishing between innocent and pathologic cardiac murmurs in children is challenging, with timely diagnosis critical to limit morbidity and avoid unnecessary referrals.
Population
Children with cardiac murmurs
Design
Review
Authors
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Reinforces clinical assessment to minimize testing in pediatric murmurs; leaves open prospective validation of referral criteria.
A detailed medical history and thorough physical examination are the most important tools for primary care physicians to distinguish innocent from pathologic cardiac murmurs in children, avoiding unnecessary referrals and anxiety.
Kostopoulou et al. (2019) conducted a review in Cardiac murmurs in children. A detailed medical history and thorough physical examination are crucial for distinguishing innocent from pathologic cardiac murmurs in children, without the routine need for ECG or chest X-ray.
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