41. Pediatric Heart Sounds And Murmurs From a medical point of view covers topics such as taking of patient history, the examination, auscultation, and innocent murmurs. http://gucfm.georgetown.edu/welchjj/netscut/cardiology/heartsounds.html

Pediatric Heart Sounds and Murmurs Workup of Murmur History Pregnancy Infection: rubella during the first trimester, also CMV, herpes, coxsackievirus B Drugs: medicals, alcohol, smoking Illness: IDM (associated with transposition of the great arteries), maternal SLE, maternal cardiac disease Genetic: Marfan, Holt-Oram, Downs (Trisomy 21), Turner Syndromes Prematurity: associated with PDAs Birth Cyanosis, resucitation, murmur at birth Growth and Development Failure to gain weight Feeding problems (fatigue and shortness of breath): feedings take a long time "Does not gain weight or grow like others" "Breathes heavily", tachypnea, dyspnea "Cannot keep up", decreased exercise tolerance Cyanosis Anoxic spells: crying, then SOB, cyanosis, unconsciousness or seizures, consider Tetrology of Fallot (need to distinguish from breath-holding spells) Squatting when tired (also, common in TOF) Eyelid edema (ankle edema is rare) Lower respiratory tract infection Murmur, when was it first heard? with febrile illness? history of pharyngitis? Chest pain Uncommon in children AS: pain during activity Obstructed pulmonary vessels or mitral valve prolapse: pain without activity Severe pulmonary valve stenosis: pericarditis; Kawasaki disease

42. Busy Builders Gerard Martin, M.D. discusses issues of your child's heart murmur, including innocent and pathological murmurs and testing. http://www.washingtonparent.com/articles/9812/murmurs.htm

Washington Parent Magazine The Meaning of Murmurs Gerard Martin, M.D. Your pediatrician tells you that your child has a heart murmur. You react with fear and surprise and are quick to ask, "What does this mean and is my child in danger?" This can be a very frightening situation for new parents because they believe a heart murmur is a sign of a very serious condition. However, about 90 percent of normal children in the first five years of life are noted to have murmurs. A heart murmur is simply an extra sound that the heart makes. A normal beating heart makes two distinct sounds. The first sound, or the "lub", occurs when the valves between the upper (atria) and lower (ventricles) chambers close. These valves close after the ventricles fill with blood and begin to contract. The second sound, or the "dub", occurs when the valves between the ventricles and major arteries close. These valves close after the ventricles have finished pumping. A murmur is a sound made by turbulent blood flow and is heard between the other, normal heart sounds. Murmurs can be innocent, normal sounds or pathologic, abnormal sounds. I usually tell parents to think of murmurs as the sound of water flowing through pipes after the faucet is turned on. The sound may be a normal flow, a leaky faucet or a blocked faucet.

43. Murmurs To join murmurs, click here. If you are already a member of murmurs, but this isyour first time at this web site, please click here to create a password. http://www.nettwerkfanclubs.com/murmurs/

Username: Password: To join Murmurs, click here If you are already a member of Murmurs, but this is your first time at this web site, please click here to create a password. Forgotten your password? Sure, we'll send it to you! Click here If you are having problems logging in, please contact the Webmaster Nettwerk Management Nettmedia

44. West Virginia Health Page A brief article on the causes and types of heart murmurs. http://www.wvhealth.wvu.edu/clinical/cardiodisease/murmurs.htm

45. Heart Murmurs Heart Information. Heart murmurs. What causes a heart murmur? Heart murmurs maybe caused by a number of factors or events, including defective heart valves; http://www.umm.edu/cardiac/murmurs.htm

Heart Information Coronary Heart Disease... Stroke / Brain Attack... Cardiac Conditions... ... Section Index Related Resources Within UMM Maryland Heart Center Heart Information Heart Murmurs What causes a heart murmur? Heart murmurs may be caused by a number of factors or events, including: defective heart valves holes in the heart walls pregnancy fever thyrotoxicosis anemia What are the types of murmurs? Types of murmurs include: diastolic murmur - occurs during heart muscle relaxation between beats. systolic murmur - occurs during heart muscle contraction and is graded by intensity (on a scale of one to six, with one being very faint and six being extremely loud). stenotic heart valve - valve cannot open completely, so blood is ejected through a smaller than normal opening. aortic or mitral regurgitation - valve may be unable to close completely, leading to regurgitation of blood back through the valve when it should be closed. innocent heart murmurs - sounds made by blood circulating through the chambers and valves of the heart or through blood vessels near the heart; sometimes referred to as "functional" or "physiologic" murmurs. Innocent murmurs are common in children and usually quite harmless and disappear when a child reaches adulthood, though some adults still have them. Home Health Info Our Physicians Our Services ... Make Appt.

46. Common Heart Sounds Fred Leong M.D looks at common heart sounds and murmurs in infants, innocent murmurs, pathologic murmurs, and diastolic continuous murmurs. Audio as well to hear the heart sounds. http://www.rain.org/~landon/Heartweb/index.html

Prepared by: Fred Leong M.D. Pediatric Cardiogist for the Pediatric Diagnostic Center For Patients, Parents, and Professionals To contact us: Landon Pediatric Foundation 3400 Loma Vista Road Suite 1 Ventura, Cal;ifornia landon@rain.org

47. Heart Murmurs - Texas Heart Institute Heart Information Center Heart murmurs. Normal heart sounds come in pairs. This is called a heart murmur.Some heart murmurs are a harmless type called innocent heart murmurs. http://www.tmc.edu/thi/murmur.html

//var DOCUMENTGROUP=''; //var DOCUMENTNAME=''; //var ACTION=''; Heart Information Center Heart Murmurs Normal heart sounds come in pairs. The sounds are often described as a constant "lub-dub, lub-dub." The first "lub-dub" is the sound of the mitral and tricuspid valves closing. The second "lub-dub" is the sound of the aortic and pulmonary valves closing soon after. But if there is a problem, a murmur may be added to this normal "lub-dub." By using a stethoscope to listen to your heart, your doctor's trained ear can tell if the abnormal sound indicates turbulence. This is called a heart murmur. Some heart murmurs are a harmless type called innocent heart murmurs. They are common in children and do not require treatment or lifestyle changes. In most cases, innocent murmurs disappear when children reach adulthood. Though some heart murmurs are innocent, others are a sign of a more serious heart problem. In these cases, the sound may indicate that blood is flowing through a damaged or overworked

48. FamilyFun: Health Encyclopedia: Heart Murmurs Discusses detection of murmurs, causes, tests and when and whether treatment is required. http://family.go.com/raisingkids/child/health/childhealth/dony79enc_hmurm/

Search FamilyFun shortcuts Parenting Tools Field Guide to Parenting Parent Problem Solver Pregnancy Calendar Baby Name Finder ... Article Library Parenting Checklists Immunizations Nursery Planner Holidays All Checklists Parenting Experts Jan Faull, Child Development Dominic Cappello, Learning All Experts parent ... to parent Get tips, support Parenting Boards Expecting Potty Training Sleep Stay-at-Home Moms ... E-Cards Creative. Fun. Free. Catching up is easy to do. Send an E-Card HEART MURMURS A heart murmur is innocent murmurs , and doctors estimate that up to 70 percent of active, healthy children develop them at some time. Furthermore, long-term studies of people who had such murmurs during childhood indicate that they are not associated with an increased risk of adult heart disease or any other lasting complications. The vast majority of murmurs detected in childhood disappear by the time the child is ten to 14 years old. In about ten percent of cases, an innocent murmur persists into adulthood. Even in an adult, however, such a murmur does not indicate serious disease. WHEN SHOULD I SUSPECT THAT MY CHILD HAS A HEART MURMUR?

49. Heart Care - Heart Murmurs - Methodist Health Care System, Houston, Texas Heart murmurs. What causes a heart murmur? What are the different types ofmurmurs? All murmurs are analyzed for pitch, loudness, and duration. http://www.methodisthealth.com/health/heart/murmurs.htm

Heart Care Home Las Enfermedades Cardiovasculares (en español) Clinical Services Methodist DeBakey Heart Center Multi-Organ Transplant Center at The Methodist Hospital Methodist Diagnostic Hospital Methodist Sugar Land Hospital ... Appointment Heart Murmurs What causes a heart murmur? Heart murmurs may be caused by a number of factors or diseases, including: defective heart valves holes in the heart walls pregnancy fever anemia (a decrease in the red cells in the blood) What are the different types of murmurs? All murmurs are analyzed for pitch, loudness, and duration. They are also graded according to their intensity (on a scale of one to six, with one being very faint and six being very loud). Types of murmurs include: systolic murmur - occurs during a heart muscle contraction. Systolic murmurs are divided into ejection murmurs (due to blood flow through a narrowed vessel or irregular valve) and regurgitant murmurs. diastolic murmur - occurs during heart muscle relaxation between beats. Diastolic murmurs are due to a narrowing of the mitral or tricuspid valves, or regurgitation of the aortic or pulmonary valves.

50. SchoolNurse.com An article examining how a young patient should be diagnosed and observed for detection heart murmurs. Whether to tell the parents or when to record it in the medical records is discussed. http://www.schoolnurse.com/med_info/murmurs.html

Heart murmurs: Which are innocent? Many children have a heart murmur, especially during febrile illness. Most of these are "innocent", or "functional" murmurs, but some are caused by organic heart defects that are asymptomatic. When a heart murmur is detected during routine physical exam, a careful review of the child's appearance and history often provides clues about the murmur's significance. The classical innocent murmur is the vibratory systolic murmur referred to as Still's murmur. It is soft and of low frequency with a somewhat musical quality, like plucking a string or rubber band. This murmur is of short duration and occurs between the two heart sounds (mid-systole) and is often referred to as "physiologic", or "not significant." Other innocent murmurs are soft, quiet and "blowing" in character. Innocent murmurs often come and go. Also they may disappear if the child sits up or lies down. Once a murmur is discovered, (provided it's not a classical Still's murmur), observation of the child is important, along with noting vital signs. Is the color of mucous membranes and nailbeds pink or dusky (cyanotic)? Is exercise intolerance present? By history, have there been syncopal episodes or palpitations? All these findings suggest an organic murmur.

51. Burning Word murmurs AND BEYOND by Chris Wiersema There is little I can say abouthow much of a disappointment Chris is to his mother and I, that http://burningword.com/murmers.php

john sweet michael w. giberson benjamin rush miller bill wunder ... back to start MURMURS AND BEYOND by Chris Wiersema Please select a title from the right. The most recent are at the top. Looking for Conceptual Cabbage ? It is here Have something to say? Go to the boards! INDEX Kitchen Emale Oy Vey Can You Speak A Little Louder ... The New Sound Of The Men Working On The Train Gang + Forum Topics: He Strolls Liberals Stink Dolores And Vita

52. PR Segment Examination of valve murmurs. Detailed topics such as characteristics, timing, severity, causes and management. http://www.fpnotebook.com/CV64.htm

Home About Links Index ... Editor's Choice Paid Advertisement (click above). Please see the privacy statement Cardiovascular Medicine EKG Examination ... J Point PR Segment ST Elevation P Wave T Wave U Wave ... EKG in Pericarditis Assorted Pages Left Bundle Branch Block EKG Resources PR Segment Book Home Page Cardiovascular Medicine Dental Dermatology Emergency Medicine Endocrinology Gastroenterology General Medicine Geriatric Medicine Gynecology Hematology and Oncology HIV Infectious Disease Jokes Laboratory Neonatology Nephrology Neurology Obstetrics Ophthalmology Orthopedics Otolaryngology Pediatrics Pharmacology Prevention Psychiatry Pulmonology Radiology Rheumatology Sports Medicine Surgery Urology Chapter Cardiovascular Medicine Index Arrhythmia Coronary Artery Disease Congestive Heart Failure EKG Examination Ophthalmology Hypertension Infectious Disease Laboratory General Hyperlipidemia Pulmonology Myocardium Neurology Neonatology Obstetrics Pediatrics Pericardium Pharmacology Prevention Procedure Radiology Sports Medicine Surgery Symptom Evaluation Valvular Disease Vessel Page EKG Index Exam Exam Rate Exam Validity Exam Axis Exam Axis Left Exam Axis Right Exam Complex QRS Exam Interval PR Exam Interval QT Exam Point J Exam Segment PR Exam Segment ST Elevation Exam Wave P Exam Wave T Exam Wave U Arrhythmia AtrialFib CAD Conduction Lung PE Myocardium LVH Myocardium RVH Pericardium Resources Normal findings PR segment is Isoelectric Displaced PR segment Myocardial Infarction involving atrium Acute Pericarditis Search other websites for this topic

53. Michigan Beer Guide, The Guide To Craft Brewed Beer In Michigan murmurs in Michigan. Issue, Month, Year. 65, March/April, 2003. 64, Jan/Feb,2003. 62, Fall Quarter, 2002. 61, First Quarter, 2002. 60, January, 2002. 58,November, 2001. http://www.michiganbeerguide.com/issue_content.asp?tid=2

54. Cardiology Heart Sounds Wave Files Audio for numerous heart sounds and heart murmurs. http://www.bcm.tmc.edu/class2000/sims/HeartSounds.html

Heart Sounds *.wav Aortic Insufficiency Atrial Septal Defect Coarctation of the Aorta Early Systolic Murmur ... Ventricular Septal Defect

55. Willamette Week Online News Murmurs 12/11/2002 TriMet Settles Rape Case. SantaCon 2002. murmurs Visions of scuttlebuttdancing in our heads. BY WW Editorial Staff 2432122. _ * US Sen. http://www.wweek.com/flatfiles/News3489.lasso

56. SETON.net HEALTH. CARE. MADE SIMPLER. An article discussing heart murmurs in children with two doctors. Topics covered were some causes and treatment. http://www.goodhealth.com/gh_mag/febmar98/murmurs.html

Jobs Doctors Services Locations ... Classes (Choose Below) SETON.net Jobs Doctors Services Locations Classes Good Health Mag Recipes Seton Health Plan The SETON Healthcare Network is the leading provider of healthcare services in Central Texas. SETON is a not-for-profit organization. Our Facilities Expansion Update Patient and Family Information to help make the healthcare experience easier for you. Find a doctor, explore our facilities and learn about patient care services and programs. Illnesses and Conditions Take charge of your health. Review our library of articles, web resources and classes on heart disease, cancer, diabetes, and stroke. Wellness Interested in managing stress? Want to increase your activity level? Whatever your needs, here is advice to help you achieve a healthier lifestyle. Health Insurance Get the information you need about the SETON Health Plan. Our plans cover health care needs from preventive care to serious illness and injury. About SETON SETON is the region's largest public service organization. Find out how to help us in providing care to all who need it without regard to ability to pay. Medical Professionals Review our Physician Guide to Services. Learn more about SETON's affiliated medical groups and graduate medical education programs.

57. Willamette Week Online News MURMURS Murmurs on the Sidewalk. The Jockey Club. murmurs murmurs Home of portlandgossipfest.com.BY WW EDITORIAL STAFF (503) 2432122. _ * On Monday http://www.wweek.com/flatfiles/News3599.lasso

58. Health & Wellness Info From WWW.bcbsga.com Provides an overview of murmurs of the heart, discussing what it is, are they serious, and how they are treated. http://www.bcbsga.com/healthWellness/articles/wellAware/art_WA_010.htm

BACK Murmurs of the Heart You're having a routine checkup when the doctor notices something while listening to your chest through the stethoscope. The doctor says you have a heart murmur, and she would like to check it out further. What Are Heart Murmurs? A heart murmur is an extra sound made by blood flowing through the heart valves in the different chambers of your heart. Normally, the heartbeat makes a "lubb-dupp" sound. The "lubb" occurs during systole with closure of the valves separating the upper and lower parts of your heart (the atria and the ventricles respectively). The "dupp" is heard during diastole when the valves close between the ventricles and the large blood vessels (aorta and pulmonary artery) that receive blood from the heart. often a "swish" sound occurs somewhere during the "lubb-dupp" of the normal heartbeat. With his or her training and experience in evaluating heart murmurs, by listening carefully to the timing and characteristics of the extra sound, your physician often can tell whether it represents a potentially serious problem. Are Murmurs Serious?

59. Murmurs.com - REM, Fans, Etc welcome to murmurs.com! register to become a member or login. lilac, Random Rumors,murmurs.com Home, murmurs.com Home, murmurs.COM welcome back Unregistered , http://rem-exhibition.murmurs.com/

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60. Learn About Heart Murmurs From Plainsense Understanding Heart murmurs. In most cases, heart murmurs do not affect yourhealth and result in some form of irregular blood flow through the heart. http://www.plainsense.com/Health/Heart/murmur.htm

Search the Web. Type it and go! Related Topics: Abnormal Heartbeat Angina Angiogram Angioplasty ... Early Warnings Heart Murmurs Heart Parts After A Heart Attack Sex After A Heart Attack Cardiac Rehabilitation ... Women at Risk Understanding Heart Murmurs How Serious Are They? Simply stated, a heart murmur is an abnormal sound in the heart beat. Generally, during a routine office visit, the doctor listens to your heartbeat using a stethoscope an can detect a murmur if present. In most cases, heart murmurs do not affect your health and result in some form of irregular blood flow through the heart. Some, however, are due to underlying defects in the heart or its valves and may require treatment. What are the Underlying Defects? Two common defects that can cause a heart murmur are valvular defects and septal defects. Valvular defects refer to abnormalities of the valves that keep blood from flowing "backwards" into the heart chambers. A defective valve may allow blood to back up in the wrong direction or it may block the passage of blood, thereby interrupting the normal flow. Septal defects are small breaks in the partition that separates the left and right sides of the heart (septum). These breaks can allow blood to flow irregularly between the two sides. Septal defects are more commonly found in children.

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