After the doctor's statement to the family, "I hear a murmur, sound, wheezing, wheezing in our child's heart," this finding causes great concern in the family. Murmur is an examination finding that often does not cause any discomfort and can be heard at almost all ages, more frequently in some age groups. In some age groups, it can be heard in even 4 out of 5 children. Such innocent murmurs consist of normal vibrations that may arise from natural structures inside the heart while pumping blood. The intensity of the murmur is often expressed on a scale from 1 to 6 (1/6, 2/6.....6/6).
Are innocent murmurs permanent?
Innocent Murmur sounds can be heard more loudly in some cases and the intensity of the murmur increases. These are anemia, iron deficiency, fever, flu infections, upper respiratory tract infections, fear, excitement, anxiety and some conditions related to the thyroid gland. When these clinical conditions disappear, the intensity of the murmur decreases or the murmur disappears. Innocent murmurs heard due to age also disappear with decreasing intensity over time, meaning they are not permanent. Other system examination findings of children with innocent murmurs are often normal.
Do innocent murmurs harm your child?
Sounds described as innocent murmurs or functional murmurs will definitely not harm your child or cause a permanent problem. They do not cause Children who have an innocent murmur and are evaluated by a pediatric cardiologist can participate in all sports and physical activities, there are no restrictions. Over time, the sounds disappear on their own, and this situation cannot be noticed by the child or his family.
What is the pathological murmur heard due to heart disease?
Unfortunately, not every murmur heard in the heart is innocent. Murmurs heard due to structural pathologies and disorders in the heart are called pathological murmurs. Although there are many reasons, it can often be heard due to holes and defects in the wall between the lower and upper chambers of the heart, problems with the two heart valves between the lower and upper chambers, valve problems with the two large main vessels coming out of the heart, and canals and stenosis in the continuation of the vessels inside and outside the heart. In these cases, pathology As a result, the speed of the blood increases, the blood creates turbulence, and harsher and clearer murmurs appear. Pathological murmurs can be heard due to heart valve or heart muscle diseases, not always in structural or congenital pathologies, but sometimes after infections and some systemic diseases in childhood.
Can it be understood by examination whether the murmur is pathological or innocent?
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An experienced family physician or pediatrician can determine whether the heart murmur may be innocent or pathological through physical examination findings. However, in order to make a clear diagnosis and to avoid any question marks, the child with a murmur must be evaluated by a pediatric cardiologist.
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