Evaluation of Diagnostic Methods in the Differentiation of Heart Murmurs in Children

• DOI: 10.5455/aim.2016.24.94-98
• Publication Date: 2016-03-26T21:36:28Z
• Authors: Zijo Begic; Senad Pesto; Senka Dinarevic; Edin Begic; Amra Dobraca; Izet Masic
• Keywords: Heart murmur

Introduction:The most common clinical sign in pediatric cardiology is a heart murmur (organic and inorganic).Organic are of disease, while inorganic (basically divided into accidental functional) murmurs occur on anatomically healthy . .Aim: To determine the justification application methods cardiac treatment.Patients methods: Study included 116 children aged from 1 to 15 years, who were referred due treatment Pediatric Clinic, Sarajevo University Clinical Center.Results: The first group consisted with innocent murmur, 97 (53 males).The second patients organic 19 (13 average age was 7.69 (1.01-15.01)years old, 3.15 (1.01-8.06)years there significant difference between these two groups (p <0.001).Medical history questions about potentially harmful habits mother pregnancy, found differences frequency existence subjects (14.44% vs. 85.1%, p = 0.013).The values pulse showed statistically 0.012).The place murmurs' appearance left intercostal space.In group, vibratory (32.3%) ejection (31.9%) holosystolic (73.7%) murmur.Analyzing R/S ratio V1, among (mean 0.78 for 1.45, 0.003).There significance terms developed hypertrophy cavities (BVH) groups.The classic Still's (55.43%) congenital defects ASD (36.8%).Conclusions: A itself, should not be purpose auscultation.One tasks pediatricians, cardiologists particular would improve auscultation, as sovereign method assessment.Heart assessment adapted recognize whether innocent, or suspected probable defect.