The medical history (history of the patient) represents an important component in the diagnosis of heart murmurs. Family history Is there any history of heart disease in your family? Social history Is there any evidence of psychosocial stress or strain due to your family situation? Current medical history/systemic history (somatic and psychological complaints). Have you … Heart Murmurs: Medical History
Conditions that cause systolic heart murmurs: Cardiovascular System (I00-I99). Accidental systolic murmur – heart murmur occurring primarily in children and adolescents with no underlying pathologic change. Aortic isthmic stenosis (ISTA; synonym: coarctation of the aorta: coarctatio aortae) – narrowing of the descending portion of the aorta. Aortic valve stenosis – narrowing of the aortic valve. … Heart Murmurs: Or something else? Differential Diagnosis
Cardiac murmurs can be classified into the following murmurs according to their temporal occurrence within the cardiac cycle (as a function of systole or diastole): Systolic heart murmurs A distinction is made between expulsion and return murmurs. Diastolic heart murmur A distinction is made between diastolic return flow murmurs and diastolic filling murmurs. They are … Heart Murmurs: Classification
A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body weight, height; further: Inspection (viewing). Skin, mucous membranes, and sclerae (white part of the eye) [cyanosis (bluish discoloration of the skin and/or central mucous membranes caused by a lack of oxygen)] Neck vein congestion? … Heart Murmurs: Examination
2nd order laboratory parameters – depending on the results of the history, physical examination and obligatory laboratory parameters – for differential diagnostic clarification. Small blood count Inflammatory parameters – CRP (C-reactive protein).
Obligatory medical device diagnostics. Electrocardiogram1-5 (ECG; recording of the electrical activity of the heart muscle). Echocardiography1-5 (echo; cardiac ultrasound) including color Doppler – for localization and quantification of valvular insufficiencies and stenoses. Optional medical device diagnostics – depending on the results of the history, physical examination and obligatory laboratory parameters – for differential diagnostic clarification. … Heart Murmurs: Diagnostic Tests
The following symptoms and complaints may indicate heart disease associated with heart murmurs: Leading symptoms in adults: Decrease in exercise capacity Exertional dyspnea – occurrence of shortness of breath during exertion. Cardiac arrhythmias such as tachyarrhythmia absoluta (TAA; cardiac arrhythmia that belongs to the tachyarrhythmias. Its characteristics are a too fast heart action (tachycardia) and … Heart Murmurs: Symptoms, Complaints, Signs
