title: [Evaluation of cardiac murmurs in children].
abstract: BACKGROUND
  Many normal children have heart murmurs, but most children do not have heart disease. Differentiation of innocent murmurs from those due to structural heart disease, pathological murmurs, is largely clinical.
  
  
  METHODS
  This review is based upon the authors' own studies and PubMed searches.
  
  
  RESULTS
  An appropriate history and a properly conducted physical examination can identify children at risk of significant heart disease.
  
  
  CONCLUSIONS
  If a murmur cannot clearly be labelled as innocent based on characteristics like sound quality, intensity, location and response to posture, then referral to a paediatric cardiologist is indicated. Other indications for referral are any sign or symptom of cardiovascular disease such as shortness of breath, cyanosis or decreased exercise tolerance. In addition, children with syndromes should, because of their high risk of congenital heart disease, be referred to a paediatric cardiologist for further evaluation.
authors.affiliation: Barneklinikken, Haukeland Universitetssjukehus, 5021 Bergen.
authors.forename: Ansgar
authors.initials: A
authors.lastname: Berg
authors.forename: Gottfried
authors.initials: G
authors.lastname: Greve
authors.forename: Asle
authors.initials: A
authors.lastname: Hirth
authors.forename: Gunnar Alm
authors.initials: GA
authors.lastname: Rosland
authors.forename: Gunnar
authors.initials: G
authors.lastname: Norgård
mesh_terms: D002648:Child; D006330:Heart Defects, Congenital / Q000175:diagnosis / Q000235:genetics; D006337:Heart Murmurs / Q000175:diagnosis* / Q000235:genetics / Q000503:physiopathology; D006801:Humans; D010808:Physical Examination; D017410:Practice Guidelines as Topic; D012017:Referral and Consultation