Heart murmurs in children are common and most are benign. A thorough investigation is required to determine if the murmur is innocent or a sign of pathological congenital heart disease.
- A heart murmur is not a diagnosis.
- Murmurs are very common and may represent a normal heart or indicate pathological congenital heart disease.
- With a systematic approach, physicians may differentiate innocent from pathological murmurs with great sensitivity.
- All neonates with a murmur should be referred to a cardiologist for assessment.
- All patients with pathological murmurs, those with murmurs and syndromes associated with congenital heart disease and patients with undifferentiated murmurs should be referred to a cardiologist.