Heart murmurs are the most frequent reason for consultation in pediatric cardiology. Most of the cases are referred from the pediatric consultation in primary care, and it is here that the first doubts are raised about the nature of the murmur: functional or organic.
Heart murmurs are the result of turbulence in the blood flow. These turbulences produce sound waves that can be heard using an instrument called a stethoscope. Some murmurs, in fact, can be heard directly with the ear.
However, in a child with no history and no symptoms of a disease, the diagnosis of heart murmurs can be made by auscultation. Diagnostic accuracy depends largely on the acuity of the physician conducting the auscultation.
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