1. Heart Murmurs heart murmurs. What causes heart murmurs? heart murmurs are most often caused by defective heart valves. A stenotic (stenOT'ik) heart valve has a smaller-than-normal http://www.americanheart.org/presenter.jhtml?identifier=4571

2. Heart Murmurs And Your Child What exactly is a heart murmur? Read quietly. heart murmurs are mostcommonly discovered when the child is between 2 and 4 years old. http://kidshealth.org/parent/medical/heart/murmurs.html

KidsHealth Parents Medical Problems Many parents fear the worst when their child is diagnosed with a heart murmur, but it's important to know that this diagnosis is extremely common. In fact, many children are found to have a heart murmur at some point during their lives. Most murmurs are not a cause for concern and do not affect the child's health at all. What exactly is a heart murmur? Read on to find out what they are and what the diagnosis may mean for your child. Definition By itself, the term heart murmur is not a diagnosis of an illness or disorder, but to understand what it does mean, it's important to know how the heart works. The heart is divided into four chambers; two are on the left and two are on the right. The blood pumped by the heart is oxygenated by the lungs and then carried through the arteries to the rest of the body. After the oxygen has been used, the blood returns to the heart through the veins and is pumped through the lungs again. The word murmur describes a swishing sound made as the blood flows through the heart's chambers, valves, or a hole within the heart. A murmur can be heard through a stethoscope between normal heartbeats or in conjunction with them. Because a child's heart is very close to the chest wall, subtle noises can be heard more easily.

3. Heart Murmurs Usually, however, these heart murmurs don t mean anything is wrong. Jump toanother section of this article heart murmurs What Is a Heart Murmur? http://kidshealth.org/kid/health_problems/heart/heart_murmurs.html

KidsHealth Kids Kids' Health Problems You know the sound of your heartbeat: lub-dub, lub-dub. In some people, there's an extra noise that the blood makes as it flows through the heart. It sounds sort of like the noise of water flowing through a hose. This sound is called a murmur (say: mer -mer). Most murmurs don't mean anything is wrong. But sometimes they are a sign of a problem with the heart. The Heart and How It Works The heart is a strong muscle about the size of your fist that pumps blood around the body. It sits inside the chest and is protected by the rib cage. The heart has four different areas, or chambers. These chambers are connected to each other by valves that control how much blood enters each chamber at any one time. The valves open and shut with every beat. As the valves shut to control the flow of blood through the heart, they make the sound you recognize as your heartbeat. Depending on a person's age, the heart beats about 60 to 120 times every minute. Each heartbeat is really two separate sounds: lub-dub, lub-dub. Your heart goes "lub" with the closing of the valves that control blood flow from the upper chambers to the lower chambers. Then, as the valves controlling blood going out of the heart close, your heart goes "dub." Printer -friendly version Email this article to a friend Send email to us Jump to another section of this article Heart Murmurs What Is a Heart Murmur? and What Happens If You Have a Murmur?

4. Synapse Publishing Inc. Cool Stuff - Heart Beats, Heart Sounds to educate those who wish to know more about heart beats. This page is not a diagnostic tool of Singapore. The Heart Clinic. Atlas of heart murmurs from the University http://www.medlib.com/spi/coolstuff2.htm

Our Collection of Murmurs, Defects and Others Synapse Publishing Inc. has provided these sounds solely to educate those who wish to know more about heart beats. This page is not a diagnostic tool and cannot replace the judgement and expertise of a trained medical professional. If you have a concern about your health, please consult a physician. Although Synapse Publishing has made every effort to assure the accuracy of the information found on this page, omissions or inaccuracies may occur. Normal Heart Sounds - 3rd Heart Sound Functional or Innocent Murmurs-Venous Hum Ventricular Septal Defect Atrial Septal Defect ... Coarctation of the Aorta A few of you have told us that you are having problems hearing our heart beats. First of all, we have tried to enhance the quality of the heart sounds as much as possible, but it is still necessary to turn your speakers to a high volume to hear the beats (remember to turn your speakers down after you are finished!). To make sure as many people as possible can hear the sounds, we've converted the files above to the Wave Sound format (.wav). Don't worry, the old Audio (.au)

5. Heart  Murmurs Rarely Life Threatening Dr. Miguel Qui±ones speaks out about this disorder and its causes. http://www.bcm.tmc.edu/pa/murmurs.htm

pa@bcm.tmc.edu Heart Murmurs Rarely Life Threatening HOUSTON(Sept. 29, 1998)A heart murmur might be the body's scare tactic, but it's bark is often worse than its bite, says a cardiologist at Baylor College of Medicine in Houston. "Most heart murmurs are not life-threatening," said Dr. Miguel Quiñones, professor of medicine at The DeBakey Heart Center at Baylor and The Methodist Hospital in Houston. "Many people who experience heart murmurs have perfectly healthy hearts. But, in addition to a regular heartbeat, the stethoscope picks up a buzzing or swishing sound as well. A murmur is caused by turbulent blood flow and is usually linked to a heart- valve disorder. Quiñones says there are two kinds of heart murmurs: functional and pathologic. An functional murmur is caused by turbulent blood flow through a normal heart valve. A pathologic murmur is due to blood flowing through a defective valve or an abnormal opening in the heart. "More than half of all patients diagnosed with a heart murmur have the functional type that doesn't require follow-up or treatment," said Quiñones, who is also director of the echocardiography laboratory at Methodist.

6. The Auscultation Assistant - Hear Heart Murmurs, Heart Sounds, And Breath Sounds Hear heart murmurs, heart sounds, and breath soundsto help with physical diagnosis. http://www.med.ucla.edu/wilkes/intro.html

The Auscultation Assistant provides heart sounds, heart murmurs, and breath sounds in order to help medical students and others improve their physical diagnosis skills. Since its creation in 1997, it has logged over 175,000 visits. Christopher Cable, MD Thanks to for providing the tools to record some of the sounds In association with

7. Heart Murmurs In Pediatric Patients: When Do You Refer? - August 1999 - American heart murmurs in Pediatric Patients When Do You Refer? Many normal children have heart murmurs, but most children do not have heart disease http://www.aafp.org/afp/990800ap/558.html

Advanced Search Heart Murmurs in Pediatric Patients: When Do You Refer? MICHAEL E. MCCONNELL, M.D., SAMUEL B. ADKINS III, M.D., and DAVID W. HANNON, M.D. East Carolina University School of Medicine Greenville, North Carolina A patient information handout on heart murmurs in children, written by the authors of this article, is provided on page 565. Many normal children have heart murmurs, but most children do not have heart disease. An appropriate history and a properly conducted physical examination can identify children at increased risk for significant heart disease. Pathologic causes of systolic murmurs include atrial and ventricular septal defects, pulmonary or aortic outflow tract abnormalities, and patent ductus arteriosus. An atrial septal defect is often confused with a functional murmur, but the conditions can usually be differentiated based on specific physical findings. Characteristics of pathologic murmurs include a sound level of grade 3 or louder, a diastolic murmur or an increase in intensity when the patient is standing. Most children with any of these findings should be referred to a pediatric cardiologist. (Am Fam Physician 1999;60:558-65.) P rimary care physicians frequently encounter children with heart murmurs.

8. Heart Murmurs Penn State Children's Hospital provides world class care and services to patients. heard with each heartbeat. heart murmurs are classified according to their loudness called innocent or functional heart murmurs. heart murmurs that are louder, continual http://www.hmc.psu.edu/childrens/healthinfo/h/heartmurmurs.htm

9. The Boxer Underground - August, 1999 - Boxer Heart Murmurs Information For New P NEW PUPPY OWNERS. UK. heart murmurs have been found to be common among Boxers is the heart condition most commonly associated with these heart murmurs, but cases of pulmonic stenosis http://www.boxerunderground.com/aug_99/murmurs.htm

Search Originals by Omar - Boxer breed jewelry, custom designs, beautifully detailed 14kt gold. Visit Originals by Omar at http://www.originalsbyomar.com HANDOUT SHEET ON BOXER HEART MURMURS FOR NEW PUPPY OWNERS UK Heart murmurs have been found to be common among Boxers. It should be emphasised that these do not affect health in the great majority (95%) of dogs. The few dogs with very loud murmurs, however, may be subject to fainting, and there may even be sudden death. Aortic stenosis is the heart condition most commonly associated with these heart murmurs, but cases of pulmonic stenosis and cardiomyopathy, as found in other breeds, have also been detected. Typically, clinical signs of aortic stenosis first appear in the young adult although, rarely, puppies can be affected. It should be stressed that minor "flow" murmurs are commonly found in young Boxer puppies, as in other breeds, but most disappear by about 16 weeks of age. Even if they persist there may be no cause for alarm if they are quiet. Such genuine "flow" murmurs are not associated with heart disease in the adult. The incidence of Boxers with severe aortic stenosis has increased in recent years, although the numbers of cases are still very low in relation to the numbers of dogs bred.

10. MedlinePlus Medical Encyclopedia: Heart Murmurs And Other Sounds heart murmurs and other sounds. Alternative names Return to top. Chestsounds murmurs; Heart sounds - abnormal Definition Return to top. http://www.nlm.nih.gov/medlineplus/ency/article/003266.htm

@import url(http://www.nlm.nih.gov/medlineplus/images/advanced.css); Skip navigation Medical Encyclopedia Other encyclopedia topics: A-Ag Ah-Ap Aq-Az B-Bk ... Z Heart murmurs and other sounds Contents of this page: Illustrations Alternative names Definition Considerations ... What to expect at your health care provider's office Illustrations Heart, section through the middle Alternative names Return to top Chest sounds - murmurs; Heart sounds - abnormal Definition Return to top Murmurs are blowing, whooshing, or rasping sounds produced by turbulent blood flow in or near the heart. Often, they are caused by turbulent blood flow through the heart valves. Considerations Return to top A doctor can evaluate heart sounds by listening with a stethoscope. They can be further evaluated with an echocardiogram to see what the exact cause of the murmur is. The heart has four chambers two upper chambers (called atria) and two lower chambers (ventricles). The heart has valves that temporarily close to permit blood flow in only one direction. The valves are located between the atria and ventricles, and between the ventricles and the major arteries from the heart. Normal heart sounds are called S1 and S2. They are the "lubb-dupp" sounds that are thought of as the heartbeat. These sounds are produced when the heart valves close.

11. Heart Murmurs In Children What Parents Should Know What parents should know regarding a normal heart murmur, and what does it mean. Discusses when it is a sign of a problem. http://familydoctor.org/453.xml

Advanced Search familydoctor.org Home Conditions A to Z Heart Murmurs What is a heart murmur? What is an "innocent" or "functional" heart murmur? What does it mean if my child has an innocent heart murmur? When is a heart murmur the sign of a problem? Heart Murmurs in Children: What Parents Should Know Printer-friendly version Email this article What is a heart murmur? A heart murmur is a noise that the blood makes as it flows through the heart. It's like the noise water makes when it flows through a hose. Heart murmurs are common in children and are usually harmless. Return to top What is an "innocent" or "functional" heart murmur? Heart murmurs usually don't mean there is anything wrong with your child's heart. Your doctor may call these murmurs "innocent" or "functional." An innocent murmur is just a noise caused by blood flowing through a normal heart. These noises are commonly heard in children because their hearts are very close to their chest walls. An innocent murmur can get louder or softer depending on your child's heart rate, such as when they're excited or scared. Doctors often hear heart murmurs when they check children who have a fever. Many innocent murmurs become hard to hear as children grow older and most usually go away on their own. Return to top What does it mean if my child has an innocent heart murmur?

12. Heart Murmur Heart Murmur. What is a heart murmur? A heart murmur is an extra or abnormal sound produced by the heart and heard with the stethoscope. How does it occur? valves or the heart walls. heart murmurs can be caused by congenital abnormalities The classification of heart murmurs is based on their loudness, where in the heart pumping cycle http://www.personalmd.com/healthtopics/crs/htmurmur.htm

Heart Murmur What is a heart murmur? A heart murmur is an extra or abnormal sound produced by the heart and heard with the stethoscope. How does it occur? In most cases the abnormal sound is the result of noisy or turbulent blood flow in the heart. The turbulence may be caused by the shape of the heart or by abnormalities of specific heart structures, such as the valves or the heart walls. Heart murmurs can be caused by congenital abnormalities (that is, abnormalities present at birth). Murmurs can result from heart infections when a person has rheumatic fever from streptococcal infections, such as strep throat; however, this occurs less often now than in the past. Some murmurs do arise from heart muscle damage resulting from coronary artery disease or hypertension. How are murmurs classified? The classification of heart murmurs is based on their loudness, where in the heart pumping cycle they occur, and where on the chest they are best heard. From these characteristics the likely cause of a murmur can be predicted. Loudness is on a scale of I (faint) to VI (loud enough to be heard even if the stethoscope is not touching the chest).

13. Innocent, Physiological & Functional Heart Murmurs Innocent heart murmurs result from turbulence in blood flow that s of no significance. Innocent,Physiological Functional heart murmurs. What is it? http://www.americanheart.org/presenter.jhtml?identifier=170

14. Congestive Heart Failure A discussion about CHF in dogs including audio of heart murmurs. http://www.petdrs.com/chf.htm

Animal Hospital of Casper - On Line Congestive Heart Failure (CHF) Congestive heart failure is one of the more common heart diseases seen in dogs, especially smaller breeds. A variety of signs may be present with CHF. This disease is normally seem in senior or geriatric age dogs. A sometimes insidious chronic cough develops over time and the pet may exhibit reduced exercise tolerance. Veterinarians must use all resources to accurately diagnose heart diseases, starting with a comprehensive physical examination and history. Below are examples of actual normal heart sounds and a heart murmur. (return to Physical exam Click on the Heart to hear actual recording of " Normal Heart Sounds and Heart Murmur "! The murmur sound is most often a result of an abnormality of the heart valves. Chronic infections, including dental disease, can cause the heart valves to become irritated and scarred for life. This diseased valves do not close tightly and, therefore, the murmur can be heard. Poor valve closure creates high blood pressure which results in retention of fluids in the lungs (sometimes the abdomen, as well). Poor circulation from the heart to the other organs (kidneys, liver and brain) can result in deterioration of those organs systems depending on good blood circulation. These pictures show the differences from a Normal heart and a CHF heart with diseased valves.

15. Children: Heart Disease & Health The normal heart, defects, heart murmurs, kawasaki disease, treatment, school programs and feeding an infant with congenital heart disease. Information provided by the American Heart Association. http://www.americanheart.org/children/

The two types of heart disease in children are "congenital" and "acquired." Congenital heart disease (also known as a congenital heart defect) is present at birth. Some defects in this category are patent ductus arteriosis, atrial septal defects and ventricular septal defects. Acquired heart disease, which develops sometime during childhood, includes diseases such as Kawasaki disease, rheumatic fever and infective endocarditis. Common diagnostic tests for these diseases are explained here. About 40,000 children are born with a heart defect each year. Most of these children can benefit from surgery even if the defect is severe. When surgery is necessary, many medical treatments are available to help the heart work properly. There is nothing that parents could have done to prevent these defects. Learn about conditions that can interfere with the work of the heart and treatment options in this section. Kawasaki disease is an example of acquired heart disease that occurs primarily in children who are 5 years old or younger. Although medical knowledge of the disease is still developing, there are steps you can take to recognize the symptoms and deal with the disease's effects. At least 8 of every 1,000 infants born each year have a heart defect. About 1 million Americans with cardiovascular defects are alive today. Though research is ongoing, at least 35 defects have now been identified.

16. Berger: Mitral Valve Prolapse A detailed look at mitral valve prolapse including heart murmurs, detection of heart valve abnormalities, exercise, endocarditis and prognosis among other things are discussed. Written by Christopher Berger. http://www.uoregon.edu/~iishp/Berger4.html

Mitral Valve Prolapse By Christopher Berger Introduction. Heart murmurs are abnormal heart sounds occurring due to abnormalities in one or more of the hearts four valves (1). The most common type of heart murmur is a mitral valve prolapse (MVP). Poor closure of the mitral valve and/or subsequent regurgitation of blood from the left ventricle to the left atrium causes a clicking or shuffling sound heard mid- to late-systole. MVPs are reported to be the most common valvular heart disease in industrialized countries, affecting about 3% of adults (2,3,4). MVP occurs in 6-10% of young women and 4% of young men. The prevalence may exceed 10% in women ages 14-30. Following is a brief orientation to characteristics of MVP including methods of detection, associated disorders, and treatment. Abnormal Heart Sounds (Heart Murmurs). Depending upon when they occur during the normal cardiac cycle, heart murmurs can be classified into three types: systolic, diastolic, and continuous. Brukner and Khan identify eight systolic, two diastolic, and two continuous types of murmurs (5). Fabius identifies six systolic and two diastolic types of murmurs (6). Lillegard and Rucker identify five systolic, two diastolic, and one continuous type of murmur (7). Although sources differ regarding the number of diagnosable murmurs, the classification of when the murmur occurs is critical to an appropriate diagnosis. (Systolic murmurs are typically benign and diastolic murmurs are always pathological.) MVP is classified as a systolic murmur.

17. Children's Heart Institute | What Is A Heart Murmur? Learn about heart murmurs what they are, what they sound like. Next on thetour you will learn about the causes of heart murmurs. Back to the Top. http://www.childrenheartinstitute.org/educate/murmur/murmur.htm

What is a Heart Murmur? Causes Innocent vs. Not-Innocent Physical Signs Common Questions ... Plan of Action What is a Heart Murmur A heart murmur is a swishing or a whistling sound that the doctor hears when he listens to your child's heart with a stethoscope. The heart beat normally makes two sounds: the first is Lub and the second is Dub , these two sounds follow each other ( Lub Dub ) and are not separated by any extra sounds. A heart murmur will be heard as a swishing or a whistling sound in addition to the normal Lub-Dub sound. The moving blood sounds like the running water in your garden hose. A heart murmur may indicate that there is a heart problem or may be due to normal blood flow. A heart murmur is not a diagnosis or disease, it is a sign to alert our attention to check if there is anything wrong. Most of the time heart murmurs are normal and do not indicate that there is anything wrong with the heart. However, sometimes they may result from a hole in the heart or a narrowed valve. A hole in the hose allows water to squirt out producing a whistling sound.

18. Children's Heart Institute | Heart Murmur Plan Of Action Flow Chart However, this chart is intended to increase your awareness about heart murmurs,and should not be used as a substitute for a doctor s care. http://www.childrenheartinstitute.org/educate/murmur/planactn.htm

Heart Murmur Plan of Action Flow Chart If you have been told that your child has a heart murmur, follow this flow chart to help you determine whether your child needs to see a pediatric cardiologist. If the answer to all of these questions was no, you are very much assured that your child has an innocent heart murmur. However, this chart is intended to increase your awareness about heart murmurs, and should not be used as a substitute for a doctor's care. You should follow-up with your pediatrician or family doctor and follow their advice. What is a Heart Murmur? Causes Innocent vs. Not-Innocent Physical Signs ... Common Questions Plan of Action Home Patient Education Home

19. Heart Murmurs In Children--What Parents Should Know - August 1999 - American Aca heart murmurs in ChildrenWhat Parents Should Know. What is a heartmurmur? A heart hose. Many healthy people have heart murmurs. About http://www.aafp.org/afp/990800ap/990800f.html

Advanced Search Please note: This information was as current as we could make it on the date given above. But medical information is always changing, and some information given here may be out of date. For regularly updated information on a variety of health topics, please visit familydoctor.org , the AAFP patient education Web site. An article on this topic is available in this issue of AFP Heart Murmurs in ChildrenWhat Parents Should Know What is a heart murmur? A heart murmur is just a noise that the blood makes as it flows through the heart. It's like the noise water makes when it flows through a hose. Many healthy people have heart murmurs. About 80 percent of all children have a heart murmur at some time. What is a "normal" heart murmur? Most heart murmurs don't mean there is anything wrong. Your doctor may call these murmurs "innocent" or "functional." "Normal" is another word to describe these murmurs. A normal murmur is just a noise caused by blood flowing through a normal heart. A normal murmur can get louder when the blood flows faster through the heart. For example, when the body's temperature goes up, the blood flows faster. Doctors often hear heart murmurs when they check children who have a fever. Many normal murmurs become hard to hear as children grow older. Some murmurs just go away.

20. Heart_Murmur - HeartCenterOnline For Patients: Heart Health Encyclopedia American Heart Association member edited encyclopedia article on heart murmurs.Includes heart. Many heart murmurs are harmless or ?innocent,? http://www.heartcenteronline.com/Heart_Murmur.html

Professionals Enter Here Home Register Member Log In ... Increase Type Size Featured Centers Blood Pressure Bypass Surgery Cholesterol Defibrillator (ICD) Heart Failure Stent Free Newsletter! News Quizzes Community ... Physician Finder siteURL = "/myheartdr/animations/flash_content/"; //modify for clients basefolder = "HCO"; BASEurl = siteURL + "BMCfile/" + basefolder + "/atlasvar.js"; popupURL = siteURL + "BMCfile/popupNF.js"; Heart Murmur (Cardiac Murmur, Murmur, Continuous Murmur, Systolic Murmur, Diastolic Murmur) Summary About heart murmurs Other symptoms Types and differences ... Treatment and prevention Edited By: Robert I. Hamby M.D., FACC, FACP Next Page Visit The Aneurysm Center Visit The Heart Valve Center Summary Heard by a physician through a stethoscope , a heart murmur is an abnormal heart sound that results from the turbulent flow of blood through the heart. Many heart murmurs are harmless or ?innocent,? which means they are not associated with a disease or condition of the heart. However, heart murmurs may also be the result of an underlying heart condition, such as the narrowing of one of the heart?s four valves valvular stenosis ) or a heart disease that has been present from birth ( congenital heart disease The underlying cause of a heart murmur is usually diagnosed through painless tests such as an echocardiogram , blood tests and (if necessary) a minimally invasive test such as a cardiac catheterization . A treatment plan can then be designed, based on which underlying condition was diagnosed.

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