The diagnostic importance of murmurs audible on the back in children with heart disease
De Beer H.
Van Der Merwe P.-L.
MetadataShow full item record
Murmurs heard over the back in children with heart disease are usually thought to be caused by pulmonary stenosis and coarctation of the aorta. In this prospective study 59.6% of 104 children with various congenital and acquired heart defects were found to have an audible murmur over the back. An audible murmur over the back of a child with a ventricular septal defect was indicative of either a very small ventricular septal defect or an accompanying underlying cardiac lesion. In children with ventricular septal defect and/or mitral incompetence, auscultation over the back contributed towards making a more accurate clinical and/or anatomical diagnosis. A child with mitral incompetence and an audible murmur over the back will have a grade 2 or more echocardiographic evaluated valve lesion. It is concluded that the presence of a murmur over the back rarely contributes to the final diagnosis but may be indicative of the severity of the underlying lesion.
Please cite this item using this persistent URLhttp://hdl.handle.net/10019.1/13556
Showing items related by title, author, creator and subject.
Lochner A.; Du Toit E.F.; Huisamen B.; Koeslag J.H.; Moolman J.A.; Van Rooyen J. (2004)[No abstract available]
Long-term follow-up of R403WMYH7 and R92WTNNT2 HCM families: Mutations determine left ventricular dimensions but not wall thickness during disease progression Revera M.; Van Der Merwe L.; Heradien M.; Goosen A.; Corfield V.A.; Brink P.A.; Moolman-Smook J.C. (2007)Background: The clinical profile and prognosis of patients with hypertrophic cardiomyopathy, a primary cardiac muscle disease caused mostly by mutations in sarcomeric protein-encoding genes, have been linked to particular ...
Normothermic ischaemic cardiac arrest and reperfusion of the isolated working heart: Effect of chlorpromazine on functional, metabolic and morphological recovery Edoute Y.; Van der Merwe E.L.; Sanan D. (1983)The effects of chlorpromazine, an inhibitor of both Ca2+ flux and phospholipase activity, on myocardial ultrastructure, function and metabolism were assessed during normothermic ischaemic cardiac arrest and reperfusion of ...