The diagnostic importance of murmurs audible on the back in children with heart disease

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dc.contributor.authorDe Beer H.
dc.contributor.authorPetrie A.
dc.contributor.authorKalis N.N.
dc.contributor.authorVan Der Merwe P.-L.
dc.date.accessioned2011-05-15T16:15:56Z
dc.date.available2011-05-15T16:15:56Z
dc.date.issued1999
dc.description.abstractMurmurs 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.
dc.description.versionArticle
dc.identifier.citationCardiovascular Journal of South Africa
dc.identifier.citationSUPPL. 2
dc.identifier.issn10159657
dc.identifier.urihttp://hdl.handle.net/10019.1/13556
dc.subjectaorta coarctation
dc.subjectarticle
dc.subjectback
dc.subjectbody mass
dc.subjectchild
dc.subjectchildhood disease
dc.subjectcongenital heart disease
dc.subjectcontrolled study
dc.subjectechocardiography
dc.subjectfemale
dc.subjectheart auscultation
dc.subjectheart disease
dc.subjectheart murmur
dc.subjectheart ventricle septum defect
dc.subjecthuman
dc.subjectmajor clinical study
dc.subjectmale
dc.subjectmitral valve regurgitation
dc.subjectpulmonary valve stenosis
dc.titleThe diagnostic importance of murmurs audible on the back in children with heart disease
dc.typeArticle
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