The diagnosis of innocent murmurs in childhood

Cardiol Young. 2000 Oct;10(4):340-2. doi: 10.1017/s104795110000963x.


Innocent murmurs are common in childhood. They require accurate diagnosis to avoid unnecessary anxiety and/or restrictions. With this in mind, we studied prospectively children diagnosed by a paediatric cardiologist as having innocent murmurs to review the necessity of investigations in excluding organic abnormalities. We included 63 children in the study. The majority had the so-called Still's, or musical/vibratory murmur. None had abnormal investigations, suggesting that such investigations are largely superfluous for the purpose of diagnosis in those patients with innocent murmurs seen by a paediatric cardiologist. They are often done, nonetheless, as part of the assessment and/or expectations of the parent or the referring physician.

MeSH terms

  • Auscultation
  • Cardiology
  • Chest Pain / etiology
  • Child
  • Child, Preschool
  • Echocardiography, Doppler, Color
  • Electrocardiography
  • Electrocardiography, Ambulatory
  • Fatigue / etiology
  • Heart Murmurs / classification
  • Heart Murmurs / diagnosis*
  • Heart Murmurs / etiology*
  • Heart Sounds
  • Humans
  • Pediatrics
  • Prospective Studies
  • Referral and Consultation