Initial evaluation of children with heart murmurs by the non-specialized paediatrician

Eur J Pediatr. 1995 Jan;154(1):15-7. doi: 10.1007/BF01972966.


To analyse the ability of the non-specialized paediatrician to evaluate children with a heart murmur and the consequences of this evaluation for the need of further investigations, we undertook a prospective and consecutive study of 100 children, referred for initial evaluation of a heart murmur. Except for 1 child with a slight peripheral pulmonary artery stenosis, 53% of the children were correctly diagnosed as having no heart disease. In a project design where 47% of the children were referred for an echocardiographic study, no clinically significant heart disease was missed.

Conclusion: Clinical evaluation without laboratory tests performed by paediatricians without any special training in cardiology could correctly acquit 50% of the children of heart disease, with no need for further investigation.

MeSH terms

  • Adolescent
  • Child
  • Child, Preschool
  • Denmark
  • Echocardiography, Doppler
  • Heart Defects, Congenital / diagnosis*
  • Heart Murmurs / classification
  • Heart Murmurs / diagnosis*
  • Humans
  • Infant
  • Medical History Taking
  • Pediatrics*
  • Physical Examination
  • Prospective Studies