Doctor insights on:
Treatment Of Pansystolic Murmur
Any: This just requires a stethoscope and knowledge of what you are listening to. Cardiologists, or heart specialists, would be expected to be more expert at diagnosing cardiac murmurs. ...Read more
A heart murmur is a sound heard by a stethoscope made by the vibration of blood flow. It can be a normal finding in young healthy people, or can represent abnormal leakage (regurgitation) of a valve, valve narrowing (stenosis), or a congenital condition such as an atrial septal defect, a ventricular septal defect, ...Read more
Holosystolic: A holosystolic murmur starts with the first heart sound and continues through the second heart sound. Typically, these are caused by AV valve insufficiency or ventricular septal defects, they can also occur with aortopulmonary shunts. Arteriovenous fistulas have continuous murmurs associated but we call them bruits. ...Read more
No: Holosystolic murmurs are not normal. If the echocardiogram is read as normal, either you don't have a holosystolic murmur, or the echocardiogram missed the abnormality causing the murmur. If the echocardiogram is truly normal, it is morst likely that you have a systoli ejection murmur, not a holostysolic murmur. Innocent, or normal heart murmurs, are typically systolic ejection murmurs. ...Read more
Why does a partial or full avsd cause a holosystolic murmur? Is it because associated valve regurgitation? Thanks.
Typically: Iin an avsd, there will typically be a systolic ejection murmur from increased flow across the pulmonary valve related to pulmonary overcirculation. The vsd shunting will often be low velocity and not produce an audible murmur, so any holosystolic murmur would usually derive from av valve regurgitation, a common problem in this defect. ...Read more
I have read that only 3 things cause a holosystolic murmur. Tricuspid regurg, mitral regurg, and ventricular septal defect. Are these the only 3?
Essentially: Technically a lv to RA shunt would also generate a holosystolic murmur. In some ways this could be considered a combination of a vsd and tr, although there is actually a distinct entity involving the atrioventricular septum. (also, from a practical standpoint, it can sometimes be difficult to distinguish a long systolic ejection murmur from a holosystolic murmur.). ...Read more
Discuss with doc: If I listen to a kid often enough as they grow up I will eventually hear a murmur in most. Mild systolic ejection murmurs are often just flow related, like the noise water makes in a babbling brook. Flow thru slightly narrow pulmonary arteries are frequent a cause of systolic murmurs. Clarify with your dr whether the murmur means anything. Most murmur"bad" is addressed at birth. ...Read more
What is the treatment of rheumatic murmur and if person go for surgery how many chances are there to have a successful surgery?
Need more info: Rheumatic murmur is too broad a topic. An echocardiogram and clinical evaluation are neeed along with symptoms and age. That said, surgery is generally very successful when needed. Generally these can be followed and are not an issu, but over time, ie, years and decades they can be an issue. ...Read more
Get an Echo!: First, the cause of the murmur needs to be identified. A young child with a murmur could mean absolutely nothing, or could indicate a structural pathology within the heart. Many children have innocent or benign murmurs. On the other hand, in a small subset of patients, a systolic murmur could signify a heart defect. Depending on the defect, the treatment options vary from nothing to surgery. ...Read more
My mom was just told she has a neck murmur. What is a neck murmur? What are the causes, symptoms, and treatment options?
Neck murmur: A neck murmur is a noice heard with a stethoscope in the neck area due to blood flow in a narrowed vessel. It is most often due to a plaque on the vessel wall due to atherosclerosis. Rarely, a neck murmur can be due to issue with the heart and the sound is only transmitted into the neck region. ...Read more
I have a heart murmur and a small artery and am experiencing problems. What can I do for treatment?
See below: Problems like these can only be correctly handled by your doctor in person. He/she needs to listen to you, perform an examination and possibly run labs or other tests. That's the only way he/she can find out what's going on and what to do about it. ...Read more
Normal EKG, heart murmur DR is calling "functional" but papers say"abnormal tachycardic w/quick drop to normal SEM". No treatment prescribed. Advice?
Advice: Talk to your doctor and ask for an explanation of what's going on with you ...Read more
Heart murmur: A heart murmur is sound produced by an abnormal heart structure. Pansystolic murmur is one which continues throughout the whole heart contraction phase. The commonest pansystolic murmur is mitral insufficiency, others are ventricular septal defect and tricuspid insufficiency. There are others less common. ...Read more
Depends. : A murmur is caused by turbulent blood flow in the heart. Many murmurs are benign. Some are caused by valve disease. Ultimately, the consequences are from what caused the murmur. Valve disease can progress, but sometimes stabilizes for a long time. You should talk to a doctor to get a good history and physical. ...Read more
Too vague: A murmur is a sound your provider hears through a stethoscope, and may me associated with a normal heart. If the murmur is related to valve pathology, the severity of the condition will have to be evaluated and followed, usually with an echocardiogram. If the valve condition is severe and produces symptoms, or changes in the hearts function, repair or replacement of the valve may be needed. ...Read more
I am 16 years old and my doc. Said I had a murmur then I went back and said I didn't have it anymore. What's going on?
Probably nothing: Benign or "functional" murmurs are sounds made by a normal heart. They are super common and can come and go. If that's what you have, then it's fine and don't be surprised if it comes back. ...Read more
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