Michael La Corte MD, Assistant Chief of Staff at Schneider Children’s Hospital for Brooklyn & Staten Island discusses innocent murmur in children.
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Interviewer: Dr. Corte a very common thing comes up in normal pediatric practice, I don’t if the doctor hears a murmur. It seems a little vibrato ring it calls the parents. It probably isn’t something serious and in which the term innocent but to be sure he refers it to you. What is an innocent murmur? Interviewee: People tend to hear the word murmur they get nervous, 99% of murmurs in children are normal so another name for innocent murmur or a functional murmur is a normal murmur. In normal children and even infants because they are full food chested, you can actually hear the blood moving abnormally to the chambers of the heart. And that’s what an innocent or normal murmur is, just a noise that you can hear of the blood, moving with the heart in a completely normal way. It is usually present in childhood, it come and go if has fever and your doctor may hear or sometimes we may not hear it. Generally by a don’t life is normal an audible it doesn’t mean the blood is not moving but you don’t hear it anymore. Interviewer: Would it be any test that doctor could to show the parents that the kid doesn’t have something that’s more serious. Interviewee: I think a lot of this depends upon the comfort of the pediatrician. Pediatricians learn to sound of the difference between an innocent or normal murmur and something that is not and often or pediatrician needs to do base on the quality of the sound for example the word vibratory musical can just assure the parents. If the parents are concerned what we do is pediatric cardiologist to find that is just a simple electrocardiogram. Times if we are concern or we are unsure will do something called the echocardiograms, give it more specific information. But if we saw every child that had an innocent murmur I mean we would have children wrap around the office around the block. Pediatricians often will sure the family just record it.—