Hello and welcome to the Zero to Finals podcast.

My name is Tom and in this episode I'm going to be talking to you about Murmers in Children.

And you can find written notes on this topic at zero tofinals.com slash murmurs

or in the cardiology section of the Zero to Finals Pediatrics book.

So let's get straight into it.

First let's start by talking about innocent murmurs. Innocent murmurs are also known as flow

murmurs. They're very common in children. They are caused by fast blood flow through various

areas of the heart during cisterly. Innocent mermas have typical features that help you to spot them and make a diagnosis.

All of these features begin with the letter S.

They are soft, short, systolic, symptomless, and situation dependent.

Situation dependent refers to whether the murmur changes or disappears depending on the position of the child,

particularly if the murmur gets quieter withstanding or only appears when the child is unwell or feverish.

Clear innocent murmurs with no concerning features

may not require any investigations.

Features that would prompt further investigation

and referral to a pediatric cardiologist would include

a murmur louder than two out of six,

diastolic murmurs.

Mirmers that are louder on standing.

And other symptoms such as failure to thrive, feeding difficulty,

cyanosis or shortness of breath.

Let's talk about the investigations.

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