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1

Harris, J. Peter. "Consultation with the Specialist." Pediatrics In Review 15, no. 12 (1994): 490–93. http://dx.doi.org/10.1542/pir.15.12.490.

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Introduction As many as 90% of children will have an audible heart murmur at some point in time. However, the prevalence of nontrivial heart disease in this age group is less than 4 per 1000. The practitioner's task is to distinguish the ubiquitous innocent or normal murmur from the murmur indicating heart disease. Normal murmurs include vibratory and pulmonary flow murmurs, venous hums, carotid bruits, and the murmur of physiologic branch pulmonary artery stenosis. Mislabeling of a normal murmur as pathologic may have adverse psychological effects on the family and the child, including unwarr
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Ferasin, Luca, Heidi Ferasin, Altin Cala, and Naomi Creelman. "Prevalence and Clinical Significance of Heart Murmurs Detected on Cardiac Auscultation in 856 Cats." Veterinary Sciences 9, no. 10 (2022): 564. http://dx.doi.org/10.3390/vetsci9100564.

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Background: Cardiac auscultation is one of the most important clinical tools to identify patients with a potential heart disease. Although several publications have reported the prevalence of murmurs in cats, little information is available in relation to the exact origin of the blood flow turbulences responsible for these murmurs. The aim of this study was to determine the prevalence and clinical significance of murmurs detected during physical examination in cats. Methods: Retrospective evaluation of clinical records and echocardiographic examinations performed in cats for investigation of h
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van Staveren, Marie D. B., Esther Muis, and Viktor Szatmári. "Self-Reported Management of Incidentally Detected Heart Murmurs in Puppies: A Survey among Veterinarians." Animals 14, no. 12 (2024): 1821. http://dx.doi.org/10.3390/ani14121821.

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Background: Heart murmurs in puppies can be innocent or pathologic; the latter is almost always related to a congenital heart disease. Differentiating between these murmurs can be challenging for practicing veterinarians, but this differentiation is essential to ensure the best prognosis for puppies having a congenital heart disease. Our study aimed to reveal how veterinarians manage puppies with a heart murmur. Methods: A web-based questionnaire was sent to Dutch and Belgian veterinary practices. Results: Data from 452 respondents were analyzed. Though 88% of the respondents find detecting a
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Hövener, Jakob, Julie Pokar, Roswitha Merle, and Heidrun Gehlen. "Association between Cardiac Auscultation and Echocardiographic Findings in Warmblood Horses." Animals 11, no. 12 (2021): 3463. http://dx.doi.org/10.3390/ani11123463.

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Heart murmurs are detected frequently when auscultating horses and certain murmurs can usually be linked to specific valvular regurgitations. Limited information exists about the accuracy of these broad rules in warmblood horses and the influence of grade of the regurgitation and dimensional changes on murmur intensity. This study aims to clarify the accuracy of cardiac auscultation in warmblood horses and the influence of the grade of regurgitation and dimensional changes on the loudness of the murmur. In this retrospective study, 822 warmblood horses presented for cardiac examination in a la
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Hossain, Mohammad Monir, Mohammad Nurul Akhtar Hasan, Mahfuza Shirin, Mohammad Abdullah Al Mamun, and Md Delwar Hossain. "Clinical Significance of Cardiac Murmur in Neonate." Bangladesh Journal of Child Health 34, no. 2 (2012): 56–61. http://dx.doi.org/10.3329/bjch.v34i2.10218.

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Background: There is a popular believe that cardiac murmurs are common in neonate and most are innocent or physiological. However, a cardiac murmur may be the first sign of a serious structural cardiac disease in neonate. Objective: This study was conducted to determine the clinical significance of cardiac murmur as a sole clinical sign in neonate. Methodology: Fifty neonates having cardiac murmur were selected from in-patient department of Dhaka Shishu Hospital from March ’06 to October ’06. Murmurs were clinically classified as innocent or significant murmur. Echocardiography was done for co
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Pathak, Gargi H., Anuya V. Chauhan, and Kesha Nayak. "Cardiac murmur in a neonate: how significant is it?" International Journal of Contemporary Pediatrics 7, no. 12 (2020): 2365. http://dx.doi.org/10.18203/2349-3291.ijcp20205098.

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Background: There is a popular belief that cardiac murmurs are common in neonate and most are innocent or physiological. However, a cardiac murmur may be the first sign of a serious structural cardiac disease in neonate. Objective of study was conducted to determine the clinical significance of cardiac murmur as a sole clinical sign in neonate.Methods: 100 neonates having cardiac murmur were selected from neonatal intensive care unit of department of pediatrics BJMC Ahmedabad from June to November 2019. Murmurs were clinically classified as innocent or significant murmur. Echocardiography was
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7

Sackey, Adziri H. "Prevalence and diagnostic accuracy of heart disease in children with asymptomatic murmurs." Cardiology in the Young 26, no. 3 (2015): 446–50. http://dx.doi.org/10.1017/s1047951115000396.

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AbstractThis study was performed to determine the prevalence of CHD among children referred with asymptomatic murmurs and to determine the diagnostic accuracy of the assessment of asymptomatic heart murmurs by general paediatricians. We reviewed the records of children who had been referred by general paediatricians to a cardiology clinic for further evaluation of a heart murmur. The referring paediatricians’ clinical assessment of the murmur was compared with the cardiologist’s echocardiographic diagnosis. A total of 150 children were referred by paediatricians to a paediatric cardiologist fo
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8

Friedman, Deborah M., John Fernandes, Monika Rutkowski, and Delores Danilowicz. "Doppler evaluation of physiologic peripheral pulmonic stenosis in newborns." Cardiology in the Young 2, no. 2 (1992): 179–83. http://dx.doi.org/10.1017/s1047951100000822.

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AbstractA common systolic ejection murmur of the neonate has been attributed to physiologic peripheral pulmonic stenosis. We investigated this auscultatory finding using duplex pulsed Doppler. Three groups of normal fuliterm neonates less than one week old were studied—10 without murmurs, 10 with grade 1/6 murmurs and nine with at least grade 2/6 murmurs. We measured the anatomical size and peak flow velocities in the main pulmonary artery and left and right branches, the peak velocity in the right ventricular outflow tract, and the bifurcation angle. Flow gradients were calculated as 4 (Vmax)
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9

Choi, Hee Joung. "Evaluation and diagnostic approach for heart murmurs in children." Journal of the Korean Medical Association 63, no. 7 (2020): 398–403. http://dx.doi.org/10.5124/jkma.2020.63.7.398.

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Heart murmurs are common in children. Most of them are innocent murmurs with normal heart anatomy and function, and only a few are pathologic murmurs with congenital heart anomaly or abnormal heart function. However, a heart murmur may be the sole symptom of serious heart disease. Therefore, careful evaluation of heart murmurs for distinguishing pathologic murmurs from innocent murmurs is important. Heart murmurs are described by their intensity, timing in the cardiac cycle, location, transmission, and quality. Murmurs, such as a holosystolic or diastolic murmur, of grade 3 or higher intensity
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10

Smythe, John F., Otto H. P. Teixeira, Peter Vlad, Pierre Paul Demers, and William Feldman. "Initial Evaluation of Heart Murmurs: Are Laboratory Tests Necessary?" Pediatrics 86, no. 4 (1990): 497–500. http://dx.doi.org/10.1542/peds.86.4.497.

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Heart murmurs, most of them innocent, are the most common reason for referrals to a pediatric cardiologist. In the evaluation of murmurs, the electrocardiogram and echocardiogram are often included. The purpose of this study was to determine the utility of these examinations in the initial assessment of heart murmurs in children and adolescents. In a prospective series of 161 patients, the clinical diagnosis of heart murmurs by a pediatric cardiologist was compared with that obtained after electrocardiogram and echocardiogram (two-dimensional, M-mode, Doppler, and color-Doppler). On the basis
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11

Jimo, Likta N., Namganglung Golmei, Ph Santosh Sharma, Sunilbala Keithelakpam, Ch Shyamsunder Singh, and Th Sachindeba. "Neonatal cardiac murmurs and its causes in a tertiary care hospital." Journal of Medical Society 38, no. 3 (2024): 239–44. https://doi.org/10.4103/jms.jms_83_24.

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ABSTRACT Introduction: Congenital heart disease (CHD) is the commonest birth defect worldwide. Routine clinical examination diagnoses less than 50% of the children with CHD. However, the presence and character of cardiac murmurs narrow the differential diagnosis. Cardiac murmurs may also indicate a serious issue and in some cases may be potentially life-threatening. Objective: The aim of this study is to find out the causes of cardiac murmurs in the neonatal period and to assess short-term outcomes of neonates diagnosed with CHDs. Materials and Methods: A hospital-based cross-sectional study w
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Discigil, Guzel, Ayvaz Aydogdu, Ayfer Gemalmaz, F. Serdar Gurel, and Okay Basak. "Cardiac Auscultatory Skills of Academic Family Physicians: Strength of Association with an Academic Pediatric Cardiologist." International Journal of Family Medicine 2010 (November 7, 2010): 1–4. http://dx.doi.org/10.1155/2010/370731.

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Aim. Heart murmur is common in children, and it is one of the main reasons for referral among children in primary care. The aim of this study is to evaluate agreement and consistency of normal, innocent, and pathologic murmur decision between academic family physicians and academic pediatric cardiologist. Methods. Seven hundred fifteen primary school children were examined by family physicians and paediatric cardiologist. Auscultatory examination was performed. Intensity, frequency, duration, quality, location, and radiation of the murmur were described if present. Agreement of normal, innocen
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13

Kang, Guanyang, Jianmin Xiao, Yitong Wang, et al. "Prevalence and clinical significance of cardiac murmurs in schoolchildren." Archives of Disease in Childhood 100, no. 11 (2015): 1028–31. http://dx.doi.org/10.1136/archdischild-2014-307819.

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ObjectiveTo determine the prevalence and clinical significance of heart murmurs detected during heart disease screening among apparently healthy schoolchildren.DesignCross-sectional study.Setting32 elementary schools in Dongguan City of China.Patients81 213 schoolchildren aged 5–13 years from different elementary schools.Main outcome measuresThe prevalence and clinical significance of heart murmurs among schoolchildren.ResultsMurmurs were detected in 2193 schoolchildren (2.7%), of whom 215 had a structural heart disease (SHD). Of patients who had SHD, 198 children had congenital heart disease
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Norezmi, Jamal, Ibrahim Nabilah, Sha'abani MNAH, and Taat Zulkifli. "Detection of cardiac sounds components: a pilot study." Indonesian Journal of Electrical Engineering and Computer Science (IJEECS) 17, no. 3 (2020): 1330–37. https://doi.org/10.11591/ijeecs.v17.i3.pp1330-1337.

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This paper presents a preliminary study related to the detection and identification of cardiac sounds components including first sound (S1), second sound (S2) and murmurs. Detection and identification of cardiac sounds are an important process in automated cardiac sound analysis system in order to automatically diagnose people who are having cardiovascular disorder and determine the existence of murmurs. Sixteen of recorded cardiac sounds (eight normal cardiac sounds, four abnormal cardiac sounds with systole murmur, and four abnormal cardiac sounds with diastole murmur) from PASCAL Classifyin
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Chen, Kai, Jiao Wang, Huihui Zhou, and Xiang Huang. "Diagnosis of Neonatal Congenital Heart Disease: A Combination of Heart Murmur, SpO2 Abnormality, Tachypnea, and Extracardiac Malformations." Journal of Nanomaterials 2021 (May 14, 2021): 1–7. http://dx.doi.org/10.1155/2021/9962950.

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Congenital heart disease (CHD) is one of the commonest congenital malformations that are mostly asymptomatic at birth, which challenges the diagnosis of neonatal CHD. An early accurate prenatal diagnosis will give parents a choice, as well as the opportunity to plan the delivery and improve the postnatal outcome. The purpose of the study is to evaluate the value of heart murmurs, SpO2 abnormalities, tachypnea, and extracardiac malformations in screening neonatal CHD. All 4500 newborns in the obstetrics department of our hospital from January 2019 to January 2020 are selected as study subjects.
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16

Kostopoulou, Eirini, Gabriel Dimitriou, and Ageliki Karatza. "Cardiac Murmurs in Children: A Challenge For The Primary Care Physician." Current Pediatric Reviews 15, no. 3 (2019): 131–38. http://dx.doi.org/10.2174/1573396315666190321105536.

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: Congenital heart disease is present in almost 1% of live births and despite current progress in prenatal screening a significant percentage has delayed diagnosis or remain undiagnosed. A cardiac murmur may be the first or unique clinical sign of congenital heart disease in childhood, however, less than 1% of auscultated murmurs are of an organic cause. : Distinguishing between an innocent and a pathologic murmur can be challenging and the experience of the examiner is crucial for identifying the distinctive properties of an innocent murmur. Timely diagnosis of underlying cardiovascular patho
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Jamal, Norezmi, Nabilah Ibrahim, MNAH Sha’abani, and Zulkifli Taat. "Detection of cardiac sounds components: a pilot study." Indonesian Journal of Electrical Engineering and Computer Science 17, no. 3 (2020): 1330. http://dx.doi.org/10.11591/ijeecs.v17.i3.pp1330-1337.

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<span>This paper presents a preliminary study related to the detection and identification of cardiac sounds components including first sound (S1), second sound (S2) and murmurs. Detection and identification of cardiac sounds are an important process in automated cardiac sound analysis system in order to automatically diagnose people who are having cardiovascular disorder and determine the existence of murmurs. Sixteen of recorded cardiac sounds (eight normal cardiac sounds, four abnormal cardiac sounds with systole murmur, and four abnormal cardiac sounds with diastole murmur) from PASCA
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18

Yamano, Michiyo, Tatsuya Kawasaki, Hirokazu Shiraishi, et al. "Murmur Associated with Diastolic Paradoxical Jet Flow in a 43-Year-Old Man with Hypertrophic Cardiomyopathy." Texas Heart Institute Journal 45, no. 2 (2018): 102–5. http://dx.doi.org/10.14503/thij-17-6238.

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A diastolic paradoxical jet flow, often seen in patients with hypertrophic cardiomyopathy, is a unique flow from the apex toward the base of the left ventricle during isovolumic relaxation. To date, this phenomenon appears to have been noninvasively detected only on echocardiograms. We report the case of a 43-year-old man with hypertrophic cardiomyopathy and a diastolic paradoxical jet flow, in whom cardiac auscultation revealed a soft S4, a systolic ejection murmur, and a low-pitched early diastolic murmur immediately after S2 at the apex. On comparing his echocardiographic findings with thos
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19

Careena, P., M. Mary Synthuja Jain Preetha, and P. Arun. "Detection of Murmur from Non-Stationarity of Heart Sounds." Biomedical and Pharmacology Journal 12, no. 2 (2019): 947–59. http://dx.doi.org/10.13005/bpj/1721.

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Early diagnosis of heart diseases bears a major role in saving lives. Presence of spurious extra-frequency components, termed as murmurs within the phonocardiography record may be indicative of valvular disorders like stenosis, lesions or regurgitation. It is difficult to identify the subtitle spectral components of murmurs through subjective audition. In this paper, a technique is proposed to detect the presence of murmur from the heart signal by analyzing their non-stationarity behavior by using autocorrelation based features namely, Standard Error (SE) of Auto-Correlation Function (ACF) and
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20

Wu, Tingwei, Zhaohan Huang, Shilong Li, Qijun Zhao, and Fan Pan. "Heart Murmur Quality Detection Using Deep Neural Networks with Attention Mechanism." Applied Sciences 14, no. 15 (2024): 6825. http://dx.doi.org/10.3390/app14156825.

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Heart murmurs play a critical role in assessing the condition of the heart. Murmur quality reflects the subjective human perception of heart murmurs and is an important characteristic strongly linked to cardiovascular diseases (CVDs). This study aims to use deep neural networks to classify the patients’ murmur quality (i.e., harsh and blowing) from phonocardiogram (PCG) signals. The phonocardiogram recordings with murmurs used for this task are from the CirCor DigiScope Phonocardiogram dataset, which provides the murmur quality labels. The recordings were segmented, and a dataset of 1266 segme
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Pillai, Preethi S., Neelima Narayanan, and Lyla Chacko. "An evaluation of cardiac murmurs in new-born." International Journal of Contemporary Pediatrics 4, no. 5 (2017): 1652. http://dx.doi.org/10.18203/2349-3291.ijcp20173706.

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Background: Congenital heart disease (CHD) is defined as a structural abnormality of the heart or intrathoracic great vessels that is actually or potentially of functional significance. The aim of the study is to assess the prevalence of congenital heart disease in new-borns with cardiac murmurs and to study the spectrum of cardiac diseases in new-borns with cardiac murmur.Methods: All the new-borns with cardiac murmurs were evaluated with ECG, Chest X ray and ECHO. They were classified into normal, mild, moderate and severe heart disease.Results: Of the 3375 babies analysed, 80 babies had mur
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Al-Ammouri, Iyad, Fares Ayoub, and Rima Dababneh. "Is pre-discharge echocardiography indicated for asymptomatic neonates with a heart murmur? A retrospective analysis." Cardiology in the Young 26, no. 6 (2015): 1056–59. http://dx.doi.org/10.1017/s1047951115001705.

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AbstractObjectiveThe purpose of this study was to determine whether a murmur detected on routine pre-discharge examination of asymptomatic newborn children in the first 48 hours of life warrants further investigation with echocardiography.MethodsWe conducted a retrospective review of all echocardiography studies of neonates born at Jordan University Hospital between August, 2007 and June, 2014. Findings on physical examination as well as the indication of the echocardiographic studies were reviewed. We included asymptomatic neonates for whom echocardiographic studies were carried out due to th
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Barison, Andrea, Giancarlo Todiere, Pier Giorgio Masci, and Giovanni D. Aquaro. "Imaging systolic and diastolic heart murmurs in hypertrophic cardiomyopathy." International Journal of Diagnostic Imaging 1, no. 1 (2014): 1. http://dx.doi.org/10.5430/ijdi.v1n1p1.

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Muscular obstruction in hypertrophic cardiomyopathy can occur not only in systole, but also in diastole. Here we report a case of hypertrophic cardiomyopathy in a middle-aged lady: echocardiography and cardiovascular magnetic resonance confirmed the diagnosis of hypertrophic cardiomyopathy with significant systolic and diastolic midventricular obstruction, corresponding to the murmurs audible in mid-systole and early-diastole respectively. Moreover, the mid-systolic murmur was clearly distinguishable from the mitral regurgitation murmur, which was audible throughout systole (pan-systolic) and
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Khushu, Abha, Anthony W. Kelsall, and Juliet A. Usher-Smith. "Outcome of children referred with heart murmurs referred from general practice to a paediatrician with expertise in cardiology." Cardiology in the Young 25, no. 1 (2014): 123–27. http://dx.doi.org/10.1017/s104795111400095x.

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AbstractBackgroundHeart murmurs are common in children. The majority are detected incidentally, and congenital heart disease is rare. There are no published United Kingdom guidelines for management of children with murmurs in primary care. Common practice is to refer all children for specialist assessment.AimTo review outcomes of children with heart murmurs who were referred by general practitioners to a clinic conducted by a paediatrician with expertise in cardiology.Design and settingA retrospective review of children referred by general practitioners to a paediatrician with expertise in car
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Pac, Feyza Aysenur, Hamza Karabiber, Ayhan Kilic, Onur Kutlu, Cengiz Yakinci, and Mucahit Egri. "Evaluation of cardiac murmurs in 8647 children at primary school-age children in the Province of Malatya, Eastern Turkiye." Paediatrica Indonesiana 41, no. 1 (2017): 42. http://dx.doi.org/10.14238/pi41.1.2001.42-6.

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We assessed prospectively the prevalence 01 pathologic and Innocent murmurs in childhood, to determine the efficacy of clinical evaluation, to compare the results of physical examinations performed by pediatricians and pediatric cardiologists and echocardiographic evaluations, and to contribute to the determination of the limits of echocardiography indications in children with murmurs. A number of 8647 children, aged 6.5-15 years, 4092 females, 4455 males in ten different primary schools belonging to different socioeconomic levels in Malatya, Eastern Turkey. Those children with a murmur were e
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DAOUD, BOUTANA, KOURAS NAYAD, BARKAT BRAHAM, and BENIDIR MESSAOUD. "HEART MURMURS DETECTION AND CHARACTERIZATION USING WAVELET ANALYSIS WITH RENYI ENTROPY." Journal of Mechanics in Medicine and Biology 17, no. 06 (2017): 1750093. http://dx.doi.org/10.1142/s0219519417500932.

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Phonocardiogram signals (PCGs) represent a nonstationary signal due to their complicated production. Also, during the registration they may be added with different noise and pathological murmurs. Indeed, in real situation, the heart sound signal (HSs) may present some abnormal murmur characterizing a variety of heart diseases. This work deals with the segmentation of pathological PCGs based on the Discrete Wavelet Transform (DWT) which permits signal decomposition in different frequency bands. After the decomposition step, we estimate the Renyi Entropy (RE) of the detail coefficients. Then, we
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Seignior, Helen Louise. "What is the significance of hearing a heart murmur during the newborn physical examination?" British Journal of Midwifery 29, no. 3 (2021): 158–70. http://dx.doi.org/10.12968/bjom.2021.29.3.158.

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Background Newborn screening for congenital heart disease (CHD) forms part of the newborn physical examination (NPE) in the UK. However, research has shown that up to 50% of cases of CHD can be missed by this examination. The purpose of this literature review is to investigate the significance of hearing an asymptomatic heart murmur at the NPE in relation to the presence of CHD. Methodology A critical literature review was conducted to answer the research question. The findings were discussed using a narrative synthesis approach. Findings There was considerable heterogeneity of results. The pr
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Wang, Ziyu, Jung Hee Seo, and Rajat Mittal. "Mitral Valve Regurgitation Murmurs—Insights from Hemoacoustic Computational Modeling." Fluids 7, no. 5 (2022): 164. http://dx.doi.org/10.3390/fluids7050164.

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Mitral regurgitation (MR) is the leakage of blood from the left ventricle into the left atrium during systole through a mitral valve that does not close fully. A systolic murmur is produced by MR and can be used to diagnose this disease. In the current study, we use hemoacoustic simulations to characterize the features of murmurs for a range of severities relevant to chronic MR. The incompressible Navier–Stokes equations are solved using an immersed boundary method to simulate the blood flow. The resultant pressure fluctuations on the lumen wall serve as the source for the murmur, and the murm
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Aves, Wille. "MURMUR." Yale Review 105, no. 4 (2017): 90–107. http://dx.doi.org/10.1353/tyr.2017.0069.

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Casteen, John. "Murmur." Iowa Review 37, no. 1 (2007): 18. http://dx.doi.org/10.17077/0021-065x.6279.

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Wong, Annie. "Murmur." Minnesota review 2018, no. 91 (2018): 29. http://dx.doi.org/10.1215/00265667-7137151.

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Thomas, Joyce. "Murmur." Chest 139, no. 4 (2011): 962. http://dx.doi.org/10.1378/chest.10-0474.

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Aves, Wille. "MURMUR." Yale Review 105, no. 4 (2017): 90–107. http://dx.doi.org/10.1111/yrev.13276.

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Harris, J. J. "Murmur." Language Arts 71, no. 5 (1994): 357. http://dx.doi.org/10.58680/la199425211.

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Lee, Cecilia, Kathryn N. Rankin, Kevin J. Zuo, and Andrew S. Mackie. "Computer-aided auscultation of murmurs in children: evaluation of commercially available software." Cardiology in the Young 26, no. 7 (2016): 1359–64. http://dx.doi.org/10.1017/s1047951115002656.

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AbstractBackgroundHeart murmurs are common in children and may represent congenital or acquired cardiac pathology. Auscultation is challenging and many primary-care physicians lack the skill to differentiate innocent from pathologic murmurs. We sought to determine whether computer-aided auscultation (CardioscanTM) identifies which children require referral to a cardiologist.MethodsWe consecutively enrolled children aged between 0 and 17 years with a murmur, innocent or pathologic, being evaluated in a tertiary-care cardiology clinic. Children being evaluated for the first time and patients wit
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Danford, David A., Carl Gumbiner, and Arwa Nasir. "Cost Assessment of the Evaluation of Heart Murmurs in Children." Pediatrics 91, no. 2 (1993): 365–68. http://dx.doi.org/10.1542/peds.91.2.365.

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Echocardiography available directly to primary care physicians represents an alternative strategy to pediatric cardiology consultation for childhood heart murmur evaluation. A decision analysis model compared the costs of two diagnostic strategies: (1) echocardiography first, referral to the cardiologist if appropriate; and (2) cardiologist evaluates murmur, echocardiography if appropriate. The model incorporated probability of heart disease, frequency of cardiologist-ordered echocardiography, and echocardiography results established by review of 388 records of consecutive patients evaluated f
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Hallowell, Gayle. "So you have heard a heart murmur – what next?" UK-Vet Equine 7, no. 2 (2023): 54–57. http://dx.doi.org/10.12968/ukve.2023.7.2.54.

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Heart murmurs are common in horses, This article seeks to help clinicians discern which murmurs are likely to be performance- or safety-limiting and those which are more likely to be physiological. The article will go through some common scenarios and questions raised when a heart murmur is heard - including how it should be Investigated, and whether the horse can be safely sedated or anaesthetised.
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Advani, Najib, Samuel Menahem, and James L. Wilkinson. "Innocent murmurs: the perception of the parents versus that of the child." Cardiology in the Young 12, no. 6 (2002): 587–88. http://dx.doi.org/10.1017/s1047951102001063.

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Innocent murmurs in childhood are common, and often they do not reflect cardiac disease. We have performed a prospective review, by means of a questionnaire, to clarify the parental perception of the innocent murmur identified in their child. Whenever possible, depending on age, we also sought the input of the child.Of a cohort of 63 infants and children with innocent murmurs, a response was obtained from 40 parents and 8 children to an initial questionnaire, with 26 parents replying to a second questionnaire a year later. No parent reported any symptoms in their children, or had imposed any r
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Chowdhury, Md Nahid Islam, Md Anayet Ullah, Md Belal Hossain, and S. M. Shahinul Islam. "Pattern of Congenital Heart Diseases in Children in a Tertiary Care Hospital of Bangladesh." Journal of Bio-Science 30, no. 2 (2023): 39–45. http://dx.doi.org/10.3329/jbs.v30i2.68910.

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The most common congenital anomaly and a major contributor to infant and toddler mortality is congenital heart disease (CHD). Although it has high mortality rate but majority of the cases are asymptomatic during early life and usually discovered during routine checkup. To determine the incidence and pattern of congenital heart disease in children in a tertiary care hospital of Bangladesh. This cross-sectional study was conducted among children aged 1 day to 10 years old with cardiac problems who were hospitalized to the Paediatric department of Rajshahi Medical College Hospital, Rajshahi, Bang
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Debbal, Sidi. "Cardiac Severity Analysis." Journal of Thoracic Disease and Cardiothoracic Surgery 2, no. 2 (2021): 01–09. http://dx.doi.org/10.31579/2693-2156/023.

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Phonocardiogram (PCG) signal is a particular approach to explore cardiac activity, to develop technics that may serve medical staff to diagnose several cardiac diseases. We took advantage of PCG signal that shows heart murmurs on its tracing dissimilar to other cardiac signals, to design an algorithm to study and classify heart murmurs. In this paper, the importance is given to the severity of murmurs to highlight its impact, since depending on its stage the patient could be in life-threatening point; therefore, the purpose of this paper is focused on three essential steps: according to the al
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Luo, Yi, Zuoming Fu, Yantian Ding, Xiaojian Chen, and Kai Ding. "Phonocardiogram (PCG) Murmur Detection Based on the Mean Teacher Method." Sensors 24, no. 20 (2024): 6646. http://dx.doi.org/10.3390/s24206646.

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Cardiovascular diseases (CVDs) are among the primary causes of mortality globally, highlighting the critical need for early detection to mitigate their impact. Phonocardiograms (PCGs), which record heart sounds, are essential for the non-invasive assessment of cardiac function, enabling the early identification of abnormalities such as murmurs. Particularly in underprivileged regions with high birth rates, the absence of early diagnosis poses a significant public health challenge. In pediatric populations, the analysis of PCG signals is invaluable for detecting abnormal sound waves indicative
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N., Mohan Kumar, Vinutha Patil, Varshini P., and Chaitra K. M. "Two dimensional echocardiography as an evidence for clinically significant murmur." International Journal of Contemporary Pediatrics 9, no. 2 (2022): 163. http://dx.doi.org/10.18203/2349-3291.ijcp20220087.

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Background: Heart murmurs are extra and abnormal sounds made by turbulent flow of blood through heart. The most common cardiac abnormality found on auscultation is murmur. Edler is regarded as father of echocardiography. This is based on reflection of sound waves by heart structures similar to the radio detection and ranging (RADAR) and sound navigation and ranging (SONAR).Methods: Our study was done in PICU of Kempegowda Institute of Medical Sciences hospital, Bangalore. Duration of study was 6 years that is from January 2015 to January 2020. During this period total 2304 pediatric cases with
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Sutton, Timothy Matthew Lee. "Heart Murmur." Qualitative Inquiry 23, no. 6 (2016): 458–64. http://dx.doi.org/10.1177/1077800416673666.

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In the summer of 2015, I lost my relationship (of four years) and then my Grandmother passed away, one after the other. Judith Butler says there is no ready vocabulary to describe the bonds by which one is connected to another, the ties by which we are “differentiated and related.” Those ties constitute what we are, they compose us. This is an autoethnographic bricolage that examines those affective bonds that stand revealed when you lose someone. Pain results from their being severed, but as Butler points out, grief is also transformative. I argue that performance (auto)ethnography is perfect
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Hayes, Dominic, Holly Morgan, and Nigel Brown. "New murmur." Heart 106, no. 24 (2020): 1926–52. http://dx.doi.org/10.1136/heartjnl-2020-317521.

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Feroli, Kathleen, and Margaret Failla. "Heart murmur." Journal of Pediatric Health Care 7, no. 5 (1993): 233. http://dx.doi.org/10.1016/0891-5245(93)90010-f.

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CHENG, TSUNG O. "Still's Murmur." Archives of Pediatrics & Adolescent Medicine 142, no. 4 (1988): 416. http://dx.doi.org/10.1001/archpedi.1988.02150040066015.

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Park, Sung-Ji, Wook Sung Kim, Yeon Hyeon Choe, Sang-Chol Lee, Jae K. Oh, and Hector I. Michelena. "Systolic Murmur." Journal of the American College of Cardiology 58, no. 10 (2011): 1080. http://dx.doi.org/10.1016/j.jacc.2011.01.074.

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DEBBAL, S. M., and F. BEREKSI-REGUIG. "CARDIAC MURMUR ANALYSIS USING THE SHORT-TIME FOURIER TRANSFORM." Journal of Mechanics in Medicine and Biology 06, no. 03 (2006): 273–84. http://dx.doi.org/10.1142/s0219519406001959.

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This paper describes a signal processing technique aimed at complementing cardiac auscultation in the detection of heart valve disease. The method provides a means for keeping objective records by analyzing the characteristics of the cardiac murmurs. The Short-time Fourier Transform (STFT) is used here to provide a graphic representation of the time-frequency information of the cardiac murmurs from eight different pathology cases. The graphic representation obtained shows the variation in frequency and intensity during the murmur. Some interesting observations show characteristic rising and fa
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Rohr, Maurice, Benedikt Müller, Sebastian Dill, Gökhan Güney, and Christoph Hoog Antink. "Multiple instance learning framework can facilitate explainability in murmur detection." PLOS Digital Health 3, no. 3 (2024): e0000461. http://dx.doi.org/10.1371/journal.pdig.0000461.

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Objective Cardiovascular diseases (CVDs) account for a high fatality rate worldwide. Heart murmurs can be detected from phonocardiograms (PCGs) and may indicate CVDs. Still, they are often overlooked as their detection and correct clinical interpretation require expert skills. In this work, we aim to predict the presence of murmurs and clinical outcomes from multiple PCG recordings employing an explainable multitask model. Approach Our approach consists of a two-stage multitask model. In the first stage, we predict the murmur presence in single PCGs using a multiple instance learning (MIL) fra
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Baakek, Yettou Nour El Houda, Imane Debbal, Hidayat Boudis, and Sidi Mohammed El Amine Debbal. "Study of the impact of clicks and murmurs on cardiac sounds S1 and S2 through bispectral analysis." Polish Journal of Medical Physics and Engineering 27, no. 1 (2021): 63–72. http://dx.doi.org/10.2478/pjmpe-2021-0009.

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Abstract This paper presents a study of the impact of clicks, and murmurs on cardiac sound S1, and S2, and the measure of severity degree through synchronization degree between frequencies, using bispectral analysis. The algorithm is applied on three groups of Phonocardiogram (PCG) signal: group A represents PCG signals having a morphology similar to that of the normal PCG signal without click or murmur, group B represents PCG signals with a click (reduced murmur), and group C represent PCG signals with murmurs. The proposed algorithm permits us to evaluate and quantify the relationship betwee
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