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소아청소년 심잡음의 평가와 진단적 접근

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Author(s)
Hee Joung Choi
Keimyung Author(s)
Choi, Hee Joung
Department
Dept. of Pediatrics (소아청소년학)
Journal Title
대한의사협회지
Issued Date
2020
Volume
63
Issue
7
Keyword
Heart murmursCongenital heart defectsChild심잡음선천성 심기형소아
Abstract
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, harsh quality, an abnormal S2, a systolic click, or increased intensity when the patient stands are more likely to be pathologic murmurs. Innocent murmurs are more likely to be systolic murmurs, with soft sounds, short duration, low pitch, and varying intensity with phases of respiration and posture (disappears with standing). Not only auscultation but also physical examination findings are important to evaluate heart murmurs. The gold standard test for the evaluation of any potentially pathologic murmur is echocardiography. For the appropriate use of echocardiography, close physical examination, including auscultation, is essential and requires considerable practice.
Alternative Title
Evaluation and diagnostic approach for heart murmurs in children
Keimyung Author(s)(Kor)
최희정
Publisher
School of Medicine (의과대학)
Citation
Hee Joung Choi. (2020). 소아청소년 심잡음의 평가와 진단적 접근. 대한의사협회지, 63(7), 398–403. doi: 10.5124/jkma.2020.63.7.398
Type
Article
ISSN
2093-5951
Source
https://jkma.org/journal/view.php?number=3134
DOI
10.5124/jkma.2020.63.7.398
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/42904
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Pediatrics (소아청소년학)
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