MRCP UK EXAMINATIONS

CARDIOLOGY

VENTRICULAR SEPTAL DEFECT

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
Which of the following is the most common diagnosis of murmur in children?
A
Innocent murmur
B
Rheumatic heart disease
C
Patent ductus arteriosus
D
Ventricular septal defect
Explanation: 

Detailed explanation-1: -The most common type of heart murmur is called functional or innocent. An innocent heart murmur is the sound of blood moving through a healthy heart in a normal way.

Detailed explanation-2: -Named for English pediatrician George Frederic Still, the Still’s murmur is by far and away the most common innocent heart murmur. Many textbooks describe it as a vibratory type noise.

Detailed explanation-3: -A heart murmur is an extra sound heard while listening to the heart. An innocent heart murmur is caused by blood flowing through a normal heart (Picture 1). It is not caused by heart disease and is harmless. Innocent heart murmurs are common in children and usually disappear before the child becomes an adult.

Detailed explanation-4: -Echocardiogram. This is the main test used to determine the cause of a heart murmur. An echocardiogram uses sound waves to create pictures of the beating heart. It shows how blood flows through the heart and heart valves.

Detailed explanation-5: -Innocent heart murmurs are common in clinical practice, present on at least one examination in 50–90% of children and 15–44% of young adults.

There is 1 question to complete.