Szmer sercowy
Objawy

Szmer sercowy to dodatkowy dźwięk słyszalny podczas osłuchiwania serca, wynikający z turbulentnego przepływu krwi przez zastawki lub ich okolice. Szmery dzielimy na niewinne, które nie wymagają leczenia i są powszechne u niemowląt, dzieci i dorosłych, oraz patologiczne, wskazujące na choroby serca, takie jak wrodzone wady (ASD, VSD, PDA, koarktacja aorty) u dzieci czy nabyte choroby zastawkowe u dorosłych (zwężenie aortalne, niedomykalność mitralna). Szmery klasyfikuje się według czasu występowania w cyklu sercowym: skurczowe, rozkurczowe i ciągłe, a ich intensywność oceniana jest w skali 1-6. Patologiczne szmery często towarzyszą objawom takim jak duszność, zmęczenie, ból w klatce piersiowej, sinica, obrzęki czy zaburzenia rytmu serca, a ich obecność wymaga dalszej diagnostyki i monitorowania.

Szmer sercowy – definicja

Szmer sercowy to dodatkowy, nietypowy dźwięk słyszany podczas osłuchiwania serca za pomocą stetoskopu. Objawia się jako szumiący, syczący lub świszczący odgłos, który pojawia się, gdy krew przepływa przez serce w sposób turbulentny. Normalnie serce wydaje charakterystyczny dźwięk „lub-dub”, jednak przy obecności szmeru pojawia się dodatkowy dźwięk między uderzeniami serca, spowodowany zaburzonym przepływem krwi przez zastawki serca lub w ich pobliżu.123

Szmery sercowe możemy podzielić na niewinne (nieszkodliwe) oraz patologiczne (nieprawidłowe). Niewinne szmery sercowe nie są objawem choroby serca i nie wymagają leczenia. Natomiast patologiczne szmery sercowe mogą wskazywać na poważny problem z sercem, który wymaga dalszej diagnostyki i potencjalnego leczenia.145

Rodzaje szmerów sercowych

Szmery sercowe klasyfikuje się według czasu ich występowania w cyklu pracy serca:67

  • Szmery skurczowe – występują, gdy mięsień sercowy kurczy się (skurcz).
  • Szmery rozkurczowe – występują, gdy mięsień sercowy rozluźnia się między uderzeniami (rozkurcz).
  • Szmery ciągłe – występują podczas całego cyklu pracy serca.

67

Szmery skurczowe są klasyfikowane według intensywności (głośności) w skali od 1 do 6, gdzie 1 oznacza bardzo cichy szmer, słyszalny tylko przy specjalnym nasłuchiwaniu, a 6 oznacza szmer niezwykle głośny, który może być słyszalny nawet bez kontaktu stetoskopu z klatką piersiową.68

Szmery rozkurczowe i ciągłe są częściej związane z chorobą serca. Jednak każdy szmer sercowy powinien zostać oceniony przez lekarza.29

Przyczyny szmerów sercowych

Szmery sercowe mogą być obecne od urodzenia (wrodzone) lub rozwinąć się w późniejszym okresie życia (nabyte). Niewinne szmery sercowe są powszechne u niemowląt, dzieci i dorosłych. Mogą pojawiać się i znikać lub występować regularnie przez całe życie.1104

Niewinne szmery sercowe

Niewinne szmery sercowe mogą być spowodowane:211

  • Szybkim przepływem krwi przez zdrowe serce (np. podczas wysiłku fizycznego)
  • Ciążą
  • Fazami szybkiego wzrostu (np. w okresie dojrzewania)
  • Gorączką
  • Anemią
  • Nadczynnością tarczycy

126

Niewinne szmery mogą zniknąć wraz z wiekiem, szczególnie u dzieci, które często „wyrastają” z nich w miarę dojrzewania. W niektórych przypadkach mogą jednak utrzymywać się przez całe życie bez powodowania problemów zdrowotnych.213

Patologiczne szmery sercowe

Nieprawidłowe szmery sercowe mogą być spowodowane różnymi schorzeniami:1415

Inne przyczyny patologicznych szmerów sercowych mogą obejmować:1716

  • Kardiomiopatię przerostową
  • Infekcyjne zapalenie wsierdzia
  • Gorączkę reumatyczną (powikłanie anginy paciorkowcowej, które może uszkodzić serce)
  • Osłabienie mięśnia sercowego

Objawy szmerów sercowych

Szmery sercowe same w sobie często nie powodują żadnych objawów i są wykrywane podczas rutynowego badania lekarskiego. Jednak w zależności od przyczyny i rodzaju szmeru, mogą występować różne objawy.38

Niewinne szmery sercowe – objawy

Osoby z niewinnym szmerem sercowym zwykle nie doświadczają żadnych objawów poza nietypowym dźwiękiem serca wykrywanym podczas osłuchiwania. Niewinne szmery sercowe nie wpływają na zdrowie ani funkcjonowanie serca.118

Patologiczne szmery sercowe – objawy

Objawy patologicznych szmerów sercowych mogą być różne w zależności od przyczyny leżącej u ich podstaw. Do najczęstszych objawów należą:11920

  • Duszność – trudności z oddychaniem, zwłaszcza podczas wysiłku fizycznego lub w pozycji leżącej1821
  • Zmęczenie – uczucie znacznego osłabienia lub zmęczenia1922
  • Ból w klatce piersiowej119
  • Zawroty głowy lub omdlenia2319
  • Sinica – niebieskawe lub szarawe zabarwienie skóry, zwłaszcza wokół ust i na koniuszkach palców120
  • Szybkie lub nieregularne bicie serca (palpitacje)1924
  • Nadmierne pocenie się przy niewielkim wysiłku lub w spoczynku120
  • Obrzęk kończyn dolnych, kostek, stóp lub brzucha2519
  • Powiększenie wątroby120
  • Powiększone żyły szyjne120
  • Przewlekły kaszel, który nie ustępuje119
  • Nagły przyrost masy ciała119

Objawy szmerów sercowych u niemowląt i dzieci

U niemowląt i małych dzieci objawy patologicznego szmeru sercowego mogą obejmować:192614

  • Problemy z karmieniem i utratą apetytu119
  • Słaby przyrost masy ciała lub zahamowanie wzrostu2027
  • Sinica – niebieskawe zabarwienie skóry, zwłaszcza podczas karmienia lub aktywności1828
  • Trudności z oddychaniem lub przyspieszone oddychanie2029
  • Nadmierna drażliwość1914
  • Zawroty głowy19
  • Obrzęk brzucha, kończyn dolnych, kostek i stóp19

Progresja szmerów sercowych

Przebieg i ewolucja szmerów sercowych mogą być różne, w zależności od ich przyczyny i charakteru.102

Niewinne szmery sercowe – progresja

Niewinne szmery sercowe mogą:102

  • Znikać i pojawiać się ponownie
  • Stać się głośniejsze, gdy serce bije szybciej (np. podczas emocji, strachu lub wysiłku)
  • Z czasem całkowicie ustąpić, zwłaszcza u dzieci
  • Pozostać na całe życie bez powodowania problemów zdrowotnych

1330

U wielu dzieci nieszkodliwe szmery ustępują samoistnie wraz z wiekiem, często do szóstego miesiąca życia lub w okresie dojrzewania.2631

Patologiczne szmery sercowe – progresja

Patologiczne szmery sercowe mogą ewoluować różnie, w zależności od przyczyny:21

  • Szmery spowodowane infekcyjnym zapaleniem wsierdzia mogą pojawić się nagle i szybko nasilać w ciągu kilku dni, podczas gdy inne mogą powodować łagodniejsze objawy przez tygodnie lub miesiące.21
  • Szmery spowodowane problemami z zastawkami lub wrodzonymi wadami serca zwykle utrzymują się przez całe życie, a w niektórych przypadkach mogą się z czasem nasilać.2132
  • Jeśli szmer jest związany z chorobą zastawkową, nieleczony może prowadzić do powikłań, takich jak niewydolność serca, nadciśnienie płucne, infekcje zastawek serca czy udar.1833

Ważne jest monitorowanie patologicznych szmerów sercowych przez lekarza, aby ocenić ich ewolucję w czasie. Niektóre szmery mogą pozostać stabilne, podczas gdy inne mogą się pogarszać lub poprawiać, w zależności od przyczyny i zastosowanego leczenia.3435

Czynniki wpływające na progresję szmerów sercowych

Progresja szmeru sercowego może zależeć od wielu czynników:3235

  • Wiek pacjenta – u dzieci niewinne szmery często zanikają z wiekiem, podczas gdy u dorosłych i osób starszych patologiczne szmery mogą się nasilać wraz z postępem choroby zastawkowej.2636
  • Przyczyna szmeru – różne choroby leżące u podstaw szmeru mogą mieć różny przebieg i progresję.21
  • Zastosowane leczenie – odpowiednie leczenie może spowolnić lub zatrzymać progresję patologicznego szmeru.3437
  • Styl życia – zdrowy styl życia (kontrola wagi, regularna aktywność fizyczna, zdrowa dieta i unikanie nikotyny) może wydłużyć czas do momentu, gdy zabiegi lub operacja staną się konieczne.38

Kiedy szukać pomocy medycznej

Osoby, u których zdiagnozowano szmer sercowy, powinny skonsultować się z lekarzem, jeśli doświadczają następujących objawów:193940

  • Ból w klatce piersiowej
  • Trudności z wykonywaniem zwykłych czynności lub ćwiczeń
  • Duszność
  • Nagły przyrost masy ciała
  • Obrzęk kostek
  • Zawroty głowy lub omdlenia
  • Skrajne zmęczenie
  • Gorączka lub poty nocne
  • Jakiekolwiek nietypowe objawy budzące niepokój

Nawet jeśli powiedziano ci, że twój szmer jest niewinny, powinieneś zgłosić lekarzowi, jeśli pojawią się nowe objawy lub dotychczasowe ulegną nasileniu. W przypadku szmerów u niemowląt i dzieci należy zwrócić szczególną uwagę na objawy takie jak trudności z karmieniem, sinica, przyspieszone oddychanie czy słaby przyrost masy ciała.4142

Rokowanie i powikłania

Rokowanie dla osób z szmerem sercowym zależy od przyczyny szmeru i jego nasilenia:2143

Niewinne szmery sercowe – rokowanie

W przypadku osób z niewinnym szmerem sercowym rokowanie jest doskonałe. Takie szmery nie powodują żadnych problemów zdrowotnych i nie wpływają na długość życia.2144

Patologiczne szmery sercowe – rokowanie

W przypadku osób z patologicznymi szmerami sercowymi rokowanie zależy od rodzaju problemu z sercem i jego nasilenia:2145

  • Jest doskonałe u pacjentów z strukturalnie prawidłowym sercem
  • Jest słabe u pacjentów z ciężkimi zastawkowymi lub wrodzonymi wadami serca
  • Generalnie, nawet gdy konieczna jest operacja serca, rokowanie jest dobre

Potencjalne powikłania

Nieprawidłowy szmer sercowy może prowadzić do powikłań, takich jak:1833

  • Niewydolność serca – gdy serce nie jest w stanie pompować wystarczającej ilości krwi, aby zaspokoić potrzeby organizmu
  • Nadciśnienie płucne – wysokie ciśnienie w tętnicach płucnych
  • Infekcje zastawek serca – takie jak infekcyjne zapalenie wsierdzia
  • Udar mózgu – gdy skrzep krwi blokuje dopływ krwi do mózgu
  • Zaburzenia rytmu serca – nieprawidłowy rytm serca
  • Nagła śmierć sercowa – w przypadkach zaawansowanej choroby serca

Powikłania te mogą wystąpić, jeśli choroba podstawowa powodująca szmer sercowy nie jest odpowiednio leczona lub monitorowana.3346

Wpływ na jakość życia

Wpływ szmeru sercowego na jakość życia zależy od jego przyczyny i nasilenia:2147

  • Niewinne szmery – nie wpływają na jakość życia i pozwalają prowadzić normalne, aktywne życie bez ograniczeń.48
  • Patologiczne szmery – mogą wpływać na jakość życia, powodując zmniejszoną tolerancję wysiłku, zmęczenie, duszność i inne objawy, które mogą ograniczać codzienne aktywności.2147

Kiedy szmer sercowy znacząco zakłóca zdolność serca do pompowania krwi, może to prowadzić do jednego lub więcej z następujących objawów: duszność, zawroty głowy, epizody przyspieszonego bicia serca, ból w klatce piersiowej, zmniejszona tolerancja wysiłku fizycznego, a w późniejszych stadiach – objawy niewydolności serca.21

Właściwe leczenie patologicznego szmeru sercowego może znacznie poprawić jakość życia, zmniejszając objawy i zapobiegając dalszym komplikacjom. Celem leczenia jest umożliwienie pacjentom powrotu do aktywnego i normalnego stylu życia.49

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  1. 09.04.2026
  2. www.leksykon.com.pl

Materiały źródłowe

  • #1 Heart murmurs – Symptoms & causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/heart-murmurs/symptoms-causes/syc-20373171
    Heart murmurs can be present at birth (congenital) or develop later in life (acquired). […] Some heart murmurs are harmless (innocent). An innocent heart murmur is not a sign of heart disease and doesn’t need treatment. Other heart murmurs may be a sign of a serious heart condition. Tests are needed to check the heart and heart valves. Heart murmur treatment depends on the cause. […] Harmless (innocent) heart murmurs usually don’t cause any other symptoms. […] Symptoms of worrisome heart murmurs depend on the cause. Heart murmur symptoms may include: Blue or gray fingernails or lips, Chest pain, Cough that doesn’t go away, Dizziness, Swollen liver, Swollen neck veins, Fainting, Heavy sweating with little or no activity, In infants, poor appetite and lack of growth, Shortness of breath, Swelling or sudden weight gain.
  • #2 Heart Murmur: Causes, Symptoms, Treatment
    https://my.clevelandclinic.org/health/diseases/17083-heart-murmur
    A heart murmur is a whooshing or swishing sound heard through a stethoscope when blood flows abnormally over your heart valves. Heart murmurs are common and dont necessarily indicate a health problem, especially in children. However, murmurs should be evaluated because they may signal a heart problem or other health issue. […] A murmur may mean theres a problem with your heart. But heart murmurs are also present in healthy people who dont have a heart problem (called innocent heart murmurs). […] Diastolic and continuous murmurs are more likely related to heart disease. But every heart murmur should be evaluated. […] Innocent heart murmurs can disappear and reappear. They may get louder when your heart beats faster. They often go away eventually, but some last a lifetime. Innocent heart murmurs dont indicate a problem with your heart.
  • #3 Heart Murmurs Causes, Symptoms, and Treatments
    https://www.upmc.com/services/heart-vascular/conditions/heart-murmurs
    A heart murmur is an abnormal sound — such as a whooshing or swishing — that is caused by blood moving in or around your heart during your heartbeat cycle. Heart murmurs can be congenital, meaning that they are present at birth, or they can develop later in life. […] A heart murmur is usually detected when your doctor listens to your heartbeat with a stethoscope. Other than what your doctor can hear, which is usually a whooshing or swishing sound, heart murmurs typically don’t cause obvious symptoms.
  • #4 Heart murmurs – causes, symptoms & treatment – BHF
    https://www.bhf.org.uk/informationsupport/conditions/heart-murmurs
    A heart murmur is an extra, unusual sound in your heartbeat. Most heart murmurs are harmless. But they can be a sign of a problem with your heart. You might need treatment to keep your heart healthy. […] Many people with a heart murmur dont feel any symptoms. But a heart murmur can cause some symptoms like: fainting, dizziness, chest pain, shortness of breath, swelling in your legs, arms or tummy area, a continuous cough that doesnt seem to be getting better, sweating a lot when youre resting or doing minimal activity, not growing at a normal rate and a lack of appetite (in babies and children only). […] Most heart murmurs arent dangerous. But sometimes they can be a sign of a problem with your heart. […] Innocent heart murmurs are common in babies, young people and adults. They can come and go or happen regularly throughout your life.
  • #5 Heart Murmurs in Adults: 9 Symptoms to be Aware of | Ochsner Health
    https://blog.ochsner.org/articles/heart-murmurs-in-adults-9-symptoms-to-be-aware-of
    Being told that you have a heart murmur can be scary, but most are not serious or cause for alarm. A cardiac murmur is simply a heart sound that is abnormal. The sound is created by blood flow moving through one of the valves of your heart. […] A person with an innocent heart murmur has a normal heart and does not require treatment. A person with an abnormal heart murmur may need more extensive testing to determine the cause. […] In adults, abnormal heart murmurs are mostly caused by acquired valve issues. […] Murmurs can also occur when the heart muscle weakens. […] If you are diagnosed with a heart murmur, it is important to watch for symptoms such as difficulty exercising, extreme tiredness or shortness of breath. […] You should inform your doctor if you experience any of these symptoms even if you’ve been told your murmur is innocent: Chest Pain, Trouble doing usual activities/exercise, Shortness of breath, Sudden weight gain, Ankle swelling, Dizziness of fainting, Extreme tiredness, Fever or night sweats, Any symptoms that are out of the ordinary and causing you concern.
  • #6 Heart Murmurs | American Heart Association
    https://www.heart.org/en/health-topics/heart-murmurs
    Most innocent murmurs disappear when a child reaches adulthood, but in some adults the murmur remains for life. […] Non-innocent (or abnormal) heart murmurs are often caused by defective heart valves. […] Certain congenital defects and other conditions such as pregnancy, fever, anemia or thyrotoxicosis (a condition caused by an overactive thyroid gland) can also cause murmurs. […] A murmur that occurs when the heart muscle relaxes between beats is called a diastolic murmur. A systolic murmur occurs when the heart muscle contracts. […] Systolic murmurs are graded by intensity (loudness) from 1 to 6. A grade 1 is faint, heard only with a special effort. It’s softer than the normal heart sounds. A grade 6 is extremely loud, and can be heard with no contact between stethoscope and the chest.
  • #7 Heart murmurs – Diagnosis & treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/heart-murmurs/diagnosis-treatment/drc-20373175
    Heart murmurs may be detected when a physical exam is done for another reason. A health care provider can listen to the heart using a device called a stethoscope. The provider considers several things when listening to the heart to tell if a murmur is innocent or worrisome. […] A murmur that occurs when blood leaves the heart (systolic murmur) generally is an innocent heart murmur. One that happens when the heart fills with blood (diastolic murmur) or throughout the heartbeat (continuous murmur) may signal a heart problem. […] Treatment for a worrisome heart murmur depends on cause. A worrisome heart murmur requires close monitoring by a health care provider. Medications or surgery may be needed. […] Surgery may be needed to correct a condition that causes a worrisome heart murmur. For example, if a narrowed or leaky heart valve is causing the murmur and other symptoms, heart valve repair or replacement may be needed.
  • #8 Heart Murmurs and Causes of Other Abnormal Heart Sounds
    https://www.healthline.com/health/heart-murmurs
    An abnormal murmur in adults is usually caused by problems with the valves that separate the chambers of your heart. If a valve doesn’t close tightly and some blood leaks backward, this is called regurgitation. […] If a valve has become too narrow or becomes stiff, this is known as stenosis. It can also cause a murmur. […] Murmurs are graded depending on how loud the sound is. The scale for grading runs from 1 to 6, where one is very faint and six is very loud so loud that it may not need a stethoscope to be heard. […] Abnormal heart sounds often indicate some type of underlying heart disease. This may be treated with medication, or it may require surgery. […] It’s important to follow up with a heart specialist to learn the details of your condition.
  • #8 Heart Murmurs and Causes of Other Abnormal Heart Sounds
    https://www.healthline.com/health/heart-murmurs
    During a checkup, your doctor will use a stethoscope to listen to your heartbeat to determine whether your heart is beating properly and has a normal rhythm. This gives your doctor information concerning the health of your heart. […] A heart murmur is an unusual sound heard between heartbeats. […] If your doctor hears a murmur or any other abnormal sounds coming from your heart, it may be an early indicator of a serious heart condition. […] In many cases, heart murmurs and other abnormal heart sounds can only be detected when your doctor listens to your heart using a stethoscope. You may not notice any outward signs or symptoms. […] In some cases, you may notice signs or symptoms of an underlying heart condition. These can include: chest pain, chronic cough, shortness of breath, dizziness or fainting, heavy sweating with little exertion, skin that looks blue, especially on your lips or fingertips, sudden weight gain or swelling, enlarged neck veins, enlarged liver.
  • #9 Evaluation and Management of Heart Murmurs in Children | AAFP
    https://www.aafp.org/pubs/afp/issues/2011/1001/p793.html
    Heart murmurs are common in healthy infants, children, and adolescents. […] A murmur may be the sole manifestation of serious heart disease. […] Red flags that increase the likelihood of a pathologic murmur include a holosystolic or diastolic murmur, grade 3 or higher murmur, harsh quality, an abnormal S2, maximal murmur intensity at the upper left sternal border, a systolic click, or increased intensity when the patient stands. […] Heart murmurs are common in asymptomatic, otherwise healthy children. […] However, a heart murmur may be the sole finding in children with structural heart disease; therefore, a thorough evaluation is necessary. […] Structural heart disease is more likely when the murmur is holosystolic, diastolic, grade 3 or higher, or associated with a systolic click; when it increases in intensity with standing; or when it has a harsh quality.
  • #10 Heart murmurs – Symptoms & causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/heart-murmurs/symptoms-causes/syc-20373171
    Innocent heart murmurs may go away over time. Sometimes, heart murmurs continue for life without causing serious health problems. […] In children, worrisome murmurs are usually due to a problem with the heart’s structure that’s present at birth (congenital heart defect). […] In adults, worrisome heart murmurs are usually due to heart valve problems that develop later in life (acquired heart valve disease). […] A heart valve problem can cause a murmur.
  • #11 Heart Murmurs |Symptoms and Causes| MedStar Health
    https://www.medstarhealth.org/services/heart-murmurs
    Your heartbeat is the sound of your heart valves closing. If there is a problem with your valves, blood may flow abnormally through or around them, causing a whooshing or swishing sound between or after heartbeats. […] They often are harmless, but they can be a sign of underlying heart valve disease or damage. […] If there is no underlying condition causing your heart murmur, you may not require treatment, but if you do require treatment, our heart and vascular teams work with other specialties to develop and implement individualized plans to treat you. This could include medication or more advanced surgical treatments.
  • #12 Heart murmur: Innocent or serious? – Mayo Clinic Health System
    https://www.mayoclinichealthsystem.org/hometown-health/speaking-of-health/heart-murmur
    You may have heard the term „heart murmur.” A murmur is an extra heart sound that can be heard by a stethoscope. Sometimes, the murmur sounds like a humming, which can be faint or loud. It might be temporary or persistent. Heart murmurs may be present at birth or develop later in life during pregnancy, phases of rapid growth like adolescence or from a fever or anemia. […] The murmur may disappear as quickly as it comes if it has a temporary cause. However, a murmur also could be persistent and loud, easily heard and sound like a churning mill wheel or cooing seagull. This might indicate a serious heart problem. […] Symptoms of a serious or worrisome heart murmur depend on the cause and require evaluation by a healthcare professional. […] These heart murmur symptoms may include: Blue or gray lips or fingernails, Chest pain, Fainting, Fever, Leg swelling, Lingering cough, Shortness of breath, Sudden weight gain, Swollen liver or neck veins, Worsening fatigue. […] Once the cause of a heart murmur has been found, some people will need repeated evaluation over the years. Others may need surgery to treat the cause of the murmur, especially if it’s to adjust a tight or leaky valve, or to close a hole in the heart.
  • #13 Heart Murmurs | American Heart Association
    https://www.heart.org/en/health-topics/heart-murmurs
    Your child’s doctor listens to their heart with a stethoscope to detect heart murmurs. […] Innocent heart murmurs are sounds made by blood circulating through the heart’s chambers and valves, or through blood vessels near the heart. […] Innocent murmurs may disappear and then reappear. When a child’s heart rate changes, such as during excitement or fear, these innocent murmurs may become louder or softer. This still doesn’t signal that the murmur is cause for concern. […] If your child’s doctor hears a murmur when listening to their heart, they may recommend additional testing, such as an electrocardiogram (ECG) or echocardiogram (echo). This is to confirm the murmur is innocent. Unless testing suggests otherwise, no additional steps may be needed. […] With an innocent heart murmur, your child won’t need medication, and doesn’t have a heart problem or heart disease.
  • #14 Heart murmur: Causes, symptoms, and treatment
    https://www.medicalnewstoday.com/articles/326802
    A heart murmur is an abnormal sound the blood makes as it moves through the heart. Murmurs can be benign or indicate a serious heart condition. […] In adults, some heart diseases including heart valve disease can cause heart murmurs. […] A person with a heart murmur should seek professional evaluation by a doctor to determine if their murmur is innocent or needs additional testing and monitoring. […] Abnormal heart murmurs indicate an underlying heart condition. […] Abnormal heart murmurs in adults are usually associated with heart valve disease. […] People with heart murmurs may not experience any symptoms. […] Others, specifically those with abnormal heart murmurs, may experience symptoms depending on the underlying cause. […] For example, people can experience shortness of breath, dizziness, fainting, bluish skin, chronic cough, palpitations, swelling in the legs or abdomen.
  • #14 Heart murmur: Causes, symptoms, and treatment
    https://www.medicalnewstoday.com/articles/326802
    A newborn baby may have difficulty feeding, stunted growth, a bluish hue to the skin during feeding or activity, breathing difficulties, excessive fussiness. […] Heart murmurs themselves may not typically require treatment. […] However, abnormal heart murmurs are a symptom of an underlying condition that may require treatment. […] Innocent heart murmurs are benign and do not usually require medical attention. Abnormal heart murmurs, however, signal an underlying heart condition. […] When treating abnormal heart murmurs, the doctor must first determine the cause. […] Heart valve disease is more common with age.
  • #15 Heart murmurs: MedlinePlus Medical EncyclopediaLock
    https://medlineplus.gov/ency/article/003266.htm
    A heart murmur is a blowing, whooshing, or rasping sound heard during a heartbeat. The sound is caused by turbulent (rough) blood flow through the heart valves or near the heart. […] Murmurs can happen for many reasons, such as: […] When a valve does not close tightly and blood leaks backward (regurgitation) […] When blood flows through a narrowed or stiff heart valve (stenosis). […] Many heart murmurs are harmless. These types of murmurs are called innocent murmurs. They will not cause any symptoms or problems. Innocent murmurs do not need treatment. […] Other heart murmurs may indicate an abnormality in the heart. […] Significant murmurs in children are more likely to be caused by: […] Multiple murmurs may result from a combination of heart problems. […] Children often have murmurs as a normal part of development. These murmurs do not need treatment.
  • #16 Heart murmurs – UF Health
    https://ufhealth.org/conditions-and-treatments/heart-murmurs
    Significant murmurs in children are more likely to be caused by: Anomalous pulmonary venous return (an abnormal formation of the pulmonary veins), Atrial septal defect (ASD), Coarctation of the aorta, Patent ductus arteriosus (PDA), Ventricular septal defect (VSD). […] Multiple murmurs may result from a combination of heart problems. […] Children often have murmurs as a normal part of development. These murmurs do not need treatment.
  • #16 Heart murmurs – UF Health
    https://ufhealth.org/conditions-and-treatments/heart-murmurs
    A heart murmur is a blowing, whooshing, or rasping sound heard during a heartbeat. The sound is caused by turbulent (rough) blood flow through the heart valves or near the heart. […] Many heart murmurs are harmless. These types of murmurs are called innocent murmurs. They will not cause any symptoms or problems. Innocent murmurs do not need treatment. […] Other heart murmurs may indicate an abnormality in the heart. These abnormal murmurs can be caused by: Problems of the aortic valve (aortic regurgitation, aortic stenosis), Problems of the mitral valve (chronic or acute mitral regurgitation, mitral stenosis), Hypertrophic cardiomyopathy, Pulmonary regurgitation (backflow of blood into the right ventricle, caused by failure of the pulmonary valve to close completely), Pulmonary valve stenosis, Problems of the tricuspid valve (tricuspid regurgitation, tricuspid stenosis).
  • #17 Diagnosing Heart Murmurs | Goshen Health
    https://goshenhealth.com/services-conditions/heart-murmur
    A heart murmur is an extra sound in your heartbeat. Your doctor may notice it when listening to your heartbeat with a stethoscope. Many cases of heart murmurs are harmless, which are called innocent heart murmurs. Sometimes, they are telltale signs of a mechanical problem with the way blood flows through your heart. […] Innocent heart murmurs may not have any symptoms. However, symptoms such as chest pain, chronic cough, bluish skin and nails, dizziness, shortness of breath and unexplained weight gain may accompany an abnormal heart murmur. […] An abnormal heart murmur may be caused by: Congenital heart disease, including septal wall and valve defects present at birth; Heart valve disease, the most common cause of abnormal heart murmurs; Endocarditis, an infection of the moist lining that surrounds the heart; Rheumatic fever, a complication of strep throat that can damage the heart.
  • #18 Heart murmur | healthdirect
    https://www.healthdirect.gov.au/heart-murmur
    A heart murmur is a 'swishing’, 'whooshing’ or 'rasping’ noise heard between regular heart beats. […] It can be harmless or a possible sign a heart condition. […] Whether you have other symptoms will depend on the medical condition causing the murmur. […] If you have a harmless (innocent) heart murmur, you may not have any symptoms. […] If your heart murmur is due to heart disease or a structural heart issue, you may experience: shortness of breath (either when exercising or at rest), light-headedness or dizziness, fatigue, fainting or blackouts, fast or irregular heartbeat, or heart palpitations, swelling of your feet or legs, difficulty with daily activities. […] Babies or children with a heart murmur due to heart problems may also have: a bluish tinge on the skin around their lips or under the fingernails, poor growth, pale skin. […] An abnormal heart murmur can lead to complications such as: heart failure, pulmonary hypertension, infections of your heart valves, stroke.
  • #19 Heart Murmurs: Causes, Diagnosis, Treatment, Prevention
    https://www.webmd.com/heart-disease/heart-murmur-causes-treatments
    Heart Murmur Symptoms […] Many people with heart murmurs have no symptoms. But when they do happen, symptoms of heart murmur include: […] – Chest pain […] – Fast heartbeat (palpitations) […] – Shortness of breath […] – Tiredness […] – Heavy sweating without doing much activity […] – Fainting […] – Bluish color to the skin or fingertips […] – Sudden weight gain or swelling […] – Swollen neck veins […] – A cough that doesn’t go away […] Heart murmur symptoms in babies […] Babies and young children with a heart murmur might also have symptoms such as: […] – Feeding problems and appetite loss […] – Bluish color to the skin, especially on the lips and fingertips […] – Cough […] – Extra fussiness […] – Slow growth […] – Dizziness […] – Swelling in the belly, lower legs, ankles, and feet
  • #19 Heart Murmurs: Causes, Diagnosis, Treatment, Prevention
    https://www.webmd.com/heart-disease/heart-murmur-causes-treatments
    Heart murmur sounds […] A normal heartbeat makes a lub-dub sound. When you have a heart murmur, your doctor will hear a whooshing or humming sound between beats. The abnormal flow of blood through your heart valves causes this sound. […] […] […] When to Worry About a Heart Murmur […] Most heart murmurs aren’t serious. But sometimes a murmur can be a sign of a valve or heart problem that does need treatment. […] Get medical help if you have symptoms such as: […] – Chest pain […] – Shortness of breath during exercise or when you sleep […] – Tiredness […] – Dizziness or fainting for no obvious reason […] – Heart palpitations […] – Swelling in your ankles or legs […] Sometimes, a murmur does signal a heart problem. In that case, it could be serious if you don’t treat it.
  • #20 Heart Murmur > Fact Sheets > Yale Medicine
    https://www.yalemedicine.org/conditions/heart-murmur
    Symptoms include trouble breathing, shortness of breath, sweating, chest pain, fainting […] Innocent heart murmurs have no symptoms. People with abnormal heart murmurs may experience such symptoms as: Trouble breathing, Shortness of breath, Sweating, Chest pain, Fainting, Skin with a bluish tint, Weight gain, Neck veins that bulge, A chronic cough […] Babies and young children with abnormal heart murmurs may also experience: Feeding problems, Excessive fussiness, Poor growth, Fast breathing.
  • #21 Heart Murmur Guide: Causes, Symptoms and Treatment Options
    https://www.drugs.com/health-guide/heart-murmur.html
    A heart murmur may indicate a structural abnormality of a heart valve or heart chamber, or it may be due to an abnormal connection between two parts of the heart. […] An innocent murmur does not cause any symptoms. For other types of heart murmurs, symptoms vary depending on the cause. In general, when a heart murmur significantly interferes with the heart’s ability to pump blood, you can experience one or more of the following symptoms: Shortness of breath, Light-headedness, Episodes of rapid heartbeat, Chest pain, Decreased tolerance for physical exertion and, in later stages, symptoms of heart failure. […] When a murmur is caused by a heart problem, how long it lasts depends on the type of disorder. For example, some forms of endocarditis begin suddenly and get worse rapidly over a few days, while others cause milder symptoms over weeks or months. Murmurs caused by valve problems or congenital heart problems usually last throughout life, and in some cases, they can worsen over time. […] In people with innocent heart murmurs, the prognosis is excellent. For people with other types of heart murmurs, the prognosis depends on the type of heart problem and its severity. In general, even when heart surgery is required, the prognosis is good.
  • #22 Heart Murmurs: Causes, Symptoms, and How to Fix Them
    https://www.verywellhealth.com/heart-murmur-explained-3157001
    A heart murmur can sometimes be harmless and pose no risk to your health. Other heart murmurs may be a sign of heart disease, particularly if they develop (or worsen) later in life and are accompanied by symptoms like fatigue, shortness of breath, and chest pain. […] A heart murmur caused by heart disease may cause symptoms like: Severe fatigue, Chest pain, Lightheadedness or dizziness, Shortness of breath, especially with physical exertion, Heart palpitations. […] Generally speaking, a heart murmur is presumed innocent if you are younger and experience no other symptoms. However, this is not always the case as some murmurs can get progressively worse over time. […] Some heart murmurs are „innocent” and don’t cause any problems. Others associated with heart disease usually cause symptoms and may require treatment with medications or surgery.
  • #23 Understanding Heart Murmurs: When Should You Worry? | Orlando | UCF Health
    https://ucfhealth.com/our-services/cardiology/when-to-worry-about-a-heart-murmur/
    Heart murmurs, abnormal sounds that become apparent during the heartbeat cycle, can leave many individuals concerned and uncertain about their implications. […] Addressing heart murmurs is crucial, as they can serve as potential indicators of underlying heart conditions. […] Recognizing the symptoms and signs associated with heart murmurs is necessary for early detection and appropriate medical evaluation. These subtle yet significant indicators provide valuable clues, guiding individuals and healthcare professionals toward comprehensive assessments and timely interventions. […] One potential symptom of heart murmurs is chest pain or discomfort. […] Individuals with heart murmurs might experience breathlessness, especially during physical activity or while lying flat. […] Unexplained fatigue or excessive tiredness, even in the absence of other obvious signs, can be a symptom of heart murmurs.
  • #24 Heart murmurs – myDr.com.au
    https://mydr.com.au/heart-stroke/heart-murmurs/
    A heart murmur is an unusual or extra sound heard between the normal heartbeat sounds. […] Heart murmurs can be present from birth or may develop later in life. They can disappear over time or may be present throughout someones lifetime. In many cases, a heart murmur is harmless and does not signal any serious problems with the heart (often called an innocent heart murmur or a benign flow murmur). However, in other cases it can indicate a problem with the heart and requires further investigation. […] Heart murmurs often cause no symptoms and you may not notice that you have one. A murmur is usually discovered during an examination when the doctor listens to your heart with a stethoscope. […] An innocent heart murmur doesnt cause any symptoms. However, if the heart murmur is abnormal you may notice associated symptoms, including: Shortness of breath (this may be with heavy exercise, mild exercise or at rest, depending on severity), Feeling light-headed or dizzy, Blackouts, Rapid heart rate or heart palpitations, Chest pain, Fatigue, Swelling of the feet and or legs, Bluish tinge on the skin around the lips or under the fingernails, Difficulty doing normal daily activities.
  • #25 Understanding Heart Murmurs: When Should You Worry? | Orlando | UCF Health
    https://ucfhealth.com/our-services/cardiology/when-to-worry-about-a-heart-murmur/
    Episodes of fainting or dizziness may occur due to inadequate blood flow, especially in cases of severe valve disorders. […] Peripheral edema, the swelling of the legs, ankles or feet, can be a visible sign of heart murmurs caused by valve problems. […] Palpitations or an irregular heartbeat (arrhythmia) can sometimes accompany heart murmurs. […] Not everyone with a heart murmur will experience these symptoms. […] If you experience persistent symptoms such as chest pain, shortness of breath, unexplained fatigue, dizziness or swelling, especially in adulthood, these should raise red flags. […] Additionally, any new onset of symptoms or the detection of a heart murmur as an adult should prompt immediate attention.
  • #26 Heart Murmurs (for Parents) | Nemours KidsHealth
    https://kidshealth.org/en/parents/murmurs.html
    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. Just as you might hear air moving through an air duct or water flowing through a pipe, doctors can hear blood moving through the heart even when there’s no heart problem. […] Most innocent murmurs will go away on their own as a child gets older. […] About 1 out of every 100 babies is born with a structural heart problem, or congenital heart defect. These children may show signs of the defect as early as the first few days of life or not until later in childhood. Some kids won’t have any symptoms beyond a heart murmur, while others might have such signs as rapid breathing, trouble feeding, blueness of the face (called cyanosis), failure to thrive.
  • #27 What Is a Heart Murmur? | Mass General Brigham
    https://www.massgeneralbrigham.org/en/about/newsroom/articles/what-is-a-heart-murmur
    Most heart murmurs are benign, which means theyre harmless and dont cause health problems or put you at risk for other conditions. However, some heart murmurs are more serious and require treatment. […] Heart murmur symptoms typically depend on whether the murmur is benign or serious. In many people with a murmur, there are no symptoms, says Dr. Philippides. Thats usually because the heart valve problem is very mild. […] If the valve problem causing the murmur is more severe, you may have symptoms such as: Shortness of breath, A cough that doesnt go away, Swelling in the abdomen, ankles, or neck, Dizziness, especially after exercising, Reduced capacity for physical activity. […] In infants who were born with a problematic heart murmur, signs may include: Blue or gray fingernails, Lack of growth, Poor appetite.
  • #28 Heart murmur in children & teenagers | Raising Children Network
    https://raisingchildren.net.au/guides/a-z-health-reference/heart-murmur
    Blood flowing through the heart usually makes a noise like lub-dub, best heard through a stethoscope. A heart murmur is when the blood makes an extra noise in the heart a whoosh, swish or hum. It happens when the blood isnt flowing smoothly through the heart. […] If your child has an innocent heart murmur, theyll have no symptoms at all. If your child has an abnormal heart murmur, they might have symptoms related to heart disease. These might include breathlessness and a grey, white or blue colour to the lips, fingers and toes. If the murmur is present at birth, these symptoms might appear immediately or soon after birth. […] An innocent heart murmur doesnt need treatment. If your child has heart disease, they might need some form of treatment. This can range from taking a medicine to needing an operation, depending on what kind of disease it is and how bad it is. Some children dont need any treatment and just need regular check-ups with their cardiologist.
  • #29 Heart Murmurs in Children | Phoenix Children’s Hospital
    https://phoenixchildrens.org/specialties-conditions/heart-murmurs-children
    Heart murmurs are extra or abnormal sounds made by turbulent blood flowing through the heart. Murmurs are graded on a scale of 1 to 6, based on how loud they are. One means a very faint murmur. Six means a murmur that’s very loud. […] Children with innocent murmurs have no other symptoms except the abnormal heart sounds. A child with a pathologic heart murmur may have 1 or more of the following symptoms. They vary depending on the problem. […] In babies: Feeding difficulties (sweating while feeding), skin or lips have bluish tinge (cyanosis) during feeding or activity. Poor feeding, weight gain, failure to thrive. Shortness of breath or breathing fast. Sweating. […] In children: Chest pain on exertion. Dizziness or fainting (syncope). Palpitations. Bluish skin, especially on the lips and fingertips. Cough. Swelling (edema) of the lower legs, ankles, feet, belly (abdomen), liver, or neck veins.
  • #30 Systolic Heart Murmur: Causes, Symptoms and Treatment
    https://my.clevelandclinic.org/health/diseases/23328-systolic-heart-murmur
    If the murmur is innocent, it usually goes away without treatment. If you have an abnormal heart murmur, you may need treatment for the underlying heart condition. […] An innocent systolic murmur probably doesn’t need treatment. If you have an abnormal heart murmur, you may need treatment for a heart condition.
  • #31 Get a jump on heart murmurs | Cornell University College of Veterinary Medicine
    https://www.vet.cornell.edu/departments-centers-and-institutes/riney-canine-health-center/canine-health-information/get-jump-heart-murmurs
    Most murmurs in puppies are benign, which means they arent harmful. They are soft, quiet murmurs called innocent or physiologic murmurs, and most will be outgrown by 6 months of age. If your puppy does not outgrow their murmur, an echocardiogram is recommended to determine the cause, cardiac status and prognosis. This is important whether your dog is intended for breeding or not. […] The ultimate prognosis depends on the type of congenital heart defect. Many puppies will live a normal lifespan. For other puppies, surgery may be an option. […] Common congenital heart defects and the breeds most often affected: […] Pulmonic Stenosis […] Subaortic Stenosis […] Patent Ductus Arteriosis (PDA) […] Ventricular Septal Defect (VSD) […] Tricuspid Valve Dysplasia […] Mitral Valve Dysplasia.
  • #32 Heart Murmurs: When Should You Be Concerned?
    https://www.summithealth.com/health-wellness/heart-murmurs-when-should-you-be-concerned
    Has your doctor recently informed you that you have a heart murmer? […] While some heart murmurs are harmless, it’s important to consult with your doctor if you have concerns or experience any of the following symptoms: Shortness of breath, Chest pain, Fatigue, Swelling in the legs or ankles, Dizziness or lightheadedness, Palpitations (feeling like your heart is racing or fluttering), Fainting. […] „If a heart murmur is caused by valvular heart disease, you may experience symptoms such as shortness of breath, chest pain during exertion, fatigue, swelling in the legs and dizziness. These symptoms, especially if they are new or worsening, could signal an underlying heart problem and warrant immediate medical attention,” explains Dr. Ha. […] Everyones heart is different and heart murmurs can change over time. […] Most serious heart murmurs wont disappear until addressed and if a heart murmur is left untreated, it can worsen over time, says Dr. Ha.
  • #33 Heart Murmur | Manhattan Cardiology | Manhattan, NY
    https://manhattancardiology.com/conditions/heart-murmur/
    Signs and symptoms depend on the murmur, as each cause can present differently. Stenotic murmurs often present with fatigue, shortness of breath, chest pain, edema, dizziness, and palpitations can all be signs of a heart murmur. Regurgitant murmurs often present with fatigue, shortness of breath, chest pain, edema, dizziness, and palpitations. […] If left untreated, heart murmurs can put tremendous stress on the heart leading to heart failure, arrhythmias, and sudden cardiac death.
  • #34 Heart murmur – Wikipedia
    https://en.wikipedia.org/wiki/Heart_murmur
    The need for treatment depends on the diagnosis and severity. In some cases, the condition causing the heart murmur may prompt monitoring. Sometimes, heart murmurs disappear on their own. This happens when the cause of the heart murmur is no longer present. Monitoring will help determine how the condition changes. It may stay the same, worsen, or improve. In other cases, the condition causing the heart murmur may not prompt any further tests.
  • #35 Heart Murmurs: The Difference Between Innocent And Abnormal | Henry Ford Health – Detroit, MI
    https://www.henryford.com/blog/2019/02/heart-murmurs-difference-between-innocent-abnormal
    These more serious murmurs usually do not go away unless the problem that causes them is treated. If you have gone through treatment to replace or repair a heart valve, your murmur may change sound or go away completely. Likewise, murmurs can get worse if a condition goes untreated or becomes more serious. […] Your heart is unique, and some heart murmurs can change over time. Because of this, it is important for your doctor to listen to your heart every time you go in for a physical exam. If you have a heart murmur, your doctor may order an echocardiogram, refer you to a heart specialist and make sure you schedule annual visits to monitor your heart health.
  • #36 What Is a Heart Murmur? Grades, Causes, and When to Get | Scan.com UK
    https://uk.scan.com/health-hub/what-is-a-heart-murmur-grades-causes-and-when-to-get-an-echocardiogram-for-heart-murmur
    If you develop a heart murmur later in life and are not pregnant, anaemic, or suffering from an overactive thyroid, but you are experiencing symptoms such as shortness of breath, chest pain, or fainting, it could be a cause for concern. […] Heart murmurs in older adults can sometimes indicate age-related changes in the heart, such as valve calcification (an excess build-up of calcium deposits on the heart valve). If you’re an older adult and have been diagnosed with a heart murmur, consider getting an echocardiogram to assess the situation.
  • #37 Heart Murmur in Dogs: Causes, Symptoms & Treatment | Purina USOpen in new windowOpen in new windowOpen in new windowOpen in new windowOpen in new windowOpen in new windowOpen in new windowOpen in new window
    https://www.purina.com/articles/dog/health/symptoms/heart-murmur-in-dogs
    The most intense murmurs are often a sign of significant heart disease. […] Your veterinarian may be able to hear a Grade Six murmur through their stethoscope without even placing it directly on the chest. Sometimes Grade Six murmurs are so loud that they can even be detected without the help of a stethoscope. […] If the heart murmur is low in intensity, your veterinarian may recommend close monitoring with or without medical treatment. Physiologic murmurs in puppies will often resolve on their own. […] Where necessary, your veterinarian will recommend a treatment plan based on the underlying condition, whether it’s anemia, hyperthyroidism or heart disease. […] Follow your veterinarian’s instructions and continue to look out for any new symptoms. In many cases, heart murmurs in dogs will not stop your pet living a long and happy life.
  • #38 Heart Murmur Information, Diagnosis & Treatment – CVG Cares Cardiology – CVG
    https://cvgcares.com/conditions/heart-murmurs/
    A heart murmur is an abnormal swishing sound that your heart creates as it beats. […] Many murmurs are innocent or of little consequence, some childhood murmurs resolve with aging. […] While in most cases we cant prevent the valve from worsening, a healthy lifestyle (management of weight, regular exercise, healthy diet and avoiding nicotine) may prolong the time until procedures or surgery become necessary. […] Abnormal heart murmurs, however, can cause a variety of other symptoms, depending on the specific cause of the murmur. These symptoms include shortness of breath, a chronic cough, chest pain, dizziness, fainting, or an enlarged liver or neck veins. […] Other symptoms include skin that appears blue, especially on your fingertips and lips, swelling or sudden weight gain, heart palpitations, and heavy sweating with little to no activity. If you experience many of these symptoms, it may be a sign of a more serious heart condition.
  • #39 Do You Have a Heart Murmur and Not Know It? Check Your Symptoms: Harlem Cardiology on Madison Avenue: Cardiologists
    https://www.harlemcardio.com/blog/do-you-have-a-heart-murmur-and-not-know-it-check-your-symptoms
    You might be surprised to learn that heart murmurs are quite common. Many people are born with a heart murmur or develop one during childhood, and then outgrow it in adulthood. Others live with a heart murmur all their lives and never even realize it. […] Other types of heart murmurs need follow-up tests to rule out serious underlying causes. […] Take a minute to learn about the symptoms of a heart murmur that could be evidence of an underlying heart problem. […] If you have a family history of heart defects, or you have serious health issues such as high blood pressure, its a good idea to understand the signs and symptoms of a heart murmur that require medical evaluation, including: Chest pain, Bluish skin, lips, or fingertips, Dizziness, lightheadedness, or fainting, Shortness of breath, Chronic cough, Large neck veins, Sudden weight gain, Swelling, Poor appetite, Episodes of rapid or irregular heartbeat (palpitations).
  • #40 What Is A Heart Murmur? Does It Need To Be Treated? – Heart Foundation NZ
    https://www.heartfoundation.org.nz/your-heart/heart-conditions/what-is-a-heart-murmur
    However, you need to tell your doctor if you experience any of the following symptoms (even if you’ve been told your murmur is innocent): chest pain, trouble doing usual activities/exercise, shortness of breath, sudden weight gain, ankle swelling, dizziness or fainting, extreme tiredness, fever or night sweats, any symptoms that are out of the ordinary and causing you concern.
  • #41 Heart Murmurs – familydoctor.org
    https://familydoctor.org/condition/heart-murmurs/
    A heart murmur can be a symptom of another problem. The sound is the only way to know if you or your child has one. If a murmur is caused by a heart problem, you may have other symptoms. These could include: […] Shortness of breath […] Dizziness or fainting […] Bluish skin […] Chronic cough […] If you or your child has an innocent heart murmur, you can live a completely normal life. It will not cause you any problems and is not a sign of an issue with your heart. If you have a murmur along with any of the following symptoms, see your doctor: […] You are very tired […] You have trouble exercising or being physically active […] You have chest pain […] If your child has a heart murmur and any of these symptoms, call your doctor: […] Rapid breathing […] Difficulty feeding […] Blue tint to the lips […] These could be signs of a more serious heart problem.
  • #42 Heart Murmurs in Children: Symptoms and Causes | NewYork-Presbyterian
    https://www.nyp.org/pediatrics/heart/childhood-heart-murmur
    Heart murmurs in children are very common. Your pediatrician may detect a whooshing or swishing noise in addition to the regular heartbeat. Heart murmurs in most children are usually not a cause for concern, but in some cases, they could be a sign of a heart issue that may require treatment. […] Children with innocent heart murmurs generally have no additional symptoms beyond irregular heart sounds. However, depending on the underlying cause, pathological heart murmurs may be associated with a cardiac issue that produces the following symptoms: Shortness of breath or rapid breathing, Poor appetite, Weight gain, Chest pain, Sweating, Dizziness or fainting, Cough, Swelling (edema) in the belly, lower legs, ankles, feet, liver, or neck veins, Bluish skin, particularly on the fingertips and lips. […] If your child is experiencing any of these symptoms, consult your pediatrician for a diagnosis and treatment options. If your pediatrician is concerned the murmur is not innocent, they may refer you to see a pediatric cardiologist.
  • #43 Heart Murmur Symptoms, Treatment & Causes | Baptist Health
    https://www.baptisthealth.com/care-services/conditions-treatments/heart-murmur
    Heart murmur symptoms can vary and may be absent in some cases. […] Heart murmurs often present without symptoms other than an unusual heartbeat sound. This is true of innocent or harmless heart murmurs. […] Worrisome heart murmurs are those with symptoms that accompany an unusual heartbeat. When these other symptoms are present, it may indicate an underlying heart problem and shouldn’t be ignored. Worrisome or abnormal heart murmur symptoms include: Blue-tinged skin, Chest pain, Chronic cough, Dizziness, Enlarged liver, Enlarged neck veins, Fainting, Heavy sweating, not related to exercise, Poor appetite, Poor growth (in infants), Shortness of breath, Swelling or sudden weight gain. […] Many heart murmurs are considered harmless and are left untreated. These are known as innocent heart murmurs. […] Prognosis for abnormal heart murmurs depends on the type and severity of the heart problem causing them.
  • #44 Abnormal and
    https://www.heart.org/en/health-topics/heart-valve-problems-and-disease/heart-valve-problems-and-causes/innocent-heart-murmur
    A heart murmur is an unusual heart sound. Many times a heart murmur isn’t dangerous and is called an “innocent” murmur. Abnormal heart murmurs may point to an underlying heart condition that should be studied further. […] Heart murmurs related to valve problems should receive follow-up care. […] If a murmur is detected, follow-up tests may be recommended. Although some heart murmurs indicate heart valve problems, others are considered harmless. These are “innocent” murmurs. […] As with most conditions, heart murmurs and any underlying problems can vary in severity and risk.
  • #45
    https://www.healthxchange.sg/heart-lungs/heart-disease/heart-murmur-causes-symptoms-treatments
    Heart murmurs must be investigated to be sure that they’re harmless. […] A heart murmur is the extra rasping, humming or whooshing sound that can be heard in-between. […] Symptoms such as chest pain, shortness of breath, dizziness, heart palpitations or lower limb swelling may indicate an underlying heart problem that can cause a heart murmur. […] Prognosis for abnormal heart murmurs varies according to the underlying heart problem and its severity. It is excellent in patients with otherwise structurally normal hearts and poor in patients with severe underlying valvular or congenital heart defects.
  • #46 Heart Murmurs – Heart Auscultation – Signs and Symptoms – McMaster Textbook of Internal Medicine
    https://empendium.com/mcmtextbook/chapter/B31.I.1.107.2.
    A heart murmur occurs when laminar blood flow becomes turbulent due to: […] On examination, establish the following characteristics of the murmur: area where it is the loudest (areas of auscultation: see Figure 1 in Heart Auscultation), systolic versus diastolic, intensity, radiation, character, and factors increasing and decreasing the loudness (dynamic auscultation). Right-sided murmurs become louder with inspiration. […] Note that hemodynamic changes associated with murmurs are complex, and valvular lesions may present atypically in unique circumstances and when combined with other cardiovascular abnormalities. Classic features of common murmurs: […] The intensity of a heart murmur is graded on the Levine scale of 1 to 6: […] Findings of LV volume overload if chronic (S3 and laterally displaced, sustained, high-amplitude apical impulse). […] Elevated risk of sudden cardiac death, infective endocarditis, potentially stroke/TIA and arrhythmia.
  • #47 How Serious Is Your Heart Murmur? – The Polyclinic
    https://www.polyclinic.com/health-wellness-library/heart-murmur-serious.html
    Heart murmurs can lead to serious symptoms. […] When undetected or not closely followed, an abnormal heart murmur can create cardiovascular problems later in life or maybe sooner. […] Heart valve disease symptoms may include: Fatigue, Shortness of breath, Not able to do exercise or a lot of physical movement, Lightheadedness, Swollen ankles, feet or belly, Difficulty breathing when lying flat to sleep, Palpitations or fluttering heart beats. […] Often these symptoms start unexpectedly and without a known reason. This can be frustrating and sometimes cause fear or worry.
  • #48
    https://www.healthychildren.org/English/health-issues/conditions/heart/Pages/Heart-Murmur.aspx
    Although the name is unsettling, heart murmurs are very common in children. […] Many innocent heart murmurs go away on their own as the child grows, although some do last into adulthood. […] Rarely, a murmur can indicate a problem with the heart. This is called a pathologic murmur (or an abnormal heart murmur). […] Pathologic murmurs are usually loud. […] While not normal, pathologic murmurs often are not life-threatening. […] But, if a child has a heart murmur and also develops symptoms such as shortness of breath, trouble eating or gaining weight, sweating while eating, or cyanosis (a blue tint to lips and skin), it could be a more serious condition. Seek medical attention right away. […] If your child has a pathologic murmur, your pediatrician and pediatric cardiologist will talk with you about whether treatment is needed.
  • #49 Heart Murmur Symptoms, Causes, Treatment, When to Worry
    https://www.medicinenet.com/heart_murmur/article.htm
    Many people have physiologic heart murmurs and need no intervention or care. Those whose heart murmurs signal that there is a structural issue with the heart may be monitored for symptoms that gradually develop over time. […] In infants and children, heart murmurs due to atrial or ventricular septal defects may need surgery to repair the abnormality and they can expect to have a normal heart after repair. […] In adults, medications and lifestyle changes may help minimize the need for surgery to repair or replace a damaged heart valve. The goal is to return the blood flow patterns in the heart to normal and allow the person to return to an active and normal lifestyle.