It is frequently ordered as part of the preoperative workup for patients with no cardiomyopathy and those who present with cardiac murmurs
9%) presented with a cardiac murmur
, CCF, arthritis or chorea.
Values show the percentage and absolute number of patients with this comorbidity requiring outpatient clinic assessment Patients requiring OPD assessment Diminished exercise tolerance * 100% (24) Cardiac implants 100% (8) Gastric banding 100% (9) Angina 87% (15) Previous regional block complication 83% (6) COAD 76% (25) Hepatitis 75% (12) OSA 72% (49) Orthopnoea 71% (17) DVT 70% (20) Cardiac murmur
70% (10) OPD=outpatient department, COAD=chronic obstructive airway disease, OSA=obstructive sleep apnoea, DVT=deep vein thrombosis.
The reasons and results of cardiac investigations in 153 children admitted to our clinic Cause of cardiac evaluation n Cardiac murmur
133 Normal 107 Atrial septal defect 4 Mitral valve prolapse 4 Physiological mitral regurgitation 4 Mitral valve abnormality 2 Patent foramen ovale 2 Patent ductus arteriosus 2 Ventricular septal defect 2 Parachute mitral valve 1 Pulmonary stenosis 1 Atrial septal defect + mitral valve prolapse 1 Aortic stenosis 1 Aortic insufficiency 1 Mitral and aortic insufficiency 1 Syncope 3 Normal 2 Vasovagal syncope 1 Cardiac complaint 6 Normal 6 Chest deformity 5 Normal 4 Physiological mitral regurgitation 1 Hypertension 3 Normal 3 Split second heart sound 1 Normal 1 Extracardiac anomaly 1 Normal 1 Hypertension and weak femoral pulses 1 Aortic coarctation 1 Table 4.
Despite the development of a systolic cardiac murmur
, the patient had an uneventful recovery.
Looking around," he is told of an ideal teaching subject for his neophytes: a loud cardiac murmur
caused by a defective valve in a 43-year-old man awaiting corrective surgery.
The most common adverse reactions for PI (observed in 5% of subjects) were headache, fatigue, pyrexia, nausea, chills, rigors, pain in extremity, diarrhea, migraine, dizziness, vomiting, cough, urticaria, asthma, pharyngolarynegeal pain, rash, arhralgia, myalgia, oedema peripheral, pruritus, and cardiac murmur
Change in the cardiac murmur
or signs of cardiac failure, such as crepitations at the lung bases or raised jugular venous pressure.
Dual heart sounds with no cardiac murmur
, clear lung fields.
4) Rupture occurs 3 - 5 days after the myocardial infarction and the patient presents with sudden deterioration, new onset cardiac murmur
, congestive heart failure, and often in cardiogenic shock.