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That means the heart murmur in a child?

To listen the heart of the baby begin obstetrician-gynecologists in the period of its intrauterine development. Before birth heart murmur in a child is not defined. Doctors are guided by the sonority of tones and frequency of contractions, indicators of well-being of the fetus, uncomplicated pregnancy in the expectant mother.

After birth in the first days of the newborn examines the special paediatrician in the maternity ward. In large perinatal centers have specialists-neonatologists. It pediatricians specially trained to diagnose and treat pathology early childhood, congenital diseases. They spend the first auscultation of the baby, in case of detection of noise required to determine the cause.

Features of auscultation of children

The therapist "gets scared" when listening to a child. Auscultatory picture is the same as that of an adult, but audibility is several times stronger. Especially in infants.

  • Chest wall of the baby is much thinner, all the sounds are transmitted very clearly.
  • A newborn needs to be able to listen to the background screaming. Examinations of an infant trying to carry out after feeding, so his mood was good and there was the opportunity to listen to heart in silence.
  • Older children have to divert moms.
  • In the offices of pediatricians always have toys, should be warm.
  • The doctor tries to warm up in the hands of the head of the stethoscope so as not to frighten the patient with the touch of a cold object.

Auscultative picture of the common of congenital defects in children

Organic heart murmurs are always talking about the disease, require further diagnosis and decision on conservative or operative treatment of the child.

  1. The cleft arterial duct is manifested in an infant by the typical noise in the second intercostal space left of the sternum. It has a rough systolic prolonged ("machine noise"), weaker during inhalation.
  2. When narrowing of the pulmonary artery, stenosis of aortic isthmus also listened to the noise to the left of the sternum, but it is held in the third intercostal space, carotid artery, in the interscapular space.
  3. For defects of the interatrial and interventricular septa are characteristic of systolic and diastolic uniform noise on the left edge of the sternum at the level of the attachment of the third and fourth ribs are on top, but the vessels are not listening.

As diagnosed

In the diagnosis takes into account:

  • clinical symptoms — cyanosis of the lips and face of the child, shortness of breath during the movements, rhythm changes, trembling of the thorax palpation of the heart, the presence of a visible venous network under the skin, throbbing blood vessels;
  • phonocardiography and ECG — precise localization of lesions of the heart chamber;
  • Ultrasound andDoppler — allow to set the blood flow in different phases of myocardial contraction, direction, amount of return, the degree of adaptability of the ventricles and the Atria.

It is recommended that parents

Listening to the noise the child in the heart should be cause for concern for parents. You need to bring diagnostics to full confidence in the causes. If necessary, several times to consult with a heart surgeon.

Only a specialist can recommend proper supervision and treatment, schedule a specific time of operation. If the risk of surgical treatment complications than opportunities the expected development of decompensation, then it shall inform the parents.

The child must be placed on the dispensary registration, shall be examined at least once in a quarter. The baby needs to be protected from infections, colds, to monitor the adequacy of vitamins in the diet. If necessary, the doctor prescribes a maintenance therapy, exempt the student from physical education classes.

Functional noise does not require significant restriction. About the possibility of playing sports need to talk to the pediatrician. Regular exercise is not contraindicated.

How healthy the child will grow depends on adults. Given the current widespread tendency to the reduction of specialized services in health care parents should be prepared to pay consultations.