Prevalence and Etiology of Heart Murmurs in 2-24-Months-Old Infants Kerman, Iran

Background & aim: Congenital heart disease is one of the most common malformations at birth that require timely recognition and treatment. The aim of this study was to determine the prevalence and etiology of detected heart murmurs and association between congenital heart disease and heart murmu...

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Main Authors: M.M Bagheri, M.H Torabi-Nezhad, Z Jamali, M.R Baneshi
Format: Article
Language:English
Published: Kerman University of Medical Sciences 2014-03-01
Series:Journal of Kerman University of Medical Sciences
Subjects:
Online Access:https://jkmu.kmu.ac.ir/article_16262_90f6739d3ffbe7f44beaa22c34f8b10f.pdf
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author M.M Bagheri
M.H Torabi-Nezhad
Z Jamali
M.R Baneshi
author_facet M.M Bagheri
M.H Torabi-Nezhad
Z Jamali
M.R Baneshi
author_sort M.M Bagheri
collection DOAJ
description Background & aim: Congenital heart disease is one of the most common malformations at birth that require timely recognition and treatment. The aim of this study was to determine the prevalence and etiology of detected heart murmurs and association between congenital heart disease and heart murmurs. Recognition of murmurs etiology would help us to manage and treat them properly. Methods: In this cross-sectional study, 2757 infants between two to 24 months in Kerman city, Iran were enrolled. The infants who had heart murmurs in physical exam were referred to pediatric cardiologist for more evaluations such as echocardiography. Results: 2757 infants were screened for the presence of heart murmurs and murmurs were heard in 145 (5.29%) including 71 girls (49%) and 74 boys (51%). Innocent and pathologic murmurs prevalence was 49 and 51 percent, respectively. Altogether, left to right shunts [ventricular ceptal defect (VSD), atrial ceptal defect (ASD), patent ductus arteriosus (PDA), atrioventricular septal defect (AVSD)] were the most common cardiac abnormalities in this study. The most common heart lesion was ventricular septal defect (21.6%). There was a significant correlation between younger infants, lower weights and girl sex with congenital heart disease. Conclusion: On base of our study, the incidence of pathologic heart murmurs related to congenital heart disease is more than innocent murmurs in infants; with accurate heart exam and timely screening, we can prevent irreversible heart complication in these ages
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spelling doaj.art-520e16a1bc11407cb46b26008a5834c32023-07-01T05:25:25ZengKerman University of Medical SciencesJournal of Kerman University of Medical Sciences2008-28432014-03-0121211412216262Prevalence and Etiology of Heart Murmurs in 2-24-Months-Old Infants Kerman, IranM.M Bagheri0M.H Torabi-Nezhad1Z Jamali2M.R Baneshi3Assistant Professor, Department of Pediatrics, Afzalipour School of Medicine & Physiology Research Center, Kerman University of Medical Sciences, Kerman, IranAssistant Professor, Department of Pediatrics, Afzalipour School of Medicine & Physiology Research Center, Kerman University of Medical Sciences, Kerman, IranResident, Department of Pediatrics, Afzalipour School of Medicine, Kerman University of Medical Sciences, Kerman, IranAssistant Professor, Research Center for Modeling in Health, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, IranBackground & aim: Congenital heart disease is one of the most common malformations at birth that require timely recognition and treatment. The aim of this study was to determine the prevalence and etiology of detected heart murmurs and association between congenital heart disease and heart murmurs. Recognition of murmurs etiology would help us to manage and treat them properly. Methods: In this cross-sectional study, 2757 infants between two to 24 months in Kerman city, Iran were enrolled. The infants who had heart murmurs in physical exam were referred to pediatric cardiologist for more evaluations such as echocardiography. Results: 2757 infants were screened for the presence of heart murmurs and murmurs were heard in 145 (5.29%) including 71 girls (49%) and 74 boys (51%). Innocent and pathologic murmurs prevalence was 49 and 51 percent, respectively. Altogether, left to right shunts [ventricular ceptal defect (VSD), atrial ceptal defect (ASD), patent ductus arteriosus (PDA), atrioventricular septal defect (AVSD)] were the most common cardiac abnormalities in this study. The most common heart lesion was ventricular septal defect (21.6%). There was a significant correlation between younger infants, lower weights and girl sex with congenital heart disease. Conclusion: On base of our study, the incidence of pathologic heart murmurs related to congenital heart disease is more than innocent murmurs in infants; with accurate heart exam and timely screening, we can prevent irreversible heart complication in these ageshttps://jkmu.kmu.ac.ir/article_16262_90f6739d3ffbe7f44beaa22c34f8b10f.pdfcongenital heart diseasemurmurventricular septal defectinfantleft to right shunts
spellingShingle M.M Bagheri
M.H Torabi-Nezhad
Z Jamali
M.R Baneshi
Prevalence and Etiology of Heart Murmurs in 2-24-Months-Old Infants Kerman, Iran
Journal of Kerman University of Medical Sciences
congenital heart disease
murmur
ventricular septal defect
infant
left to right shunts
title Prevalence and Etiology of Heart Murmurs in 2-24-Months-Old Infants Kerman, Iran
title_full Prevalence and Etiology of Heart Murmurs in 2-24-Months-Old Infants Kerman, Iran
title_fullStr Prevalence and Etiology of Heart Murmurs in 2-24-Months-Old Infants Kerman, Iran
title_full_unstemmed Prevalence and Etiology of Heart Murmurs in 2-24-Months-Old Infants Kerman, Iran
title_short Prevalence and Etiology of Heart Murmurs in 2-24-Months-Old Infants Kerman, Iran
title_sort prevalence and etiology of heart murmurs in 2 24 months old infants kerman iran
topic congenital heart disease
murmur
ventricular septal defect
infant
left to right shunts
url https://jkmu.kmu.ac.ir/article_16262_90f6739d3ffbe7f44beaa22c34f8b10f.pdf
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AT zjamali prevalenceandetiologyofheartmurmursin224monthsoldinfantskermaniran
AT mrbaneshi prevalenceandetiologyofheartmurmursin224monthsoldinfantskermaniran