Keyword Analysis & Research: my child has a heart murmur

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When to evaluate heart murmurs?

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. Chest radiography and electrocardiography rarely assist in the diagnosis of heart murmurs in children.

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