NIRCO med‎ > ‎periop‎ > ‎assessment‎ > ‎01 cardiovascular‎ > ‎

cardiac murmur

  • Systolic murmur:
    • midsystolic, grade 2 or less:
      • asymptomatic and no associated findings -> no further workup
      • symptomatic or other signs of cardiac disease -> echocardiography
    • early systolic, midsystolic, grade 3 or more, late systolic, holosystolic -> echocardiography
  • Diastolic murmur -> echochardiography
  • Continous murmur: echocardiography, or if venous hum or mammary souffle of pregnancy -> no further workup