TY - CHAP M1 - Book, Section TI - APPROACH TO THE PATIENT WITH A HEART MURMUR A1 - O’Gara, Patrick T. A1 - Loscalzo, Joseph A2 - Loscalzo, Joseph PY - 2016 T2 - Harrison's Cardiovascular Medicine, 3e AB - The differential diagnosis of a heart murmur begins with a careful assessment of its major attributes and response to bedside maneuvers. The history, clinical context, and associated physical examination findings provide additional clues by which the significance of a heart murmur can be established. Accurate bedside identification of a heart murmur can inform decisions regarding the indications for noninvasive testing and the need for referral to a cardiovascular specialist. Preliminary discussions can be held with the patient regarding antibiotic or rheumatic fever prophylaxis, the need to restrict various forms of physical activity, and the potential role for family screening. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2021/01/23 UR - accesscardiology.mhmedical.com/content.aspx?aid=1136484513 ER -