RT Book, Section A1 O’Gara, Patrick T. A1 Loscalzo, Joseph A2 Loscalzo, Joseph SR Print(0) ID 1136484513 T1 APPROACH TO THE PATIENT WITH A HEART MURMUR T2 Harrison's Cardiovascular Medicine, 3e YR 2016 FD 2016 PB McGraw-Hill Education PP New York, NY SN 9781259835742 LK accesscardiology.mhmedical.com/content.aspx?aid=1136484513 RD 2021/01/23 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.