Pp-008 Cardiac Auscultation And Findings In Primary Care

Theocharis Lepenos 1, Maria Liarou1, Georgios Konstantinou2, Konstantinos Tsevas1, Georgios Gkeneralis 1, Dimitrios Zavos 1, Elisa V oriadaki 1, Dimitrios Amorgianos3
1 Health Centre Amfikleia Greece
2/KA (Urban Health Centre) Glyfadas Athens
3 SOS Medecins D' Athenes
Introduction: Cardiac auscultation is the primary method for the diagnosis of the heart murmurs in childhood. Auscultation with the stethoscope remains an important diagnostic means in the detection and treatment of heart disease. Aim: The aim of this study was to analyse the utility of the physical examination (auscultation) and echocardiography in the initial assessment of heart murmurs in an asymptomatic paediatric population.
Methods: A cohort of 173 schoolchildren (aged 5-14 years) was referred to our health Centre setting between May 2003 and May 2006. Cardiac auscultation revealed heart murmurs in 119 children. An echocardiographic study was performed in all patients with more than a soft systolic or diastolic murmur.
Results: A total number of 173 children were examined. Ninety-three were male and 80 female. One hundred and thirteen children (65,3%) had an innocent murmur and six children (3,4%) had had a heart disease [atrial septum defect ( 1 ), ventricular septum defect( 1 ), mitral valve prolapse ( 1 ), aortic stenosis ( 1 ), pulmonary stenosis( 1 ), scimitar syndrome( 1)].
Two of the children with heart disease undergone surgical correction of their abnormality. Conclusions: Cardiac auscultation remains the most important method of screening for heart malformations. Echocardiography is recommended for symptomatic patients or even asymptomatic patients in whom the physical examination suggests the presence. -of heart disease. Cardiopulmonary auscultation should receive more emphasis in the medical school curriculum and clinical training.