Clinical cases in Cardiology (nº 3): a 7 year old boy with a systolic murmur

Authors:

Crespo Marcos D^a, Pérez-Lescure Picarzo J^b

^aCardiología Infantil. Área de Pediatría. Hospital Universitario Fundación Alcorcón. Alcorcón, Madrid. España.
^bCardiología Infantil. Área de Pediatría. Hospital Universitario Fundación Alcorcón. Alcorcón, Madrid. España.

Correspondence: D Crespo. Email: dcrespo@fhalcorcon.es

Reference of this article.:

Crespo Marcos D, Pérez-Lescure Picarzo J. Casos clínicos en Cardiología (n.º 3): niño de 7 años con un soplo sistólico. Rev Pediatr Aten Primaria. 2009;11:277-81.

Published in Internet: 30/06/2009

Abstract:

We continue the series of clinical cases in Pediatric Cardiology checking frequent reasons for consultation in the pediatric offices of Primary Care as well as exploratory signs, and presenting them in a brief and practical way. In this paper we present the case of a 7 years old boy to whom a systolic murmur is noticed in the context of a viral respiratory infection. The way the physical exploration and the electrocardiographic findings guide the diagnosis of this patient is discussed.

Keywords: Systolic murmur. Incomplete right bundle branch block. Congenital heart disease. Ostium secundum atrial septal defect.