Originally Posted by
gingernut
I'm not sure, I'm taking a guess, but it'll likely be dependent on the grading of the murmur, whereabouts in the cycle it's occurring......
Come on ginger, you know enough from the first post to say what is going on
![Smilie](images/smilies/smile.gif)
Let's stick our necks out.
It's a grade 1 midsystolic ('ejection' ) murmur in a youngster. Completely innocent.
An echo is a complete waste of time and money from a clinical point of view, but (s)he needs it otherwise every single time it gets pickup the medical will be on the line. That's a CAA policy, and if it's as surmised as above there no evidence I am aware of which makes it a sensible policy.
What would you do if you picked up such a murmur in a primary care setting?
Here you go, cannot beat google. AHA algorithm