What is the cause of a heart murmur?

Patient's question:

My child has been 45 days old. At 42 days, a follow-up examination revealed a heart murmur, and the doctor said to re-examine in two months. Since birth, the child always breathes heavily while sleeping, wakes up easily, sweats when anxious, and has bluish eyebrows and corners of the mouth. During feeding, the child tends to choke easily. Could you please explain what is happening?

Doctor's answer:

Hello, murmurs can be physiological or pathological, and they need to be ruled out through an echocardiogram. If the murmur is physiological, treatment is not necessary. Children have thin chest walls and fast heartbeats, and during fever, nervousness, or after exercise, a stethoscope may sometimes detect a soft, wind-like sound when checking the heart. These murmurs are often physiological and have no impact on health. Statistics show that more than half of healthy children can have physiological murmurs. Pathological murmurs are more common in children with congenital heart disease. It is necessary to check a recent echocardiogram if needed.

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