Question
My child is 45 days old and during the 42-day check-up, it was found that the baby has a heart murmur. The doctor said to come back for a recheck in two months. Since birth, the baby has always been breathing heavily when sleeping, is easily awakened, sweats when anxious, the eyebrows and corners of the mouth turn blue, and is prone to choking on milk while feeding. What could be the cause of this?
Answer
Hello, there are physiological and pathological murmurs. It is necessary to rule out physiological murmurs through cardiac Doppler ultrasound. If it is a physiological murmur, no treatment is needed. Children have thin chest walls and fast heartbeats. After fever, tension, and exercise, it is possible to hear relatively soft sounds like blowing wind when checking the heart with a stethoscope. These murmurs are often physiological and do not affect health. According to statistics, more than half of healthy children may have physiological murmurs. Pathological murmurs are more common in children with congenital heart disease. It is necessary to check the recent cardiac Doppler ultrasound if necessary to see the situation.