{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T06:41:35Z","timestamp":1791873695450,"version":"4.3.4"},"reference-count":17,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2020,1,17]],"date-time":"2020-01-17T00:00:00Z","timestamp":1579219200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Paediatrics Child Health"],"published-print":{"date-parts":[[2020,6]]},"abstract":"<jats:sec><jats:title>Aim<\/jats:title><jats:p>Heart murmurs are not uncommon in childhood. Once noted, they may induce appreciable parental anxiety even if the likely diagnosis is that of an innocent murmur. This study aimed to clarify if a confirmatory echocardiogram may increase parental understanding and reduce their anxiety even though the murmur had been diagnosed as being innocent by an experienced paediatric cardiologist.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Parents of children referred to a paediatric cardiologist for evaluation of a murmur were asked to complete a State Trait Anxiety Inventory after the cardiologist's clinical diagnosis of an innocent murmur. The questionnaire was repeated after cross\u2010sectional echocardiography to assess if there was a change in the parental understanding regarding their child's murmur and to review their level of anxiety.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Over the time available for the study, 62 parents were recruited consecutively wherever possible. Forty\u2010eight (77%) completed both questionnaires. There was a reduction in the state anxiety level following the echocardiogram in parents who exhibited a high (<jats:italic>n<\/jats:italic> =\u200923) or even a low\u2010level trait anxiety (<jats:italic>n<\/jats:italic> =\u200925) (<jats:italic>P<\/jats:italic> &lt;\u20090.05). Enhanced parental understanding of the diagnosis was also demonstrated.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Reduced parental anxiety and an increase in their understanding after echocardiography suggested that the procedure may have an important role in the management of innocent murmurs even after the initial reassurance by a paediatric cardiologist.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jpc.14775","type":"journal-article","created":{"date-parts":[[2020,1,17]],"date-time":"2020-01-17T12:44:25Z","timestamp":1579265065000},"page":"917-921","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Impact of echocardiography on parental anxiety in children with innocent murmurs"],"prefix":"10.1111","volume":"56","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3618-5900","authenticated-orcid":false,"given":"Fiona H L","family":"Ip","sequence":"first","affiliation":[{"name":"Faculty of Medicine University of Melbourne, Monash University  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Margaret","family":"Hay","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Nursing, and Health Sciences Monash University  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6915-2040","authenticated-orcid":false,"given":"Samuel","family":"Menahem","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Nursing, and Health Sciences Monash University  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,1,17]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/0009922813488653"},{"key":"e_1_2_7_3_1","unstructured":"MenahemS.How to treat: Recognising heart disease in childhood.Australian Doctor. 2008; 5 Dec; 25."},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1017\/S104795110000963X"},{"key":"e_1_2_7_5_1","first-page":"558","article-title":"Heart murmurs in pediatric patients: When do you refer?","volume":"60","author":"Mcconnell ME","year":"1999","journal-title":"Am. Fam. Physician"},{"key":"e_1_2_7_6_1","first-page":"793","article-title":"Evaluation and management of heart murmurs in children","volume":"84","author":"Frank JE","year":"2011","journal-title":"Am. Fam. Physician"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0891-5245(97)90103-6"},{"key":"e_1_2_7_8_1","article-title":"Innocent cardiac murmurs in children","author":"Burch M","year":"2008","journal-title":"Gen. Pract"},{"key":"e_1_2_7_9_1","first-page":"406","article-title":"Opening Pandora's box: Parental anxiety and the assessment of childhood murmurs","volume":"18","author":"Giuffre RM","year":"2002","journal-title":"Can. J. Cardiol."},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.paed.2012.08.004"},{"key":"e_1_2_7_11_1","first-page":"89","article-title":"Innocent murmurs: Parental viewpoint, what are the most common misconceptions and how to avoid them","volume":"34","author":"Simunovic N","year":"2010","journal-title":"Coll. Antropol."},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1067\/mpd.2002.124379"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1177\/000992289503400105"},{"key":"e_1_2_7_14_1","article-title":"Does echocardiography have a role in the cardiologist's diagnosis of innocent murmurs in childhood?","author":"Ip H","year":"2019","journal-title":"Heart Lung Circ."},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1017\/S1047951113000012"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1017\/S1047951102001063"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1080\/17453054.2017.1399792"},{"key":"e_1_2_7_18_1","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1093\/acprof:oso\/9780195165678.001.0001","volume-title":"The State\u2010Trait Anxiety Inventory. Measuring Health: A Guide to Rating Scales and Questionnaires","author":"McDowell I","year":"2006"}],"container-title":["Journal of Paediatrics and Child Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fjpc.14775","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jpc.14775","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/jpc.14775","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jpc.14775","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,2]],"date-time":"2023-09-02T00:41:30Z","timestamp":1693615290000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jpc.14775"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,1,17]]},"references-count":17,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2020,6]]}},"alternative-id":["10.1111\/jpc.14775"],"URL":"https:\/\/doi.org\/10.1111\/jpc.14775","archive":["Portico"],"relation":{},"ISSN":["1034-4810","1440-1754"],"issn-type":[{"value":"1034-4810","type":"print"},{"value":"1440-1754","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,1,17]]},"assertion":[{"value":"2019-02-17","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-12-29","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-01-17","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}