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The innocent cardiac murmur is still the most common finding in healthy children and can usually be diagnosed through obtaining a complete history and performing a complete physical examination. However, a cardiac murmur may be the first sign of a structural cardiac disease and should not be ignored. Referral to a pediatric cardiologist for further evaluation is required when murmur assessment is not clear and diagnostic uncertainty is present. Educating and reassuring parents remains an important aspect of this evaluation. This article discusses features of innocent and pathological murmurs and provides an approach to cardiac murmurs in children.<\/jats:p>","DOI":"10.1177\/0009922813488653","type":"journal-article","created":{"date-parts":[[2013,5,14]],"date-time":"2013-05-14T00:01:09Z","timestamp":1368489669000},"page":"111-117","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":23,"title":["Evaluation of Children With Heart Murmurs"],"prefix":"10.1177","volume":"53","author":[{"given":"Yousef","family":"Etoom","sequence":"first","affiliation":[{"name":"The Hospital for Sick Children, University of Toronto, Toronto, ON, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Savithiri","family":"Ratnapalan","sequence":"additional","affiliation":[{"name":"The Hospital for Sick Children, University of Toronto, Toronto, ON, 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